Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure
| Autor: | Reuben Howden, Erin Vinoski Thomas, Maren J. Coffman, Jan Warren-Findlow, Lisa M. Krinner, Benjamin D H Gordon |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Predictive validity medicine.medical_specialty Health Behavior Diastole Blood Pressure 030204 cardiovascular system & hematology Logistic regression Medication Adherence Odds Correlation 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Internal medicine medicine Humans 030212 general & internal medicine Exercise General Nursing Partial correlation business.industry Middle Aged Confidence interval Self Care Cross-Sectional Studies Blood pressure Hypertension Female business |
| Zdroj: | Western Journal of Nursing Research. 42:157-164 |
| ISSN: | 1552-8456 0193-9459 |
| DOI: | 10.1177/0193945919851111 |
| Popis: | New recommendations for hypertension (HTN) diagnosis and treatment highlight the role of self-care activities in managing blood pressure (BP). This cross-sectional study investigated the predictive validity of the Hypertension Self-Care Activity Level Effects (H-SCALE) measure and examined the relative and cumulative effects of HTN self-care adherence on BP. We pooled baseline data from three studies ( N = 79), resulting in a gender and racially balanced sample. Partial correlations determined the relative effects of individual self-care behaviors on BP. We modeled the relationship between adherence to self-care behaviors and BP control using logistic regression. Physical activity had the greatest correlation with systolic BP. Adherence to each additional self-care behavior increased the odds of systolic BP control by 88% (95% confidence interval (CI) = [1.20, 2.96]) and diastolic BP control by 74% (95% CI = [1.10, 2.75]). Results provide further evidence that the H-SCALE is a valid assessment tool and should be adopted by clinicians to aid in improving BP management. |
| Databáze: | OpenAIRE |
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