Chunhua Ma1, Wei Zhou2, Chunfeng Huang3, Shuling Huang4. 1. School of Nursing, Guangzhou Medical University, 195 Dongfeng Rd., Guangzhou, China, 510180. Electronic address: mawinter@126.com. 2. School of Nursing, Guangzhou Medical University, 195 Dongfeng Rd., Guangzhou, China, 510180. Electronic address: mayzhouwei@126.com. 3. The first affiliated hospital of SUN YAT-SEN University, 58 Zhongshan Rd., Guangzhou, China, 510080. Electronic address: windhcf@163.com. 4. The third affiliated hospital of Guangzhou Medical University, 63 Duobao Rd., Guangzhou, China, 510150. Electronic address: gysyccu@126.com.
Abstract
AIM: The purpose of the study is to investigate the levels of self-rated health, blood pressure control, understand their relationships between the self-rated health and blood pressure control, and to identify the extent to which demographic, disease and psychosocial factors predict the self-rated health of hypertensive patients. METHODS: The study adopted a cross-sectional design. Nine hundred forty-two subjects with essential hypertension were invited to join the study, 807 completed the survey. Self-report questionnaires were used to collect data. The hierarchical logistic regression was used to test the determinants of self-rated health status. RESULTS: Of all the subjects, 59.3% rated their health status as good, and 41.7% perceived their health status as poor. In terms of levels of blood pressure control, nurse-measured blood pressure showed that 40.2% of the subjects had good control levels, 59.8% for poor control levels. There were positive relationships between good self-rated health and controlled blood pressure of hypertensive patients (p<0.05). The logistic regression model showed that the determinants of subjects' self-rated health included income (OR=4.28; 95% CI=1.86-6.25), duration of hypertension diagnosis (OR=4.06; 95% CI=2.17-6.35), treatment adherence (OR=9.02; 95% CI=5.36-15.51), physical activity (OR=13.81; 95% CI=10.16-19.57) and social support (OR=8.63; 95% CI=7.17-11.35). CONCLUSIONS: The self-rated health status and blood pressure control for patients with hypertension is suboptimal, effective strategies should be developed to improve patients' general health.
AIM: The purpose of the study is to investigate the levels of self-rated health, blood pressure control, understand their relationships between the self-rated health and blood pressure control, and to identify the extent to which demographic, disease and psychosocial factors predict the self-rated health of hypertensivepatients. METHODS: The study adopted a cross-sectional design. Nine hundred forty-two subjects with essential hypertension were invited to join the study, 807 completed the survey. Self-report questionnaires were used to collect data. The hierarchical logistic regression was used to test the determinants of self-rated health status. RESULTS: Of all the subjects, 59.3% rated their health status as good, and 41.7% perceived their health status as poor. In terms of levels of blood pressure control, nurse-measured blood pressure showed that 40.2% of the subjects had good control levels, 59.8% for poor control levels. There were positive relationships between good self-rated health and controlled blood pressure of hypertensivepatients (p<0.05). The logistic regression model showed that the determinants of subjects' self-rated health included income (OR=4.28; 95% CI=1.86-6.25), duration of hypertension diagnosis (OR=4.06; 95% CI=2.17-6.35), treatment adherence (OR=9.02; 95% CI=5.36-15.51), physical activity (OR=13.81; 95% CI=10.16-19.57) and social support (OR=8.63; 95% CI=7.17-11.35). CONCLUSIONS: The self-rated health status and blood pressure control for patients with hypertension is suboptimal, effective strategies should be developed to improve patients' general health.
Authors: Zijing Pan; Wanchun Xu; Zhong Li; Chengzhong Xu; Fangfang Lu; Pei Zhang; Liang Zhang; Ting Ye Journal: Int J Environ Res Public Health Date: 2020-01-29 Impact factor: 3.390