Showing 7 results for Hypertension
Taimur Aghamolaei, Fatemeh Sadat Hossaini, Hossain Farshidi, Abdolhhossain Madani, Amin Ghanbarnejad,
Volume 1, Issue 1 (10-2014)
Abstract
Introduction: Choosing the wrong lifestyle could underlie the occurrence of serious diseases including hypertension which is a crucial threat to health. This study examined the lifestyle of patients with hypertension in rural health centers of Jahrom , Iran. Methods: This descriptive cross-sectional study was performed on 78 patients with hypertension who were over 30 years old, in Jahrom in 2013. Data was collected using questionnaires and interviews. The questionnaire consisted of two parts of demographic characteristics and behavioral questionnaires reflecting the lifestyle of the study population. Data analysis was performed using the statistical software SPSS19. Results: The mean age of participants was 14.23±63.02 ranging from 30 to 70 years. %30.8 were male and %69.2 female. Average years of living with hypertension was 5.8± 8.4. Mean systolic and diastolic blood pressure in patients were 14.01±128.39 and 10.44±80.96, respectively. The mean BMI of patients was 4.6±24.8. Blood Pressure of %53.75 of patients was above the defined threshold equal to or greater than patients were smokers and %20.5 of them used hookah. %14.1 of the patients had regular physical activity. The most frequent behaviors were following the physician&rsaquos instructions (%61.5) and taking the medicines regularly (%70.5) and the least frequent behaviors were having regular physical activity (%14.1) and avoiding the stress (%17.9). Conclusions:The results of this study indicated poor lifestyle and behaviors particularly avoiding stress and physical activity. Therefore, education and training is necessary for the studied subjects to adopt healthy lifestyle.
Amin Arabshahi, Zabihullah Qarlipour, Abolfazl Mohammad Beigi, Fatemeh Sadat Izadizeh, Siamak Mohebbi,
Volume 7, Issue 1 (5-2020)
Abstract
Introduction: Since Social support received from the spouse and self-care are effective factors in controlling and preventing the complications of chronic diseases such as high blood pressure, this study was conducted to determine the relationship between social support received from spouse and adherence to self-care behaviors in patients with high blood pressure in Qom.
Methods: This cross-sectional and descriptive-analytical study was conducted on 211 patients with primary hypertension referring to urban health centers in Qom city during 2019. The participants were selected using available sampling method. Data collection tools included a demographic questionnaire, a self-care behavior follow-up questionnaire, the Sherborne and Stewart social support questionnaire, a checklist for checking and recording systolic and diastolic blood pressure, and a standard hand sphygmomanometers. Data were analyzed using SPSS version 20 software.
Results: The results showed that there was a direct and significant relationship between social support received from the spouse and the components of self-care behaviors including low-salt diet (P-Value<0.01), medication regimen (P-Value=0.008), weight management (P-Value<0.001), physical activity (P-Value=0.009), and not smoking (P-Value=0.001). There was also a significant inverse relationship between social support received from spouse and systolic blood pressure (P-Value=0.02) and diastolic blood pressure (P-Value=0.017).
Conclusion: The results of this study showed that social support received from spouse should be considered as a factor that affects the level of self-care behaviors and systolic and diastolic blood pressure in patients with high blood pressure.
Hadi Eshaghi Sani Kakhaki, Mostafa Asadzadeh, Mojahede Salmani Nodoushan, Mehdi Behjati Ardakani,
Volume 7, Issue 2 (8-2020)
Abstract
Introduction: Low quality sleep and insomnia can lead to impaired daily functioning, increased human errors, and occupational accidents. Shift work is one of the factors affecting insomnia and sleep quality. The aim of this study was to investigate the relationship between sleep disorders and blood pressure and shift working in Shahid Mohammadi hospital staff.
Methods: This descriptive cross-sectional study was performed on 263 clinical staff of Shahid Mohammadi hospital in Bandar Abbas city in 2019, who were selected using random sampling method. In addition to demographic data, Maureen Insomnia Severity Index, shift working status, and blood pressure of the participants were recorded. Data were analyzed using spss version 24 software and logistic regression, chi-square, and t-test tests.
Results: The results showed that 39(14.8%) participants had normal sleep and 118(44.9%), 90(34.2%), and 16(6.1%) of the subjects had mild, moderate, and severe sleep disorders, respectively. Sleep disorders were higher in women compared to men (P-Value⩽0.05). Compared to day workers, the odds ratio of sleep disorders in shift workers was 3.50 (P-Value⩽0.05). There was no significant relationship between hypertension and shift working and sleep disorders (P-Value≥0.05).
Conclusion: Since the prevalence of insomnia in hospital staff is high and shift working increases the risk of sleep disorders, shift working schedules should be considered and adjusted.
Somayyeh Khazaeian, Azita Fathnezhad-Kazemi,
Volume 9, Issue 2 (9-2022)
Abstract
Objective The stress and anxiety following high-risk pregnancies can lead to adverse perinatal outcomes. Identifying effective predictors is one of the most important aspects of preventive measures. This study aims to determine the perceived stress and its predictors in pregnant women with gestational hypertension.
Methods This is a cross-sectional study that was conducted in 2021 on 100 pregnant women with gestational hypertension in Tabriz, Iran. Sampling was done by a convenience method. Data were collected using a demographic-obstetric form, the Perceived Stress Scale, and the Multidimensional Scale of Perceived Social Support. Data analysis was performed in SPSS v. 22 software using statistical tests such as Kruskal-Wallis test, Mann-Whitney U test, and multivariate linear regression analysis. P<0.05 was statistically significant.
