Personal characteristics and cognition in older African-Americans with hypertension.
Personal characteristics and cognition in older African-Americans with hypertension.
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发表时间：
2011-12
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通讯作者：
K. Klymko;N. Artinian;R. Peters;P. Lichtenberg
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作者：
K. Klymko;N. Artinian;R. Peters;P. Lichtenberg
高血压不成比例地影响所有非洲裔美国人，缺乏足够的血压控制可能导致老年非洲裔美国人的认知能力下降。认知困难可能会损害这些人的自我管理能力，进一步限制他们的血压控制。因此，本研究的目的是确定与认知困难相关的个人特征，以确定需要环境支持以提高自我管理能力的老年人。招募了102名年龄在60至89岁之间的确诊为高血压的非裔美国人。49%（n = 50）的样本有认知障碍，可能会阻碍高血压自我管理。抑郁症状也与认知功能下降有关（即，方向和复杂的认知技能），以及与社会支持呈负相关。这些研究结果支持护士需要评估个人特征，以规划自我管理策略，帮助客户弥补认知缺陷。
Hypertension disproportionately affects all African-Americans and lack of adequate blood pressure control could contribute to cognitive decline among older adult African-Americans. Cognitive difficulties might impair the self-management ability of these individuals, further limiting their blood pressure control. The purpose of this study, therefore, was to determine the personal characteristics that were associated with cognitive difficulties in order to identify older adults who needed environmental supports to enhance their self-management capabilities. A sample of 102 African-Americans from 60 to 89 years of age with diagnosed hypertension was recruited. Forty-nine percent (n = 50) of the sample had cognitive impairments that could hinder hypertension self-management. Depressive symptoms were also associated with a decrease in cognitive function (i.e., orientation and complex cognitive skills), as well as being negatively associated with social support. These findings support the need for nurses to assess personal characteristics in order to plan self-management strategies that help clients compensate for cognitive deficits.