Eghbali Maryam, Akbari Maedeh, Seify Kimiya, Fakhrolmobasheri Mohammad, Heidarpour Maryam, Roohafza Hamidreza, Afzali Maryam, Mostafavi-Esfahani Fateme-Sadat, Karimian Parisa, Sepehr Anis, Shafie Davood, Khosravi Alireza
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Hypertens. 2022 Aug 25;2022:7802792. doi: 10.1155/2022/7802792. eCollection 2022.
Most of the patients with hypertension (HTN) who undergo medical therapy unaccompanied by psychological and behavioral interventions may not achieve their goal in HTN treatment. Self-care is a key factor in controlling HTN. Given that depression, stress, and anxiety are the most psychological disorders in chronic illnesses. Their impact on self-care, quality of life, and HTN control must be studied more.
We analyzed the difference in medication adherence in 252 patients with low vs. high psychological distress. Also, patients with controlled and uncontrolled HTN were compared according to their psychological distress scores. We further assessed the relation of psychological distress, self-care, and medication adherence with patients' demographic characteristics.
61.3% of our participants were female with a mean age of 60.6 ± 11.35 and male participants had a mean age of 60.5 ± 11.55. The psychological distress score was significantly higher in women with uncontrolled HTN ( value = 0.044). Also, individuals with controlled HTN tend to have a higher medication adherence score ( value = 0.01) and higher self-care score ( value = 0.033). Hypertensive females had a higher psychological distress score (3.35 ± 2.05) and a lower self-care score (64.05 ± 8.16). There was a positive relationship between age and drug adherence. The self-care score was higher (65.95 ± 7.88) in patients having lower psychological distress levels.
A lower psychological distress score can result in better self-care, enhancing the probability of better HTN control; thus, psychological interventions may be necessary for the treatment of HTN. However, more studies are needed to assess the effectiveness of this intervention.
大多数接受药物治疗但未伴有心理和行为干预的高血压（HTN）患者可能无法实现其高血压治疗目标。自我护理是控制高血压的关键因素。鉴于抑郁症、压力和焦虑是慢性病中最常见的心理障碍。必须更多地研究它们对自我护理、生活质量和高血压控制的影响。
我们分析了252例心理困扰程度低与高的患者在药物依从性方面的差异。此外，根据心理困扰评分对高血压得到控制和未得到控制的患者进行了比较。我们进一步评估了心理困扰、自我护理和药物依从性与患者人口统计学特征之间的关系。
我们的参与者中61.3%为女性，平均年龄为60.6±11.35岁，男性参与者的平均年龄为60.5±11.55岁。未控制高血压的女性心理困扰评分显著更高（值 = 0.044）。此外，高血压得到控制的个体往往有更高的药物依从性评分（值 = 0.01）和更高的自我护理评分（值 = 0.033）。高血压女性的心理困扰评分更高（3.35±2. 在低心理困扰水平的患者中，自我护理评分更高（65.95±7.88）。
较低的心理困扰评分可导致更好的自我护理，提高更好地控制高血压的可能性；因此，心理干预可能是高血压治疗所必需的。然而，需要更多的研究来评估这种干预的有效性。 05），自我护理评分更低（64.05±8.16）。年龄与药物依从性之间存在正相关关系。
