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物理活动及其与高血压患者相关因素的研究:来自埃塞俄比亚西北部阿姆哈拉地区综合专科医院的一项基于机构的横断面研究。

Physical Activity and Its Associated Factors among Patients with Hypertension at Amhara Region Comprehensive Specialised Hospitals, Northwest Ethiopia: An Institutional Based Cross-Sectional Study.

机构信息

Department of Physiotherapy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Physiotherapy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

出版信息

BMJ Open. 2023 Sep 4;13(9):e073018. doi: 10.1136/bmjopen-2023-073018.

Abstract

BACKGROUND

Accurate evaluation of physical activity for patients with hypertension is important to determine patients' health outcomes and intervention measures. Information about physical activity among patients with hypertension in Ethiopia is not well known.

OBJECTIVE

This study was aimed to assess the physical activity and associated factors among patients with hypertension.

STUDY DESIGN

An institution-based cross-sectional study was conducted.

STUDY SETTING

The study was conducted at the Tertiary Hospital Northwest, Ethiopia.

OUTCOME MEASURES

Physical activity was assessed by Global Physical Activity Questionnaire as the primary outcome and factors significantly associated with physical activity were secondary outcomes.

PARTICIPANTS

Four hundred and twenty patients with hypertension took part in the study; among those 233 were men and 187 were women. The study participants were chosen using a systematic random sampling method. SPSS V.20 statistical software was used to analyse the data. In the multivariable logistic regression analysis model, adjusted OR (AOR) with a 95% CI and p value<0.05 were used to identify the associated factors with physical activities.

RESULTS

Our study showed that 19.1% of study participants had inadequate physical activity, being old age with AOR: 10.27 (3.21 to 33.01), low or poor self-efficacy with AOR: 10.34 (4.89 to 21.84), poor self-rated health with AOR: 5.91 (1.73 to 20.13) and lack of adequate facilities with AOR: 4.07 (1.72 to 9.66) were significantly associated with inadequate physical activity.

CONCLUSION

Inadequate physical activity was detected in one-fifth of the study participants, according to our research. Being elderly, having low self-efficacy, having inadequate facilities and having poor self-rated health were all linked to inadequate physical activity.

摘要

背景

准确评估高血压患者的身体活动对于确定患者的健康结果和干预措施非常重要。关于埃塞俄比亚高血压患者身体活动的信息尚未得到充分了解。

目的

本研究旨在评估高血压患者的身体活动及其相关因素。

研究设计

这是一项基于机构的横断面研究。

研究地点

埃塞俄比亚西北三级医院。

主要结局测量

采用全球体力活动问卷评估身体活动,将与身体活动显著相关的因素作为次要结局。

研究对象

420 名高血压患者参加了这项研究;其中 233 名男性,187 名女性。研究参与者采用系统随机抽样方法选择。使用 SPSS V.20 统计软件分析数据。在多变量逻辑回归分析模型中,采用调整后的 OR(AOR)和 95%CI 以及 p 值<0.05 来识别与身体活动相关的因素。

结果

我们的研究表明,19.1%的研究参与者身体活动不足,年龄较大的患者 AOR 为 10.27(3.21 至 33.01),低或差的自我效能感 AOR 为 10.34(4.89 至 21.84),自我评估健康状况差 AOR 为 5.91(1.73 至 20.13),缺乏足够的设施 AOR 为 4.07(1.72 至 9.66)与身体活动不足显著相关。

结论

根据我们的研究,五分之一的研究参与者身体活动不足。年龄较大、自我效能感较低、设施不足和自我评估健康状况较差都与身体活动不足有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdf/10481733/f6ca39f1cdc5/bmjopen-2023-073018f01.jpg

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