Self-Care Management for Hypertension in Southeast Asia: A Scoping Review.
Self-Care Management for Hypertension in Southeast Asia: A Scoping Review.
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DOI：
10.2147/jmdh.s367638
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发表时间：
2022
影响因子：
3.3
通讯作者：
Syahrul, Syahrul
中科院分区：
文献类型：
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作者：
Irwan, Andi Masyitha;Potempa, Kathleen;Abikusno, Nugroho;Syahrul, Syahrul
自我保健的做法，如饮食，运动和压力管理的生活方式的改变是有效的，在降低高血压的发病率和提高更好的管理。然而，在高血压患病率急剧增加的东南亚（SEA）国家，人们对高血压患者的自我护理管理实践知之甚少。使用Arkey和O 'Malley的范围审查框架对研究和灰色文献（2006-2021年）进行了范围审查。对于研究文献，检索了10个数据库，然后手动检索相关主题论文的参考文献列表。入选标准包括定性和定量的原始数据研究，重点是成人（18岁及以上）高血压患者，自我护理管理方法，在SEA中进行。该研究方案已在开放科学框架（https：//osf.io/s4nvk/）注册。在审查的1667项研究中，有57项研究符合标准并被纳入本综述。结果表明，相关文献的缺乏。此外，大多数研究回顾显示，在诊断为高血压的人群中，行为危险因素的发生率为50%或更多，包括超重/肥胖，缺乏体育锻炼，不良/低质量的饮食摄入，以及不坚持药物治疗。很少有研究表明SEA高血压人群中有足够的传统自我保健实践。一些研究发现使用非处方草药作为药物。几篇回顾的文章表明，在实施自我护理实践的促进因素和障碍方面存在个体差异，我们将其纳入一个工作框架。（内部因素）或环境或背景（外部因素）。加强SEA中高血压的自我护理管理可能需要多种方法，集中的方法，包括针对个人选择以及外部因素，如文化相关性，环境和资源。
Self-care practices such as lifestyle modifications in diet, exercise, and stress management are effective in reducing the incidence of and enhancing better management of hypertension. However, little is known about the self-care management practices of people with hypertension in Southeast Asia (SEA) countries where the prevalence of hypertension is sharply increasing. A scoping review of research and grey literature (2006–2021) was performed using Scoping Review Frameworks by Arkey and O’Malley. For the research literature, ten databases were searched followed by a manual search of the reference lists of relevant topical papers. Criteria for inclusion included both qualitative and quantitative primary data studies, focused on adult (18 years and over) hypertensive patients, self-care management methods, conducted in SEA. The study protocol has been registered at Open Science Framework (https://osf.io/s4nvk/). Out of 1667 studies examined, there were 57 studies that met criteria and were included in this review. Results indicate a paucity of relevant literature. Moreover, most studies reviewed showed an incident rate of 50% or more incidence of behavioural risk factors in people diagnosed with hypertension, including overweight/obesity, poor physical exercise, poor/low-quality dietary intake, and not adhering to medication. Few studies indicated adequate traditional self-care practice among SEA hypertension populations. Use of a non-prescription herbal as the medication is identified in some studies. Several reviewed articles indicated that there is individual variation in the facilitators and barriers to implementing self-care practices and we put it into a working framework. The facilitators and barriers are relevant to personal choice (internal factors) or to the environment or context (external factors). Enhancing self-care management of hypertension in SEA may require a multi-focused approach including targeting personal choice as well as external factors such as cultural relevance, environment, and resources.