scholarly journals Integrating factors associated with hypertensive patients' self-management using structural equation model: a cross-sectional study in Guangdong, China

2018 ◽  
Vol Volume 12 ◽  
pp. 2169-2178 ◽  
Author(s):  
Weiwei Ding ◽  
Tong Li ◽  
Qiying Su ◽  
Maohua Yuan ◽  
Aihua Lin
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Model ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Integrating Factors

scholarly journals Impact of Sociodemographic Characteristics, Lifestyle, and Obesity on Coexistence of Diabetes and Hypertension: A Structural Equation Model Analysis amongst Chinese Adults

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Wenwen Wu ◽  
Jie Diao ◽  
Jinru Yang ◽  
Donghan Sun ◽  
Ying Wang ◽  
...  
Keyword(s):  
Structural Equation Model ◽  
Latent Variables ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Model ◽  
Sociodemographic Characteristics ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Total Prevalence ◽  
Confirmatory Factor

Background. In general, given the insufficient sample size, considerable literature has been found on single studies of diabetes and hypertension and few studies have been found on the coexistence of diabetes and hypertension (CDH) and its influencing factors with a large range of samples. This study aimed to establish a structural equation model for exploring the direct and indirect relationships amongst sociodemographic characteristics, lifestyle, obesity, and CDH amongst Chinese adults. Methods. A cross-sectional study was conducted in a representative sample of 25356 adults between June 1, 2015, and September 30, 2018, in Hubei province, China. Confirmatory factor analysis was initially conducted to test the latent variables. A structural equation model was then performed to analyse the association between latent variables and CDH. Results. The total prevalence of CDH was 2.8%. The model paths indicated that sociodemographic characteristics, lifestyle, and obesity were directly associated with CDH, and the effects were 0.187, 0.739, and 0.353, respectively. Sociodemographic characteristics and lifestyle were also indirectly associated with CDH, and the effects were 0.128 and 0.045, respectively. Lifestyle had the strongest effect on CDH (β = 0.784, P < 0.001 ), followed by obesity (β = 0.353, P < 0.001 ) and sociodemographic characteristics (β = 0.315, P < 0.001 ). All paths of the model were significant ( P < 0.001 ). Conclusion. CDH was significantly associated with sociodemographic characteristics, lifestyle, and obesity amongst Chinese adults. The dominant predictor of CDH was lifestyle. Targeting these results might develop lifestyle and weight loss intervention to prevent CDH according to the characteristics of the population.

scholarly journals Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study

2020 ◽  
pp. 1-7
Author(s):  
Philip Wireklint ◽  
Mikael Hasselgren ◽  
Scott Montgomery ◽  
Karin Lisspers ◽  
Björn Ställberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Care Patients

scholarly journals Reported self-management of hypertension among adult hypertensive patients in a developing country: a cross-sectional study in a Nigerian tertiary hospital

2021 ◽  
Vol 21 (3) ◽  
pp. 1191-1200
Author(s):  
Ogban E Omoronyia ◽  
Idowu Okesiji ◽  
Chiamaka H Uwalaka ◽  
Enagu A Mpama
Keyword(s):  
Developing Country ◽  
Self Regulation ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
University Teaching ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Hypertensive Patients

Background: Sustained control of blood pressure, is dependent on degree of self-management, which includes self-inte- gration, self-regulation, self-monitoring and adherence to regimen. We assessed the pattern of self-management of hyper- tension among adult hypertensive patients in a developing country. Methods: Cross-sectional study design and convenience sampling, was used to recruit adult hypertensive patients, attending Lagos State University Teaching Hospital, Lagos, Nigeria. Interviewer-administered questionnaire was used to obtain data on self-management components. SPSS version 21.0 was used to analyze data, with p-value set at 0.05. Result: One hundred and seven (107) respondents, had mean age of 49.0 ± 12.0 years. Mean value for self-management was 3.15 ± 0.55, comprising self-integration (3.06 ± 0.36), self-regulation (3.32 ± 0.63), self-monitoring (3.29 ± 0.84) and adherence to regimen (3.15 ± 0.55). Most components of self-management, had high levels of mean score. Respondents that were less than 40 years, compared with those that were more than 40 years, had greater mean values for self-integration (3.37 vs 3.05), but significantly lesser values for all other components (p < 0.05). Conclusion: Young hypertensives had poor levels of most components of self-management. There is urgent need for health educational programs on self-management of hypertension among young people in sub-Saharan Africa. Keywords: Hypertension; self-management; self-integration; self-regulation; adherence; Nigeria.

