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Showing 12 results for Hypertension
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Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim. The aim of this study was to investigate anthropometric indices in acute myocardial infarction patients and their relationship with some coronary heart disease risk factors. Background. Several studies showed that not only the quantity, but also the distribution of the fat mass is important, because increased visceral fat tissue deposition is a risk factor for cardio-metabolic diseases. Method. In this cross-sectional study with a descriptive correlational design, 140 patients with acute myocardial infarction were selected from cardiac care unit of Shariati and Rajaei hospital in Karaj, 2009. The sampling method was convenience. Demographic data and history of cardiovascular risk factors were collected through interview, and some medical information were reviewed from medical records, anthropometric indices were measured by balance scale and meter tape. Data were analyzed using SPSS software and using descriptive statistics, t-test, ANOVA and Pearson coefficient correlation. Findings. Neck circumference of 46.6% of men was over 40cm and 33.3% of women more than 37cm. Also, 53.9% of men and 74.1% of women had a waist circumference above 95 cm. Waist-to-hip ratio of 66.4% of men over 0.95 and 66.7% of women over 0.90. Waist-to-height ratio of 61.9%% of men over 0.55 and 66.7% of women over 0.62. Also, 13.3% of males and 29.6% of women had a BMI above 30 kg/m².There were significant positive correlation between triglyceride levels with neck circumference (p=0.006), waist circumference (p<0.001), waist-to-height ratio (p<0.001) and BMI (p<0.001), between cholesterol with neck circumference (p=0.009), waist circumference (p=0.001), waist-to-height ratio (p=0.003) and BMI (p<0.001), between LDL with waist circumference (P=0.005), waist-to-height ratio (p=0.014) and between glucose with waist-to-height (p=0.038). HDL had negative correlation with Waist-to-hip ratio (p<0.001) and waist-to-height ratio (p=0.001). Conclusion. More than half of myocardial infarction patients had central obesity. Central obesity is associated with cardiovascular risk factors. It Seems that lifestyle change and weight loss are to be considered during cardiac rehabilitation programs for myocardial infarction patients with overweight and obesity for reduces cardiovascular risk factors.
Tahereh Najafi Ghezeljeh, Maryam Shahidi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim.The aim of this paper is to review studies related to self-care education and quality of life improvement in patients with hypertension. Background. Hypertension is one of the greatest health problems in the world and also, one of the major risk factors for cardiovascular disease. One of the main aims of health care is improving quality of life. Self-care education can improve the quality of life. Due to the need for recognizing trend of studies related to self-care education and quality of life in patients with hypertension, conducting literature review in this field is necessary. Method. This article reviews the studies published during the recent 15 years regarding self-care education and quality of life in patients with hypertension that were searched out through scientific databases, including Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiranby the keywords “self-care educational program”, “quality of life”, and “hypertensive patients” and their Persian equivalents. Result. The literature review revealed that few studies have examined the effectiveness of training programs on the quality of life in patients with hypertension. Results showed that patients with hypertension have low quality of life. In some studies, different educational methods were used in an attempt to improve the clinical outcomes of patients and some of these self-care educational programs had positive effects on the quality of life. Conclusion. The quality of life in patients with hypertension is low. Therefore, because of the importance of quality of life improvement and due to the limitations of the studies, it is essential to conduct further research to investigate the effect of self-care educational program on quality of life in patients with hypertension.
Tahereh Najafi-Ghezeljeh, Maryam Shahidi, Shahrzad Ghiasvandian, Hamid Haghani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study was aimed to assess the effect of self-care educational program on quality of life in patients with hypertension.
Background. Hypertension is a major health problem due to complications and high mortality rate. It causes problems in the ability of patients for self-care and affect their quality of life.
Method. This clinical trial study with control group was conducted in Mahmud-Abad Hospital affiliated to Mazandaran University of Medical Sciences. In this study, 70 patients who met the inclusion criteria were selected through convenience sampling and to prevent information contamination, they were allocated to groups according to whether they refer to hospital even or odd days. Before and three months after intervention, data were collected by quality of life questionnaire SF-36 in both groups. Patients in control group received routine education. Patients in intervention group participated in three face to face self-care education sessions (each session lasted 20 minutes) and received educational package including instruction booklet and CD. Data were analyzed by using Independent t-test, Paired t test, Chi-square test, and Fisher’s exact test through SPSS version 21.
