Department of Nursing, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, PO Box 39040, Ramat Aviv, Tel Aviv 6997801, Israel.
Heart Lung. 2019 Jul-Aug;48(4):339-346. doi: 10.1016/j.hrtlng.2019.02.001. Epub 2019 Feb 20.
Hypertension (HTN) is the most important risk factor for death and disability worldwide. Hypertensive patients' HTN knowledge was shown to be associated with control of HTN. Understanding factors affecting HTN knowledge might help control HTN.
To examine differences in HTN knowledge by age, gender, ethnicity, years of education and whether HTN was diagnosed, and to explore whether HTN knowledge is affected by self-measurement of blood pressure (BP), in Israel's general population.
A cross-sectional, descriptive, correlational design was used. A convenience sample of 430 Israeli adults, sampled in community centers across Israel, in four age groups (18-34, 35-49, 50-64, and above 64) were interviewed by 17 registered nurses, using a structured questionnaire with open-ended questions, during March 2017 and March 2018. ANOVA and chi-square tests for assessing differences between age groups in sociodemographic characteristics and BP measurement were used. Factors predicting knowledge of various HTN aspects and total HTN knowledge were explored by logistic and ordinal regression analyses.
Older participants, those with more years of education, and those who self-measured blood pressure had better knowledge of particular aspects of HTN and higher total HTN knowledge. Women had greater knowledge of normal systolic and diastolic BP.
Higher age, more years of education, and blood pressure self-measurement were associated with higher total HTN knowledge. The attention of health authorities should be drawn to improving HTN knowledge among younger adults, and to including blood pressure self-measurement in the regular practices of the general population.
高血压(HTN)是全球范围内导致死亡和残疾的最重要危险因素。高血压患者的 HTN 知识与 HTN 的控制有关。了解影响 HTN 知识的因素可能有助于控制 HTN。
检查以色列普通人群中年龄、性别、种族、受教育年限以及是否诊断出 HTN 对 HTN 知识的差异,并探讨 HTN 自我测量血压(BP)是否会影响 HTN 知识。
采用横断面、描述性、相关性设计。2017 年 3 月至 2018 年 3 月,在以色列各地的社区中心,由 17 名注册护士对 430 名以色列成年人进行了方便抽样,使用带有开放式问题的结构化问卷进行访谈。使用方差分析和卡方检验评估年龄组在社会人口统计学特征和 BP 测量方面的差异。使用逻辑回归和有序回归分析探讨了预测各种 HTN 方面和总 HTN 知识知识的因素。
年龄较大、受教育年限较长和自我测量血压的参与者对 HTN 特定方面的知识和总 HTN 知识的了解更好。女性对正常收缩压和舒张压的了解更多。
较高的年龄、较长的受教育年限和血压自我测量与较高的总 HTN 知识相关。卫生当局应注意提高年轻成年人的 HTN 知识,并将血压自我测量纳入普通人群的常规实践中。