scholarly journals Self-management and its associated factors among people living with diabetes in Blantyre, Malawi: a cross-sectional study

2021 ◽  
Vol 2 ◽  
pp. 161
Author(s):  
Chimwemwe Kwanjo Banda ◽  
Belinda T. Gombachika ◽  
Moffat J. Nyirenda ◽  
Adamson Sinjani Muula
Keyword(s):  
Logistic Regression ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Management Practices ◽  
Cross Sectional Study ◽  
The Self ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Background: Self-management is key to the control of glycaemia and prevention of complications in people with diabetes. Many people with diabetes in Malawi have poorly controlled glucose and they experience diabetes-related complications. This study aimed to assess diabetes self-management behaviours and to identify factors associated with it among people with diabetes at Queen Elizabeth Central Hospital, Blantyre, Malawi. Methods: This cross-sectional study recruited 510 adults attending a diabetes clinic at a teaching referral hospital in southern Malawi. The social cognitive theory was applied to identify factors associated with following all recommended self-management behaviours. Data on participants’ demographics, clinical history, diabetes knowledge, self-efficacy, outcome expectations, social support, environmental barriers and diabetes self-management were collected. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with following all self-management behaviours. Results: The mean age of participants was 53.6 (SD 13.3) years. The majority (82%) were females. Self-reported medication adherence within the last seven days was 88.6%; 77% reported being physically active for at least 30 minutes on more than three days in the previous seven days; 69% reported checking their feet every day and inspecting inside their shoes; 58% reported following a healthy diet regularly. Only 33% reported following all the self-management behaviours regularly.  Multiple logistic regression analysis showed that self-efficacy was the only social cognitive factor associated with following all the self-management practices (p < 0.001). Conclusions: Participants in our study were not consistently achieving all self-management practices with dietary practices being the least adhered to behaviour by many. To improve self-management practices of people with diabetes, current health education programs should not only aim at improving diabetes related knowledge but also self-efficacy. Adopting interventions that promote self-efficacy in diabetes patients such as exposure to role models, peer education, providing positive feedback, and counselling is recommended.

The Effect of Information–Motivation–Behavioral Skills on Breastfeeding Success: A Hypothetical Model

2019 ◽  
Vol 31 (4) ◽  
pp. 378-386
Author(s):  
Pınar Akgün ◽  
Ayşe Taştekin
Keyword(s):  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Model ◽  
Self Management ◽  
Turkish Women ◽  
Hospital Data ◽  
Hypothetical Model ◽  
Cross Sectional ◽  
Behavioral Skills ◽  
Management Behaviors

Introduction: Although breastfeeding is a common practice in Turkey, there are problems with exclusive breastfeeding for the first 6 months of life or sustaining breastfeeding. The purpose of this study was to determine the variables that affect breastfeeding success of Turkish women by creating a hypothetical model based on the information–motivation–behavioral skills model. Methodology: This cross-sectional study was conducted with 229 women who gave birth at a public hospital. Data were collected using a questionnaire and through observation. Structural equation model was used for data analyses. Results: Information was found to directly affect behavioral skills and indirectly affect self-management behaviors and breastfeeding success ( p < .05). The motivation was found to affect self-management behaviors directly ( p < .05). Behavioral skills were found to directly affect self-management behaviors and indirectly affect breastfeeding success ( p < .05). Discussion: The results can be used to develop culturally congruent nursing interventions and improve breastfeeding success.

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