Skip to main content

Advertisement

SpringerLink
Log in

Health behavior of hypertensive elderly patients and influencing factors

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Aim

This study aimed to investigate the factors associated with the health behavior of hypertensive elderly patients.

Methods

This cross-sectional survey used a general data scale, a health conception scale, a scale for self-rated abilities for health practice, and health-promoting lifestyle profiles to investigate the health behavior of hypertensive elderly patients from clinical check-up to hospitalization.

Results

The health behavior score of hypertensive patients was 72.25 ± 16.66, and 23.8 % of the patients had high scores. The health-promotion score was positively correlated with those of health conception, self-efficacy, and education level, but negatively correlated with that of unhealthy habits (P < 0.05).

Conclusions

Health practitioners should promote the health conception, enhance the self-efficacy, and improve the health behavior of hypertensive elderly patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Altun B, Arici M, Nergizoğlu G et al (2005) Prevalence, awareness, treatment and control of hypertension in Turkey (the Patent T study) in 2003. J Hypertens 23:1817–1823

    Article  PubMed  CAS  Google Scholar 

  2. Bolli P, Myers M, McKay D (2005) Applying the 2005 Canadian Hypertension Education Program recommendations: 1. Diagnosis of hypertension. CMA J 173:480–483

    Google Scholar 

  3. Giles TD (2006) Circadian rhythm of blood pressure and the relation to cardiovascular events. Hypertension 24:11–16

    Article  Google Scholar 

  4. Cakir H (2003) Effect of education given to hypertensive patients on healthy life style behaviors and management of hypertension. Master thesis. Marmara University Health Sciences Institute, Istanbul

    Google Scholar 

  5. Ankara G (2003) Diagnosis and treatment guidelines for primary health care. Turk Minist Health

  6. Liu LS, Wang W, Yao C (2010) Chinese Hypertension Prevention Guide (2009 base edition). J Hypertens 18:11–30

    Google Scholar 

  7. Tang JH, Wang ZP, Lin H, Fang SQ, Xu GR (2011) Analysis about the situations in elderly patients with hypertension at village in shanghai China. Chin Pract Village Dr Mag 18:34–36

    Google Scholar 

  8. Lorig KR, Holman H (2003) Self-management education: history definition, outcomes and mechanisms. Ann Behav Med 26:1–7

    Article  PubMed  Google Scholar 

  9. Lorig K, Gonzalez VM, Ritter P (1999) Community-based Spanish language arthritis education program: a randomized trial. Med Care 37:957–963

    Article  PubMed  CAS  Google Scholar 

  10. Kasl SV, Cobb S (1966) Health behaviors, illness behavior, and sick role behavior. Arch Environ Health 12:246–266

    Article  PubMed  CAS  Google Scholar 

  11. Bandura A (1997) Self-efficacy: the exercise of control. W.H. Freeman and company, New York

    Google Scholar 

  12. Brus H, van de Laar M, Taal E, Rasker J, Wiegman O (1999) Determinants of compliance with medication in patients with rheumatoid arthritis: the importance of self-efficacy expectations. Patient Educ Couns 36:57–64

    Article  PubMed  CAS  Google Scholar 

  13. Katz RC, Ashmore J, Barboa E, Trueblood K, McLaughlin V, Mathews L (1998) Knowledge of disease and dietary compliance in patients with end-stage renal disease. Psychol Rep 82:331–336

    Article  PubMed  CAS  Google Scholar 

  14. Kobau R, DiIorio C (2003) Epilepsy self-management: a comparison of self-efficacy and outcome expectancy for medication adherence and lifestyle behaviors among people with epilepsy. Epilepsy Behav 4:217–225

    Article  PubMed  Google Scholar 

  15. Lagi A, Rossi A, Passaleva MT, Cartei A, Cencetti S (2006) Compliance with therapy in hypertensive patients. Intern Emerg Med 1:204–208

    Article  PubMed  Google Scholar 

  16. Nieto FJ, Alonso J, Chambless LE et al (1995) Population awareness and control of hypertension and hypercholesterolemia. The Atherosclerosis Risk in Communities study. Arch Intern Med 155:677–684

    Article  PubMed  CAS  Google Scholar 

  17. Sol BG, van der Bijl JJ, Banga JD, Visseren FL (2005) Vascular risk management through nurse-led self-management programs. J Vasc Nurs 23:20–24

    Article  PubMed  Google Scholar 

  18. Chinese Expert Committee of elderly hypertension treatment consensus (2009) Experts of Chinese elderly hypertension hypertensive treatment consensus of committee. Cardiovasc Dis Prev 9:1–5

    Google Scholar 

  19. Greenlund KJ, Daviglus ML, Croft JB (2009) Differences in healthy lifestyle characteristics between adults with prehypertension and normal blood pressure. J Hypertens 27:955–962

    Article  PubMed  CAS  Google Scholar 

  20. Chobanian AV, Bakris GL, Black HR et al (2003) Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 42:1206–1252

    Article  PubMed  CAS  Google Scholar 

  21. Tomiyama H, Matsumoto C, Yamada J et al (2009) Predictors of progression from prehypertension to hypertension in Japanese men. Am J Hypertens 22:630–636

    Article  PubMed  Google Scholar 

  22. Ishikawa Y, Ishikawa J, Ishikawa S et al (2008) Prevalence and determinants of prehypertension in a Japanese general population: the JICHI Medical School Cohort Study. Hypertens Res 31:1323–1330

