Coping strategies and resilience among patients with hypertension in Ghana.
Coping strategies and resilience among patients with hypertension in Ghana.
复制标题
DOI：
10.3389/fpsyg.2022.1038346
复制
发表时间：
2022
影响因子：
3.8
通讯作者：
Mate-Kole, Charles Christopher
中科院分区：
文献类型：
--
作者：
Boima, Vincent;Yorke, Ernest;Ganu, Vincent;Gyaban-Mensah, Anna;Ekem-Ferguson, George;Kretchy, Irene Akwo;Mate-Kole, Charles Christopher
高血压与高发病率和死亡率相关，这与治疗和控制率低下有关。为了优化药物治疗，以患者为中心的策略，如应对，弹性和坚持服药，可以提高控制率，降低与高血压相关的发病率和死亡率。因此，本研究评估了加纳高血压患者的应对技能和弹性。在Korle Bu教学医院进行了一项横断面研究。从门诊连续选择了224例诊断为高血压的知情同意患者。包括社会人口学特征，临床参数，成人弹性测量，和非洲文化应对系统量表的问卷进行管理。使用Stata版本16.1分析数据，显著性水平设定为p值≤ 0.05。参与者的平均年龄为62.03 ± 11.40岁，大多数为女性（63%）。总体应对策略平均得分为43.13 ± 13.57。对于弹性，关系和个人弹性（PR）得分中位数分别为32（IQR-7）和39（IQR-9）。收缩压升高会显著增加总体应对策略评分。集体应对策略和收缩压显著增加应对得分（95%CI = 0.05-3.69 vs.95%CI = 0.58-5.31）。总体应对策略显著增加了个人和关系弹性（RR）领域的得分分别为0.004（95%CI = 0.002-0.01）和0.005（95%CI = 0.003-0.006）单位。本研究发现，高血压病患者多采用认知与情绪的应对策略。应对策略与个人和RR有显著的正相关，特别是集体和认知汇报与研究参与者的韧性有显著的正相关。有必要积极采取措施，改善高血压患者的应对策略和复原力，以适应疾病和治疗的长期性质，因为这将促进更好的治疗结果。
Hypertension is associated with high morbidity and mortality and this has been linked to poor treatment and control rates. To optimize drug treatment, patient-centered strategies such as coping, resilience, and adherence to medication may improve control rates and decrease the morbidity and mortality associated with hypertension. This study, therefore, assessed coping skills and resilience among patients with hypertension in Ghana. A cross-sectional study was conducted at Korle Bu Teaching Hospital. 224 consented patients with a diagnosis of hypertension were consecutively selected from the outpatient clinic. Questionnaires comprising socio-demographic characteristics, clinical parameters, Adult Resilience Measure, and the Africultural Coping Systems Inventory were administered. Data were analyzed using Stata version 16.1 and significance level was set at p-value of ≤ 0.05. The mean age of participants was 62.03 ± 11.40 years and the majority were female (63%). The overall coping strategy mean score was 43.13 ± 13.57. For resilience, median relational and personal resilience (PR) scores were 32 (IQR-7) and 39 (IQR-9), respectively. Increased systolic BP significantly increases the overall coping strategy score. Collective coping strategy and systolic BP significantly increased coping scores (95%CI = 0.05–3.69 vs. 95%CI = 0.58–5.31). Overall coping strategy significantly increased personal and relational resilience (RR) domain scores by 0.004 (95%CI = 0.002–0.01) and 0.005 (95%CI = 0.003–0.006) units, respectively. This study demonstrated that Cognitive and emotional debriefing coping strategy was mostly used by patients with hypertension. Coping strategies had a positive and significant correlation with personal and RR, specifically collective and cognitive debriefing had a significant positive association with resilience among study participants. There is a need to actively put in measures that can improve the coping strategies and resilience among patients with hypertension to adjust to the long-term nature of the illness and treatment as this will promote better treatment outcomes.
登录
查看更多内容
影响因子：
3.6
作者：
Kretchy IA;Owusu-Daaku FT;Danquah SA
通讯作者：
Danquah SA
影响因子：
0.4
作者：
Gheshlagh, Reza Ghanei;Sayehmiri, Kourosh;Tabrizi, Kian Nourozi
通讯作者：
Tabrizi, Kian Nourozi
影响因子：
2.9
作者：
Awuah, Raphael Baffour;Aikins, Ama de-Graft;Agyemang, Charles
通讯作者：
Agyemang, Charles
影响因子：
3.7
作者：
Macía P;Barranco M;Gorbeña S;Álvarez-Fuentes E;Iraurgi I
通讯作者：
Iraurgi I
影响因子：
5.4
作者：
Buck, Anna C.;Williams, David R.;Sternthal, Michelle J.
通讯作者：
Sternthal, Michelle J.