Findings. The results showed that before intervention, there was not a statistically significant difference between two groups regarding quality of life, but after 3 months there was a statistically significant difference (P<0.0001). Also, in the intervention group, there were statistically significant differences regarding the total score of quality of life and all related dimensions, before and three months after education (P<0.0001).
Conclusion. Self-care education can improve quality of life among patients with hypertension. It is recommended that health care providers, particularly nurses, implement these educational programs for improving the quality of life of patients with hypertension.
Tahereh Najafi Ghezeljeh, Mehdi Nasr Esfahani, Sanaz Sharifian,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of self-management training and follow-up with phone calls or mobile social network on the blood pressure of people with hypertension.
Background. Hypertension is one of the main causes of preventable death worldwide, and self-management training and follow-up is of particular importance in these patients.
Method. This randomized controlled clinical trial was conducted on 100 patients with primary hypertension referred to AL-Zahra hospital, Isfahan, Iran in 2016. The patients were recruited through convenience sampling and were allocated by blocking randomization into four groups, control group, “self-management education without follow-up” group, “self-management education by social network follow-up” group (education and weekly follow-up for 6 weeks) and “self-management education by telephone follow-up” group (education along with weekly calls for 6 weeks). Data were collected before and 6 weeks after intervention. The data were analyzed using Chi-square test, ANOVA, and paired t-test in SPSS, version 16.
Findings. After intervention, the study groups were significantly different in terms of blood pressure (P ≤0.0001). According to Scheffe post hoc test, intervention groups (with and without follow-up) had a statistically significant difference regarding to the blood pressure when compared with compared with the control group (P≤0.0001). Scheffe post hoc test results showed that three interventions (education without follow-up, education with telephone follow-up and education with social networks follow-up) did not differ in terms of effect on systolic and diastolic blood pressure.
Conclusion. Self-management training and follow-up by telephone or mobile social network were effective on the blood pressure of people with hypertension. Nurses can take a positive step towards improving the management of hypertension with a comprehensive patient education and follow-up.
Abbas Ebadi, Afzal Shamsi, Fariborz Mehrani,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to compare the quality of life in military and non-military people with and without hypertension.
Background. Hypertension is one of the most important causes of chronic disability in the world that its progressive course may affects various aspects of quality of life.
Method. This was a cross-sectional study with a descriptive comparative design in which 200 men with hypertension (100 military and 100 non-military) and 200 men without hypertension (100 military and 100 non-military) were recruited to the study by convenience sampling method in Tehran. Data were collected by short form (SF36) quality of life questionnaire and demographic form.
Findings. The mean score of quality of life in the group of people without hypertension (military people, 82.20±12.72; non-military people, 84.83±8.01) were significantly higher than the group with hypertension (military people, 76.72±16.60; non-military people, 68.58±17.77)
Conclusions. Quality of life in military and non-military men with hypertension is lower than the military and non-military men without hypertension. It is necessary to pay more attention to people with hypertension for promoting their quality of life.
Zahra Ahmadi, Leila Bahmani, Marhamat Farahani Nia, Hamid Haghani,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension.
Background. Hypertension is one of the chronic diseases that causes serious complications on the organs of the body and requires self-care behaviors to be managed and controlled. Education increases self-care capacity in these patients and may help reducing complications and promote disease control.
Method. In this quasi-experimental study, 106 patients who referred to the clinic of Shahid Rahimi Hospital in Khorramabad, affiliated to Lorestan University of Medical Sciences, were recruited based on inclusion criteria and allocated to experimental (n=53) and control group (n=53). The experimental group received three training sessions of health-promoting behaviors in three consecutive weeks. The control group received only the routine treatments. Data were collected using a demographic form and self-care behaviors questionnaire, before and one month after intervention. Data were analyzed by SPSS version 22 using descriptive and inferential statistics.
Findings. The groups did not differ significantly in terms of demographic variables and disease characteristics. Before intervention, the mean score of self-care in the control and experimental group were 8.33±1.79 and 9.7 ±2.41, respectively, and there was a statistically significant difference between the groups (P=0.002). After intervention, the mean score of self-care in the control and experimental group were respectively reported as 8.43±1.84 and 14.46±2.13. Analysis of covariance showed that after intervention, the mean score of self-care in experimental group was significantly higher than that of control group (P≤0.0001).
Conclusion. Education improved self-care in people with hypertension. Providing education for people with hypertension can be effective in promoting their self-care behaviors.
