文章基本信息

标题：Iranian study on social determinants of self-management in patients with hypertension referring to tabriz health care centers in 2017-2018
本地全文：下载
作者：MohammadZakaria Pezeshki ; FatemehKeyghobadi Khajeh ; Saeideh Ghaffarifar 等
期刊名称：INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE
印刷版ISSN：2008-7802
出版年度：2020
卷号：11
期号：1
页码：58-62
DOI：10.4103/ijpvm.IJPVM_199_19
出版社：ISFAHAN UNIVERSITY OF MEDICAL SCIENCES
摘要：Aim :The present study aims to evaluate self-management status in Iranian patients with hypertension and its relationship with social determinants. Setting and Design :This study was carried out in 2017-2018 in health care centers affiliated with Tabriz University of Medical Sciences in Iran. Methods :A total of 240 patients with hypertension, who referred to health care centers of Tabriz, were invited to fill out the self-management (researcher made) and social determinants of health questionnaires. Statistical Analysis :Spearman correlation was used to determine the relationship between self-management score and its items with items of social determinants of health questionnaire. Also, Pearson correlation Student t -test was used. Results :In this research 197 patients were studied. Mean age of the participants was 56.6 ± 10.1 years. The mean ± SD (standard deviation) of self-management score was 81.51 ± 13.16. The correlation coefficient of self -management with financial ability of securing the education expenses, nutrition and fruits, and health care expenses were 0.228 ( P = 0.001), 0.149 ( P value <0.05), and 0.28 ( P < 0.001) respectively. Also, the correlation coefficient of age with self-management was - 0.206 ( P value = 0.004). Item level analysis showed strong significant associations between social determinants and three items related to lifestyle and two items related to monitoring of blood pressure (BP) at home. Conclusion :Overall self -management status of the patients was very good. Health centers that plan self -management support programs for patients should consider the social determinants of life style modification and monitoring of BP at home by hypertensive patients. Copyright: © 2020 International Journal of Preventive Medicine.
关键词：Hypertension;self -care;self;management;social determinants of health