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. |
| Description | 157 pages : color illustrations. |
| Supplemental Content | Access via ScholarShip |
| Subjects |
| Series | ECU 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 note | Presented to the faculty of the Department of College of Nursing. |
| General note | Advisor: Patricia B. Crane. |
| General note | Title from PDF t.p. (viewed August 10, 2017). |
| Dissertation note | Ph. D. East Carolina University 2017 |
| Bibliography note | Includes bibliographical references. |
| Technical details | System requirements: Adobe Reader. |
| Technical details | Mode of access: World Wide Web. |
Availability
| Library | Location | Call Number | Status | Item Actions |
|---|---|---|---|---|
| Electronic Resources | Access Content Online | ✔ Available |