Short Form (SF-36) Health Survey measures are associated with decreased adherence among urban African Americans with severe, poorly controlled hypertension.
Short Form (SF-36) Health Survey measures are associated with decreased adherence among urban African Americans with severe, poorly controlled hypertension.
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DOI：
10.1111/j.1751-7176.2010.00402.x
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发表时间：
2011-05
期刊：
影响因子：
--
通讯作者：
Young JH
中科院分区：
文献类型：
--
作者：
Konerman M;Weeks KR;Shands JR;Tilburt JC;Dy S;Bone LR;Levine DM;Young JH
本研究的目的是确定高血压控制不佳的城市非裔美国人中 SF-36 措施与不依从性之间是否存在关联。 158 名非裔美国人因严重且不受控制的高血压而住进城市学术医院。主要结果指标是使用经过验证的仪器自我报告不坚持服用抗高血压药物。身体成分总结 (PCS) 评分每增加 10 分，个体报告不依从的可能性几乎增加两倍（OR 1.94，95% CI 1.30-2.90；p<0.01）。身体功能和心理健康分量表之间观察到显着的交互作用（p=0.05）；身体机能高、心理健康得分低的个体的依从率最低。这些结果表明，高身体机能，特别是如果与不良心理健康相关，会增加城市非裔美国人不遵守抗高血压治疗方案的可能性。 SF-36 可以作为一种有效的临床工具，识别存在不依从性风险的患者，更重要的是，可以提高临床医生对不依从性的理解，从而允许针对个体患者量身定制抗高血压药物的讨论。
The objective of this study was to determine if an association exists between SF-36 measures and nonadherence among urban African-Americans with poorly controlled hypertension. 158 African-Americans admitted to an urban academic hospital for severe, uncontrolled hypertension. Main outcome measure was self-reported nonadherence to antihypertensive medications using a validated instrument. For every 10-point increase in Physical Component Summary (PCS) score, an individual was almost two times more likely to report being nonadherent (OR 1.94, 95%CI 1.30-2.90; p<0.01). A significant interaction (p=0.05) was observed between the Physical Functioning and Mental Health subscales; individuals with high Physical Functioning and low Mental Health scores displayed the lowest adherence rate. These results suggest that high physical functioning, especially if associated with poor mental health, increases the likelihood of nonadherence to antihypertensive regimens among urban African-Americans. The SF-36 may serve as an effective clinical tool that identifies patients at risk for nonadherence, and more importantly, may improve clinicians’ understanding of nonadherence, allowing for discussions about antihypertensives to be tailored to individual patients.
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