Factors associated with self-management in African Americans with hypertension / by Linda P. Bolin.

Author/creator Bolin, Linda P. author.
Other author Crane, Patricia B., degree supervisor.
Other author East Carolina University. College of Nursing.
Format Theses and dissertations
Publication[Greenville, N.C.] : [East Carolina University], 2017.
Description157 pages : color illustrations.
Supplemental ContentAccess via ScholarShip
Subjects

SeriesECU College of Nursing dissertation
ECU College of Nursing dissertation. UNAUTHORIZED
Summary African Americans (AAs) have a higher prevalence of hypertension (HTN) and poorer health outcomes. Effective management of HTN requires pharmacology, low sodium diet (DIET), and increased physical activity (PA). Little is known about self-management of DIET and PA in AAs with HTN. The aim of this study is to examine the influence of factors (systolic blood pressure, co-morbidities, serum potassium and creatinine, education, depression, locus of control (LOC), and social support) on self-management behaviors (DIET, PA). Using a cross-sectional design, AAs with HTN who participated in a recent clinical trial completed instruments to measure the factors. Two multiple linear regression models were used: one including only internal LOC and one with only external LOC. The sample (N = 77) ranged in ages from 55 to 84 (M = 66; SD = 7.68), most were female (n=50; 65%), and had high medication adherence scores (M = 93.8; SD = 9.77). The models explained 28% of the variance in PA (F = 3.361 [8, 68]; p = .003 with depression, serum creatinine, and social support significantly contributing to the internal LOC model and also to the external LOC model (F = 3.378 [8, 68]; p = .003). The same models explained 23% of the variance in adherence to a low sodium diet (F = 2.599 [8, 68]; p = .015) with serum potassium and social support significantly contributing to both models. Findings from this study inform the development of targeted interventions to increase self-management behaviors in AAs with HTN.
General notePresented to the faculty of the Department of College of Nursing.
General noteAdvisor: Patricia B. Crane.
General noteTitle from PDF t.p. (viewed August 10, 2017).
Dissertation notePh. D. East Carolina University 2017
Bibliography noteIncludes bibliographical references.
Technical detailsSystem requirements: Adobe Reader.
Technical detailsMode of access: World Wide Web.

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