The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community
The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community
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DOI：
10.1038/jhh.2014.58
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发表时间：
2015-03-01
影响因子：
2.7
通讯作者：
Arao, T.
中科院分区：
文献类型：
--
作者：
Hu, H. H.;Li, G.;Arao, T.
本研究旨在测试家庭社会支持、抑郁、焦虑和自我效能对特定自我护理行为的作用。 2012年，当地某社区卫生服务中心对318名高血压患者完成了自我护理、家庭社会支持、抑郁、焦虑和自我效能感问卷调查，并用Logistic回归模型对每种自我护理行为进行了单独分析。对高血压治疗的感知家庭社会支持的平均得分为 20.91（最大值 = 60）。成年儿童被确定为主要的支持来源。大约 22.3% 和 15.4% 的参与者分别报告了焦虑和抑郁症状。参与者对自我护理的信心处于中等积极水平（60 人中的 42.1 +/- 13.3）。调整人口和健康变量后，家庭社会支持增加 10 个单位，服用药物的比值比 (OR) 增加 1.39（95% 置信区间 (CI) 1.03-1.87），定期测量血压 (BP) 的比值比 (OR) 增加 1.33 (95% CI 1.02-1.74)。抑郁和焦虑与任何自我保健行为无关。自我效能增加 10 个单位，进行体育锻炼的调整 OR 增加至 1.25 (95% CI 1.04-1.49)。总之，家庭社会支持与药物依从性和定期血压测量呈正相关。应制定改善家庭社会支持的策略来控制高血压，但需要进一步的前瞻性研究来了解家庭社会支持、抑郁、焦虑和自我效能对自我保健行为的影响。
This study aimed to test the role of family social support, depression, anxiety and self-efficacy on specific self-care behaviours. In a local community health center, 318 patients with hypertension completed a questionnaire assessing self-care, family social support, depression, anxiety and self-efficacy in 2012. Each self-care behaviour was separately analyzed with logistic regression models. The mean score of perceived family social support for hypertension treatment was 20.91 (maximum = 60). Adult children were identified as the primary support source. Approximately 22.3% and 15.4% of participants reported symptoms of anxiety and depression, respectively. Participants had moderately positive levels of confidence performing self-care (42.1 +/- 13.3 out of 60). After adjusting for demographic and health variables, a 10-unit increase in family social support increased the odds ratio (OR) of taking medication by 1.39 (95% confidence interval (CI) 1.03-1.87) and increased the OR for measuring blood pressure (BP) regularly by 1.33 (95% CI 1.02-1.74). Depression and anxiety were not associated with any self-care behaviours. A 10-unit increase in self-efficacy increased the adjusted OR for performing physical exercise to 1.25 (95% CI 1.04-1.49). In conclusion, family social support was positively associated with medication adherence and regular BP measurement. Strategies to improve family social support should be developed for hypertension control, yet further prospective studies are needed to understand the effects of family social support, depression, anxiety and self-efficacy on self-care behaviours.