Elnaz Yazdanparast, Malihe Davoudi, Marziye Safavinejad, Seyed Hasan Ghorbani, Sahar Nadimi, Bahare Rezvani Dehaghani,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of teach back learning strategy on illness perception, nutritional knowledge and dietary adherence in people with hypertension.
Background. Because of the chronicity of hypertension and the importance of nutrition in hypertension control, illness perception and nutritional knowledge play an important role in adherence to nutritional regimen and disease control.
Method. The present study is a quasi-experimental study control group and pretest-posttest design. Based on random sampling, two health care centers in Ferdows were selected as the place for experimental and control group. Using a simple randomized method, of patients with hypertension, 35 individuals were recruited for each group. These people entered the study based on inclusion criteria and after that they signed the consent form. Before and after the intervention, illness perception, nutritional knowledge and dietary adherence were measured by self-report questionnaire and compared between the groups.
Findings. After intervention, the mean score of nutritional knowledge in experimental and control group was 48.17±5.21 and 41.16±0.51, respectively, and a statically significant difference was found between groups in terms of nutritional knowledge (P≤0.0001; t=9.56). After intervention, the mean score of illness perception in experimental and control group was 9.75±1.81 and 7.72±1.60, respectively, and there was a statically significant difference between groups in terms of illness perception (P≤0.0001; t=4.15). But no statically significant difference was found between experimental and control group in terms of dietary adherence (17.55±4.17 against 16.88±3.62).
Conclusion. Given the positive effects of teach back method and the special role of nurses in patient education, attention to this teaching method seems necessary. The use of this method of training is suggested as part of care process to reduce patients' clinical problems.
Roghayyeh Ghanbarpour Jouybari, Fereshteh Araghian Mojarad, Seyyed Mahmoud Samadian Kiamohaleh, Hedayat Jafari,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to review the effect of music as a non-invasive, non-pharmacological, inexpensive method with no side effects, on people with heart disease
Background. Heart disease is a common disease with considerable annual mortality. This review study investigates studies to bring a comprehensive view about the effect of music therapy on recovery of people with heart disease.
Method. This study was a narrative review in which studies in Persian and English language were searched out in databases/ search engines Magiran, SID, IranMedex, Pubmed, Scopus, and Google Scholar using the keywords music therapy, heart failure, acute coronary syndrome, hypertension, hypertension, heart surgery and open heart surgery. Inclusion criteria included articles being published in Persian or English language that examined the effect of music on recovery of people with heart disease. There was no time limit for articles under review. Exclusion criteria included articles that their full text were not accessible.
Findings. Out of 24 articles, the most of them (10 articles) examined the effect of music on hypertensive patients and on vital signs in heart patients (8 articles). The results showed that the effect of music on the recovery of heart patients included increasing the percentage of oxyhemoglobin saturation, relieving pain, reducing anxiety and depression, improving sleep quality and reducing fatigue. The music had no effect on mean arterial pressure and respiration. There were conflicting results regarding the effect of music on blood pressure and heart rate.
Conclusion. Considering the easy and cost-free application of this method, it is recommended that the health care team and especially nurses use this non-invasive method in the care of people with heart disease.
Mehdi Shamali-Ahmadabadi, Leila Issa-Nejad, Ali-Akbar Vaezi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was performed to examine the effect of virtual reality therapy training on Covid-19 anxiety in patients with hypertension in Corona pandemic.
Background. In addition to numerous physical problems, Covid-19 has had many psychological consequences such as stress and anxiety, especially in the community of chronic patients, including patients with hypertension. Therefore, appropriate interventions to reduce Covid-19 anxiety in patients with hypertension are essential.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group. The statistical population of the study consisted of all patients with hypertension referred to Ardakan Heart Clinic, Yazd, Iran. Using the available sampling method and according to the inclusion and exclusion criteria, 60 people were selected and randomly allocated to experimental (n=30) and control (n=30) group. Both groups completed the Alipour’s et al. (1398) Covid-19 questionnaire in the pre-test and post-test stages. The experimental group received the training in 6 sessions of one hour duration. Then, both groups completed the research questionnaires again in the post-test stage. Data were analyzed in SPSS version 26 using descriptive and inferential statistics.
Findings. After intervention, there was a statistically significant difference between the experimental and control group in terms of the mean scores of Covid-19 anxiety (P≤0.0001, F=110.807), psychological dimension of Covid-19 anxiety (P≤0.0001, F=78.30), and the physical dimension of Covid-19 anxiety (P≤0.0001, F=94.27).