Results The mean of age and number of pregnancies were 28.67±4.38 years and 2.30±0.822, respectively. Maternal education, infant gender, previous pregnancy problems (P<0.001), number of pregnancies (P= 0.037), and perceived social support (P=0.002) were the predictors of perceived stress. Among these variables, experience of problems in previous pregnancies (β=0.300) and perceived social support (β=-0.273) had the highest impact on perceived stress. Perceived social support had indirect effect on the perceived stress of women.
Conclusion Due to the high perceived stress in pregnant women with hypertension, it is necessary to pay attention to appropriate sources to provide social supports to them. In addition, it seems logical to use adaptive coping strategies against pregnancy problems to reduce their stress.
Shabnam Pournemati, Seyedeh Zeinab Mousavi, Zahra Dana Siadat, Anahita Babak,
Volume 10, Issue 3 (10-2023)
Abstract
Objective Hypertension is a chronic disease with increasing prevalence. Psychological health problems can lead to the exacerbation of hypertension. This study aims to assess the effect of mindfulness-based stress reduction (MBSR) on the psychological health of adult women with hypertension.
Methods This randomized controlled clinical trial was conducted in 2019 on 80 women with hypertension in Isfahan, Iran who were randomly assigned to two groups of intervention and control. The intervention group received MBSR at 8 two-hour sessions, once a week, followed by 4 weeks of training at home. The control group received routine care. The psychological health of patients in both groups was evaluated before and one week after the intervention using the depression, anxiety, and stress scale–21 items (DASS-21). The data were analyzed in SPSS software, version 24 using paired t-test, independent t-test, and multivariate analysis of covariance.
Results The mean age of the patients was 55.45±6.19 years. In the intervention group, the mean post-test scores of depression, anxiety, and stress were 11.64±3.4, 10.78±2.72, and 11.75±2.94 respectively, which were significantly lower than in the control group (11.97±2.85, 11.62±2.37, and 12.75±2.86 respectively; P<0.05).
Conclusion The MBSR, as a low-cost therapeutic method without complications, is effective in improving the psychological health (reducing depression, anxiety, and stress) of hypertensive women in Iran.
Shiva Salari, Teamur Aghamolaei, Zahra Hosseini, Shokroallah Mohseni,
Volume 10, Issue 4 (1-2024)
Abstract
Objective Hypertension, particularly in developing countries, is associated with a higher risk of developing cardiovascular diseases. It can be managed by lifestyle modification, proper dietary regimen, and enhanced self-care behaviors. This study aims to examine the effect of an educational intervention based on the information-motivation-behavioral skills (IMB) model on improving self-care behaviors of patients with hypertension in Iran.
Methods This quasi-experimental study was conducted in 2022 on 250 patients with hypertension in Darab County, divided into two groups of intervention (n=125) and control (n=125). The sampling was done using a random sampling method. Data were collected using a three-part questionnaire with acceptable validity and reliability measuring demographic information, the IMB model constructs, and self-care behaviors. Four training sessions, each for 60 minutes, were held for the participants and their family members in the intervention group. A post-test assessment was conducted two months after the educational intervention. Independent t-test, paired t-test, and analysis of covariance were used in SPSS software, version 22 to analyze the data.
Results After the education, a statistically significant difference was observed between the intervention and control groups in all IMB model constructs, including knowledge, motivation, individual skills, and self-care behaviors (P<0.001). In the intervention group, a significant difference was also reported in all study variables before and after the education. The highest increase after education was in the motivation domain.
Conclusion The IMB model-based educational program can improve the self-care behaviors of patients with hypertension, which can reduce disease complications. if doctors and health workers teach self-care behaviors to hypertensive patients using the IMB model, it can effectively control their blood pressure.
Nazanin Abdi, Narges Ghasemi, Saeed Hashemi, Navid Abdi, Ghazal Zoghi,
Volume 11, Issue 1 (3-2024)
Abstract
Objective This study aimed to evaluate the effect of furosemide administration on controlling high blood pressure after Cesarean section (CS) in women with mild preeclampsia.
Methods This double-blind, placebo-controlled randomized clinical trial was conducted on 120 women with mild preeclampsia after CS in Khalij Fars Hospital, Bandar Abbas, south of Iran, in 2017. They were randomly allocated to two groups of oral furosemide (20 mg daily for five days) and placebo. Systolic and diastolic blood pressures, mean arterial pressure, and heart rate were measured in all patients on days 0 (before treatment), 1, 3, 5, and 7 after delivery. Data were analyzed in SPSS software, version 19, using independent t-test and chi-square test.
Results Before treatment, there was no significant difference between the two groups regarding systolic and diastolic blood pressures, mean arterial pressure, and heart rate. However, systolic blood pressure was significantly lower in the furosemide groups on the 1st, 3rd, 5th, and 7th days after delivery compared to the placebo group (P<0.05). Diastolic blood pressure was significantly lower in the furosemide group only on the first day after delivery. Also, mean arterial pressure was significantly lower in the furosemide group on days 1 (P<0.001) and 3 (P=0.021). At the end of the treatment, blood pressure was controlled in 70% of patients in the furosemide group and 50% of patients in the placebo group (P=0.025).
Conclusion It seems that 20 mg oral furosemide taken daily for five days after CS can significantly reduce systolic blood pressure on the 1st, 3rd, 5th, and 7th days after delivery in women with mild preeclampsia.
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