Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure

Warren‐Findlow, Jan; Krinner, Lisa M.; Thomas, Erin; Coffman, Maren J.; Gordon, BD; Howden, Reuben

doi:10.1177/0193945919851111

Cited by 8 publications

(30 citation statements)

References 38 publications

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“…This finding was consistent with findings of Hsu et al (2020). One possible explanation is that some participants preferred to engage in other lifestyle behaviors to avoid having to take medication in the recommended dosage (Warren-Findlow et al, 2020). Alternatively, study patients may have been more focused on changing their health behavior to achieve good symptom recognition and less adherence to treatment.…”

Section: Discussionsupporting

confidence: 84%

Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

et al. 2021

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Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment.

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Section: Discussionsupporting

confidence: 84%

Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

et al. 2021

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“…Respondents with a score of 21 were considered adherent. Such participants included those who took the recommended dosage of medication at the same time on all days of the week 15…”

Section: Methodsmentioning

confidence: 99%

“…Despite the robust evidence of self-care behaviours in controlling high BP, adherence to self-care behaviours is generally poor 15–20. Only 38% of treated patients with hypertension in Nepal have their BP under control, underscoring the need for effective strategies to improve the hypertension care cascade 5.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with self-care behaviours among people with hypertension residing in Kathmandu: a cross-sectional study

Nakarmi,

Uprety,

Ghimire

et al. 2023

BMJ Open

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ObjectiveTo determine the prevalence and associated factors of self-care behaviours among people with hypertension in the Kathmandu district of Nepal.DesignCross-sectional study.SettingMunicipalities of Kathmandu district, Nepal.ParticipantsWe enrolled 375 adults aged ≥18 years with a minimum 1-year duration of hypertension using multistage sampling.Outcome measuresWe used the Hypertension Self-care Activity Level Effects to assess self-care behaviours and collected data through face-to-face interviews. We conducted univariate and multivariable logistic regression analyses to determine the factors associated with self-care behaviours. The results were summarised as crude and adjusted ORs (AORs) with 95% CIs.ResultsThe adherence to antihypertensive medication, Dietary Approach to Stop Hypertension (DASH) diet, physical activity, weight management, alcohol moderation, and non-smoking were 61.3%, 9.3%, 59.2%, 14.1%, 90.9%, and 72.8%, respectively. Secondary or higher education (AOR: 4.42, 95% CI: 1.11 to 17.62), Brahmin and Chhetri ethnic groups (AOR: 3.30, 95% CI: 1.26 to 8.59) and good to very good perceived health (AOR: 3.96, 95% CI: 1.60 to 9.79) were positively associated with DASH diet adherence. Males (AOR: 2.05, 95% CI: 1.19 to 3.55) had higher odds of physical activity. Brahmin and Chhetri ethnic groups (AOR: 3.44, 95% CI: 1.63 to 7.26) and secondary or higher education (AOR: 4.70, 95% CI: 1.62 to 13.63) were correlates of weight management. Secondary or higher education (AOR: 2.47, 95% CI: 1.16 to 5.29), body mass index ≥25 kg/m2(AOR: 1.83, 95% CI: 1.04 to 3.22) and income above the poverty line (AOR: 2.24, 95% CI: 1.08 to 4.63) were positively associated with non-smoking. Furthermore, Brahmin and Chhetri ethnic groups (AOR: 4.51, 95% CI: 1.64 to 12.40), males (AOR: 0.17, 95% CI: 0.06 to 0.50) and primary education (AOR: 0.26, 95% CI: 0.08 to 0.85) were associated with alcohol moderation.ConclusionThe adherence to the DASH diet and weight management was particularly low. Healthcare providers and policymakers should focus on improving self-care by designing simple and affordable interventions for all patients with hypertension.

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“…Other than the broad empirical referents mentioned above, there are tools designed to measure the self‐care concept and some of these are disease/condition specific. These include Hypertension self‐care activity level scale (H‐scale), self‐care of diabetes inventory, self‐care of chronic illness inventory, Self‐care of hypertension inventory, self‐care of coronary heart disease inventory, self‐care of home‐dwelling elderly, and Lorensen's self‐care capability scale are also used to measure self‐care 34,59–63 …”

Section: Resultsmentioning

confidence: 99%

Chronic disease self‐care: A concept analysis

et al. 2021

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The purpose of this concept analysis is to clarify and analyze the concept of self‐care. Self‐care is vital in the prevention, control, and management of chronic disease. It is substantially important in all aspects of health and all levels of care, and it is key to chronic disease management. Walker and Avant's (2011) method for concept analysis was used. A literature search was performed using the Cumulative Index to Nursing and Allied Health Literature, Psych INFO, Cochrane Library, Embase, Medline, and Google Scholar databases for relevant articles published between 2000 and 2020 using the search terms self‐care, chronic illness, and chronic disease. A total of 22 articles were found for the final analysis. The three defining attributes of self‐care include readiness, ability, and activity/practice. Similarly, antecedents (illness/treatment, health systems, and environment) and consequences (health status improvement and wellbeing‐related, symptom management‐related, cost reduction‐related, and personal development‐related) of self‐care were derived from literature. Constructed cases were created to illustrate these aspects of self‐care. Through this concept analysis, the complexity and breadth of the self‐care concept are elucidated.

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Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure

Cited by 8 publications

References 38 publications

Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

Factors associated with self-care behaviours among people with hypertension residing in Kathmandu: a cross-sectional study

Chronic disease self‐care: A concept analysis

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