Biopsychosocial Determinants of Self-Management in Culturally Diverse South African Patients with Essential Hypertension.

Autor: Botha, Karel F.H., du Plessis, Wynand F., van Rooyen, Johannes M., Wissing, M P
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Zdroj: Journal of Health Psychology; Sep2002, Vol. 7 Issue 5, p519, 13p
Abstrakt: Associations between selfmanagement and biopsychosocial variables in a group of Afrikaans- (n = 102) and Sotho-speaking (n = 94) patients with essential hypertension (EH) were investigated. Self-management in terms of predetermined criteria for medical and lifestyle prescriptions was achieved by only 30.6 per cent of the participants. Significant differences were found between self-managing and non selfmanaging participants regarding language and culture, doctor-patient fit, complexity of prescriptions, medication sideeffects, aspects of health beliefs, illness behaviour and health locus of control. In addition, a first empirical indication was found that self-management is also linked with psychological wellbeing, as manifested in a sense of coherence. The significantly accurate prediction of self-management by various biopsychosocial variables endorses the relevance of a biopsychosocial perspective in the treatment of patients with EH. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index