Tschann J M, Adamson T E, Coates T J, Gullion D S
University of California, Department of Medicine, San Francisco 94143.
J Community Health. 1988 Spring;13(1):19-32. doi: 10.1007/BF01321477.
The relationships between self-reported hypertension-related patient behaviors and patient demographic characteristics were examined in a sample of 2,044 patients being treated for hypertension in 111 primary care medical practices. The patient behaviors of sodium intake, weight, alcohol, exercise, relaxation and adherence to medication regimen could be predicted to some extent by patient demographic characteristics. Whether patients recalled receiving advice from their physicians about these behaviors could also be predicted by patient demographic characteristics. Patients demographically similar to physicians, i.e., male, younger, more educated and White, reported receiving more advice from their physicians. Patients with behavioral problems who received relatively less advice from their physicians included: less educated younger patients whose sodium intake was relatively high; younger and less educated over-weight women; overweight Black patients; and older women who exercised less than average.
在111家初级保健医疗机构接受高血压治疗的2044名患者样本中,研究了自我报告的高血压相关患者行为与患者人口统计学特征之间的关系。患者的钠摄入、体重、饮酒、运动、放松和药物治疗依从性等行为在一定程度上可以通过患者人口统计学特征进行预测。患者人口统计学特征也可以预测患者是否回忆起从医生那里得到过关于这些行为的建议。在人口统计学上与医生相似的患者,即男性、年轻、受教育程度较高和白人,报告从医生那里得到的建议更多。从医生那里得到相对较少建议的行为问题患者包括:受教育程度较低的年轻患者,其钠摄入量相对较高;年轻且受教育程度较低的超重女性;超重的黑人患者;以及运动少于平均水平的老年女性。