Evaluating self-management types in hypertensive patients and their effect on blood pressure using latent profile analysis

CHEN Ping; GONG Litong; SUN Xinying

doi:10.16462/j.cnki.zhjbkz.2023.06.009

Volume 27 Issue 6

Jun. 2023

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CHEN Ping, GONG Litong, SUN Xinying. Evaluating self-management types in hypertensive patients and their effect on blood pressure using latent profile analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 668-672. doi: 10.16462/j.cnki.zhjbkz.2023.06.009

Citation:

CHEN Ping, GONG Litong, SUN Xinying. Evaluating self-management types in hypertensive patients and their effect on blood pressure using latent profile analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 668-672. doi: 10.16462/j.cnki.zhjbkz.2023.06.009

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Evaluating self-management types in hypertensive patients and their effect on blood pressure using latent profile analysis

doi: 10.16462/j.cnki.zhjbkz.2023.06.009

1.
Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China
2.
Office of Daxing Center for Disease Control and Prevention, Beijing 102600, China

Funds:

Beijing Municipal Natural Science Foundation 7202087

More Information

Corresponding author: SUN Xinying, E-mail: xysun@bjmu.edu.cn
Received Date: 2022-05-22
Rev Recd Date: 2022-08-21

Available Online: 2023-07-10

Publish Date: 2023-06-10

Abstract

Abstract

Objective This study aims to identify the types of self-management employed by hypertensive patients, to assess their blood pressure control status, and to examine the relationship between the two. Methods A questionnaire survey and physical examinations were administered to hypertensive patients from the Daxing District in Beijing.Latent profile analysis was used to explore the self-management types.General linear regression was used to investigate the relationships between self-management types and blood pressure levels.Chi-square tests were used to examine the characteristics of self-management types. Results A total of 1 260 patients with hypertension were included in this study.Their self-management types could be categorized into four types: negative management (21.98%), lifestyle-positive management (9.68%), medication-positive management (32.22%) and comprehensive-positively management (36.12%).Compared with negative management type, the level of SBP in patients with comprehensive-positively management was significantly lower (β=-4.948, t=-2.098, P=0.012).Male patients, those with education below primary school level, and individuals under 35 years of age showed a tendency toward negative management practices. Conclusions According to different behaviors in lifestyle management and medication-taking, the self-management types of patients with hypertension can be divided into four types.Notably, the SBP levels in patients utilizing comprehensive-positive management were significantly lower compared to those following negative management practices.Future efforts should concentrate on enhancing patients′ self-management capabilities according to their specific needs.
- Hypertensive patients,
- Self-management types,
- Latent profile analysis,
- Blood pressure

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References(18)

References

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