Mo-im Kim Nursing Research Institute, College of Nursing, Yonsei University, Yonsei-ro, Seodaemun-gu, Seoul, Korea.
Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
PLoS One. 2021 Nov 29;16(11):e0260411. doi: 10.1371/journal.pone.0260411. eCollection 2021.
BACKGROUND: A proportion of hypertension patients live in developing countries with low awareness, poor control capabilities, and limited health resources. Prevention and control of hypertension can be achieved by applying both targeted and population-based health promotion interventions. This study synthesised the health promotion interventions for the control of hypertension in Africa. METHODS: An in-depth search of PubMed, CINAHL, EMBASE, Cochrane library, web of science, google scholar yielded 646 titles and 615 after duplicates were removed. Full text (112) was screened, and ten articles were selected. The data analysis method was thematic analysis through the incorporation of convergent synthesis. The major sub-themes that were identified were reduction in the prevalence of hypertension, increase in knowledge, impact and feasibility, role in the reduction of risk factors, and the cost associated with health promotion interventions. RESULTS: Health promotion interventions led to a remarkable decrease in the prevalence of hypertension, increased knowledge and awareness in the intervention compared to the control groups. Community-based interventions were noted to have a positive impact on people's adoption of measures to reduce risk or identify early symptoms of hypertension. There was a significant relationship for the reduction in salt consumption, smoking, alcohol use, and increased physical activity after the administration of an intervention. Interventions using community health workers were cost-effective. CONCLUSION: To sustain health promotion interventions and achieve control of hypertension especially in the long term, interventions must be culturally friendly and incorporate locally available resources in Africa.
背景:一部分高血压患者生活在发展中国家,这些国家普遍存在知晓率低、控制能力差和卫生资源有限的问题。通过应用有针对性和基于人群的健康促进干预措施,可以实现高血压的预防和控制。本研究综合了非洲控制高血压的健康促进干预措施。
方法:深入检索 PubMed、CINAHL、EMBASE、Cochrane 图书馆、Web of Science、谷歌学术,共获得 646 个标题,剔除重复后为 615 个。对全文(112 篇)进行筛选,最终选择了 10 篇文章。数据分析方法是通过融合收敛综合进行主题分析。确定的主要子主题包括降低高血压患病率、增加知识、影响和可行性、在降低危险因素方面的作用以及与健康促进干预相关的成本。
结果:健康促进干预显著降低了高血压的患病率,与对照组相比,干预组的知识和意识有所提高。社区为基础的干预措施对人们采取措施降低风险或早期发现高血压症状产生了积极影响。在实施干预措施后,盐的摄入量、吸烟、饮酒和体力活动的增加显著减少。使用社区卫生工作者的干预措施具有成本效益。
结论:为了维持健康促进干预措施并实现特别是长期控制高血压,干预措施必须具有文化亲和力,并整合非洲当地可用的资源。
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