    Article  PubMed  Google Scholar 

  23. Nakamura K, Okamura T, Hayakawa T et al (2007) The proportion of individuals with alcohol-induced hypertension among total hypertensives in a general Japanese population: NIPPON DA TA90. Hypertens Res 30:663–668

    Article  PubMed  Google Scholar 

  24. Ogden CL, Carroll MD, McDowell MA, Flegal KM (2007) Obesity among adults in the United States: no statistical significance since 2003–2004. NCHS Data Brief 1:1–8

    PubMed  Google Scholar 

  25. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM (2006) Prevalence of overweight and obesity in the US 1999–2004. JAMA 295:1549–1555

    Article  PubMed  CAS  Google Scholar 

  26. Cutler JA, Roccella EJ (2006) Salt reduction for prevention of hypertension and cardiovascular disease: a population approach should include children. Hypertension 48:818–819

    Article  PubMed  CAS  Google Scholar 

  27. Parker ED, Schmitz KH, Jacobs DR Jr, Dengel DR, Schreiner PJ (2007) Physical activity in young adults and incident hypertension over 15 years of follow-up: the CARDIA study. Am J Public Health 97:703–709

    Article  PubMed  Google Scholar 

  28. Wang H (1997) Health promotion lifestyle predictors of university students, KaoHsiung. J Public Health 16:24–36

    Google Scholar 

  29. Liu YJ, Guo YL (2011) The correlation between healthy behaviors and self-care agency among community stroke patients. Chin J Nurs 46:279–281

    Google Scholar 

  30. Becker H, Stuifbergen A, Oh H, Hall S (1993) The self-rated abilities for health practices: a health self-efficacy measure. Health Values 17:42–50

    Google Scholar 

  31. Walker SN, Sechrist KR, Pender NJ (1987) The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res 36:76–81

    Article  PubMed  CAS  Google Scholar 

  32. Ferketich S (1991) Focus on psychometrics: aspects of item analysis. Res Nurs Health 14:165–168

    Article  PubMed  CAS  Google Scholar 

  33. Kuang HR, Huang JZ, Li HY et al (2008) A survey health-promotion lifestyle among community-dwelling older people with hypertension in Macau. Chin J Nurs 43:306–308

    Google Scholar 

  34. Lee YS, Laffrey SC (2006) Predictors of physical activity in older adults with borderline hypertension. Nur Res 55:110–120

    Article  Google Scholar 

  35. Crombie IK, Irvine L, Williams B et al (2004) Why older people do not participate in leisure time physical activity: a survey of activity levels, beliefs and deterrents. Age Ageing 33:287–292

    Article  PubMed  Google Scholar 

  36. Bandura A (1977) Self-efficacy: toward a unifying theory of behavior change. Psychol Rev 84:191–215

    Article  PubMed  CAS  Google Scholar 

  37. Schwarzer R, Fuchs R (1995) Self-efficacy in changing societies. Cambridge U.P, Cambridge, pp 259–288

    Book  Google Scholar 

  38. Bernier M, Avard J (1986) Self efficacy outcome and attrition in a weight reduction program. Cognitive Ther Res 10:319–338

    Article  Google Scholar 

  39. DiClemente CC, Fairhurst S, Piotrowski N (1995) Self-efficacy, adaptation and adjustment: theory, research and application. Plenum, New York, pp 109–141

    Book  Google Scholar 

  40. Holloway A, Watson HE (2002) Role of self-efficacy and behaviour change. Int J Nurs Pract 8:106–115

    Article  PubMed  Google Scholar 

  41. Keller C, Fleury J, Gregor-Holt N, Thompson T (1999) Predictive ability of social cognitive theory in exercise research: an integrated literature review. Online J Knowl Synth Nurs 6:2

    PubMed  CAS  Google Scholar 

  42. McCann BS, Retzlaff BM, Dowdy AA, Walden CE, Knopp RH (1990) Promoting adherence to low-fat, low-cholesterol diets: review and recommendations. J Am Diet Assoc 90:1408–1414

    PubMed  CAS  Google Scholar 

  43. Ogedegbe G, Mancuso CA, Allegrante JP, Charlson ME (2003) Development and evaluation of a medication adherence self-efficacy scale in hypertensive African–American patients. J Clin Epidemiol 56:520–529

    Article  PubMed  Google Scholar 

  44. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J (2002) Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 48:177–187

    Article  PubMed  Google Scholar 

  45. Sakraida T (2005) Health promotion model. In: Marriner-Tomey A, Alligood MR (eds) Nursing theorists and their work. Mosby, St. Louis, pp 774–782

    Google Scholar 

  46. Frank-Stromborg M, Pender NJ, Walker SN, Sechrist KR (1990) Determinants of health-promoting lifestyle in ambulatory cancer patient. Soc Sci Med 31:1159–1168

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

All authors declare that they did not receive any financial support, and they have no conflict of interest.

Author information

Authors and Affiliations

  1. Guangzhou First Municipal People’s Hospital, Affiliated to Guangzhou Medical College, No. 1 Panfu Road, Guangzhou, 510180, China

    Shu-xia Li & Ling Zhang

Authors
  1. Shu-xia Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ling Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shu-xia Li.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Li, Sx., Zhang, L. Health behavior of hypertensive elderly patients and influencing factors. Aging Clin Exp Res 25, 275–281 (2013). https://doi.org/10.1007/s40520-013-0051-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-013-0051-8

Keywords

Search

Navigation