ABSTRACT
Objetivo: Determinar la prevalencia de cumplimiento de las recomendaciones de actividad física en la población hipertensa del Área de Salud de Lleida y los factores asociados. Métodos: Estudio transversal en personas hipertensas adultas. La variable dependiente fue el cumplimiento de las recomendaciones medido con el cuestionario Minnesota; las independientes fueron las características sociodemográficas, la información recibida y las actitudes frente a la actividad física. Resultados: Participaron 786 personas hipertensas de 66,0±10,2 años; el 53,9% eran mujeres. Cumplieron las recomendaciones el 64,3% (intervalo de confianza del 95% [IC95%]: 60,9-67,6): el 65,2% (IC95%: 60,2-70,0) de los hombres y el 63,4% (IC95%: 58,8-67,9) de las mujeres. Un mayor cumplimiento se asoció con la edad en los hombres y con residir en el ámbito rural en las mujeres. Tener ocupación no remunerada y buena actitud hacia la realización de actividad física se asociaron con mayor cumplimiento en ambos sexos. No se observó asociación con el número de consejos recibidos los últimos 6 meses. Conclusiones: Más de la mitad de la población hipertensa cumple las recomendaciones. Para mejorar el nivel de actividad física puede recomendarse una prescripción individualizada según la actitud hacia ésta (AU)
Objective: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors. Methods: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire. The independent variables were sociodemographic factors, the information received, and attitudes to physical activity. Results: A total of 786 hypertensive patients participated in this study; 53.9% were women and the mean age was 66.0±10.2 years. Adherence to recommendations was found in 64.3% (95% CI: 60.9-67.6); this percentage was 65.2% in men (95% CI: 60.2-70.0) and 63.4% in women (95% CI: 58.8-67.9). Greater adherence was associated with age in men and with residence in a rural area in women. In both genders, greater adherence was associated with unpaid work and with having a favorable attitude to physical activity. No association was observed with the number of recommendations received in the last 6 months. Conclusions: More than half the hypertensive population adhered to physical activity recommendations. To improve physical activity levels, recommendations can be tailored to the attitudes of individual patients (AU)
Subject(s)
Humans , Exercise Movement Techniques , Hypertension/therapy , Patient Compliance/statistics & numerical data , Primary Health Care/organization & administration , Motor Activity , Attitude to Health , Life Style , Healthy People Programs/organization & administrationABSTRACT
OBJECTIVE: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors. METHODS: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire. The independent variables were sociodemographic factors, the information received, and attitudes to physical activity. RESULTS: A total of 786 hypertensive patients participated in this study; 53.9% were women and the mean age was 66.0±10.2 years. Adherence to recommendations was found in 64.3% (95% CI: 60.9-67.6); this percentage was 65.2% in men (95% CI: 60.2-70.0) and 63.4% in women (95% CI: 58.8-67.9). Greater adherence was associated with age in men and with residence in a rural area in women. In both genders, greater adherence was associated with unpaid work and with having a favorable attitude to physical activity. No association was observed with the number of recommendations received in the last 6 months. CONCLUSIONS: More than half the hypertensive population adhered to physical activity recommendations. To improve physical activity levels, recommendations can be tailored to the attitudes of individual patients.
Subject(s)
Hypertension/therapy , Motor Activity , Patient Compliance/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Primary Health Care , Young AdultABSTRACT
En la etapa prediálisis, la calidad de vida del paciente con enfermedad renal crónica depende en gran medida del conocimiento que dispone de su enfermedad renal y del grado de adaptación a la misma. En nuestra consulta, los problemas abordados con más frecuencia en los pacientes con enfermedad renal crónica avanzada son: el afrontamiento inefectivo, el temor y conocimientos deficientes. El abordaje de estos problemas requiere muchas y variadas intervenciones. Conocedores de la importancia del papel que desempeñan los grupos, como sistemas sociales, en las conductas de salud y enfermedad, seleccionamos la intervención de la Clasificación de Intervenciones de Enfermería: 3S-5604 Enseñanza: grupo. Los objetivos del estudio son: evaluar la intervención 3S-5604 enseñanza; grupo, en pacientes de la consulta de enfermedad renal crónica avanzada, mediante resultados de enfermería. El periodo del estudio va desde febrero del 2005 hasta abril del 2006. Las variables estudiadas: sexo, edad, nivel de estudios, presencia de acompañantes, resultados de enfermería antes y después de la intervención. Completaron la intervención un total de 24 pacientes de la Consulta de Insuficiencia Renal Crónica Avanzada seleccionados para dicha intervención. La diferencia de puntuación para todos los resultados de enfermería, antes y después de la intervención, resultó significativa p<0.05.La intervención 3S-5604 enseñanza: grupo mejoró en todos los resultados evaluados en los pacientes con enfermedad renal crónica en la consulta (AU)
In predialysis stage, Chronic Kidney Disease (CKD) patient quality of life depends on the knowledge he/she has of its renal disease and the adaptation level to the new CKD situation. In our CKD unit, renal patient problems more frequency faced are: Therapeutic regimen: individual, ineffective management, Knowledge deficit and Fear. The management of these problems requires many and varied interventions. Nurses know the group roles importance influence, as social systems, or health and disease behaviours. We selected nursing intervention: 3S-5604 Group Education. The objective of the study is; to evaluate the nursing intervention 3S-56043S-5604 Group Education, in patients of the CKD unit, by means of nursing outcomes. Intervention study. The period of the study goes from February 2005 to April 2006. The studied variables: sex, age, studies degree, presence of companions, nursing outcomes before and after the intervention. The intervention was completed by a total of 24 patients of MRCA unit, selected for this intervention. The difference of score for all the nursing outcomes before and after the intervention, was significant p<0.05. The intervention 3S-5604 3S-5604 Group Education improved in all the outcomes evaluated in the patients with chronic kidney disease in the CKD unit (AU)
