Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia.
Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia.
J Med Vasc. 2021 Apr;46(2):72-79. doi: 10.1016/j.jdmv.2021.01.005. Epub 2021 Feb 18.
Unmanaged hypertension (HTN) is usually accompanied with complications leading to disability in older adults. It has been demonstrated that self-care practice is essential for blood pressure control and reduction of HTN complications.
This study aimed to estimate the level of implementation of HTN self-care practice and to identify their associated factors.
It was a cross-sectional study conducted in Sfax, Southern Tunisia in April 2020.
A total of 6 primary health-care facilities were approached for the study participants according to a single-stage cluster sample, by selecting six grapes randomly. A total of 270 participants were recruited, among whom 250 cases (92.6%) completed the questionnaire.
A total of 250 hypertensive patients were included in the study, giving a male to female ratio of 0.77. There were 125 participants (50%) aged over 65years. Overall, 137 cases (54.8%) had a high total self-care practice score. The independent factors of good HTN self-care practice were≥65years [Adjusted odds ratio (AOR)=9.5; P<0.001], university educational level of the participants (AOR=21.2; P<0.001), as well as receiving a health education, by health-care providers (AOR=2.5; P=0.012) and family members (AOR=4.36; P=0.004). Advanced hypertension stage (II and III) (AOR=0.45; P=0.032) and chronic pulmonary diseases, including asthma (AOR=0.42; P=0.027) and chronic obstructive pulmonary diseases (AOR=0.27; P=0.016) were independently associated with poor HTN self-care practice.
Advanced hypertension stage, pulmonary co-morbidities, education level and lack of self-care education were predictive factors of poor self-care practice. These findings suggested that such factors should be considered when planning HTN self-care education.
未得到控制的高血压（HTN）通常伴有导致老年人残疾的并发症。已经证明自我护理实践对于控制血压和降低 HTN 并发症至关重要。
本研究旨在评估 HTN 自我护理实践的实施水平，并确定其相关因素。
这是 2020 年 4 月在突尼斯南部斯法克斯进行的一项横断面研究。
根据单阶段聚类抽样，共对 6 个初级保健机构进行了研究参与者的评估，随机选择了 6 个葡萄。共招募了 270 名参与者，其中 250 名（92.6%）完成了问卷。
共有 250 名高血压患者纳入研究，男女比例为 0.77。有 125 名参与者（50%）年龄超过 65 岁。总体而言，137 例（54.8%）具有较高的总自我护理实践评分。良好 HTN 自我护理实践的独立因素包括≥65 岁[调整优势比（AOR）=9.5；P<0.001]、参与者的大学教育水平（AOR=21.2；P<0.001），以及接受医疗保健提供者（AOR=2.5；P=0.012）和家庭成员（AOR=4.36；P=0.004）的健康教育。较高的高血压阶段（II 期和 III 期）（AOR=0.45；P=0.032）和慢性肺部疾病，包括哮喘（AOR=0.42；P=0.027）和慢性阻塞性肺疾病（AOR=0.27；P=0.016）与不良的 HTN 自我护理实践独立相关。
较高的高血压阶段、肺部合并症、教育水平和缺乏自我护理教育是自我护理实践不良的预测因素。这些发现表明，在规划 HTN 自我护理教育时应考虑这些因素。