Conclusion. Implementing virtual education intervention program with the content of reality therapy can reduce anxiety and its psychological and physical dimensions in people with hypertension.
Safoora Asefmehr, Abdolmajid Bahranian, Fatima Shahabizadeh,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of comparing the effect of the cognitive behavioral group therapy based on mindful walking with the dialectical behavior therapy on psychological symptoms, quality of life and blood pressure in people with hypertension.
Background. High blood pressure can cause kidney failure and eye problems. High blood pressure is a health problem in industrialized and developing countries due to its high prevalence and association with cardiovascular diseases.
Method. The present study was conducted based on a semi-experimental pre-test post-test design with two experimental groups and one control group. Out of 87 volunteers, 45 patients were allocated to three groups based on random sampling. Data collection tools were the Beck Depression Questionnaires (1960), the Beck Anxiety Questionnaire (1990), and the World Health Organization Quality of Life Questionnaire. Cognitive-behavioral group therapy based on the Leahy Group Conscious Mind Walk (2011) and Dialectical Behavior therapy (Linehan, 1993) were implemented as interventions. Data were collected and analyzed in SPSS version 22 using descriptive and inferential statistics.
Findings. The results indicated a statistically significant difference of the effects of the two interventions with control group in terms of depression, anxiety, quality of life, and blood pressure (P≤0.0001). Also, the cognitive behavioral group therapy based on mindful walking had a greater effect on the quality of life and blood pressure of hypertensive patients compared with the dialectical behavior therapy.
Conclusion. To improve the quality of life and reduce the blood pressure of hypertensive patients, it is better to benefit from the cognitive behavioral group therapy based on mindful walking and to reduce the cognitive symptoms (depression and anxiety) of hypertensive patients, dialectical behavior therapy is beneficial.
Tahereh Dehghani Firouzabadi, Alieh Dehghani Firouzabadi, Mohammad Hossein Dehghani Firouzabadi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of treatment based on choice theory (reality therapy) on self-efficacy of people with hypertension.
Background. Hypertension and its complications leads to high mortality and therefore, is considered as a major health problem affecting individual self-efficacy. In addition to drug therapy, psychological treatments can be a significant and important prerequisite for behavior change and self-care promotion in people with hypertension.
Method. The present study was quasi-experimental with a pretest-posttest design and control group. The statistical population of the study included all people with high blood pressure under coverage of the health centers of Meybod city Yazd province) in the fall-winter 2018, who were recruited in the study based on convenience sampling (n=30) and were randomly allocated to experimental and control group. The samples responded to the self-efficacy questionnaire of hypertensive patients (DMSES) before and after intervention. The treatment program based on choice theory was carried out in 8 sessions. The data were analyzed by covariance analysis according to the research hypothesis.
Findings. The results showed that after controlling for the pre-test effect, there was a statistically significant difference between the post-test self-efficacy scores of the group. After the treatment based on the selection theory, the scores of the dimensions of diet, physical activity, drug consumption and blood pressure control of patients with hypertension increased significantly in experimental group compared with the control group.
Conclusion. Implementation of treatment based on choice theory can be a suitable method for increasing self-efficacy in people with hypertension. It's suggested that by applying the theory-based treatment of choice for people with hypertension, an effective step can be taken to improve their self-efficacy.
Zahra Karami, Beheshteh Tabarsi, Mrs Firouzeh Moeini,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of the study was to examine the effect of lifestyle education using a mobile phone application on adherence to the treatment regimen in patients with hypertension.
Background. High blood pressure is the most important risk factor for cardiovascular diseases and mortality. Educational applications have provided an effective method for self-care and blood pressure control of patients.
Method. This research is a clinical trial study. The number of samples in control and experimental group was 60 people. In the experimental group, the training was conducted using the mobile application at least three times a week for two months and was followed up during the course through phone calls and virtual networks. In the control group, the usual training of the health center was provided. The degree of adherence to the treatment plan of the patients was measured by a researcher-made questionnaire, before and two weeks after the end of the intervention. Data analysis was done in SPSS version 21 using t-test, multivariate covariance analysis and post-hoc test.
Findings. Comparing the adherence to the treatment program between the two groups after the educational intervention, the mean and standard deviation of the scores of the control and experimental group was 337±22 and 441±20, respectively. There was a statistically significant difference between groups after the intervention in all variables including blood pressure, diet, physical activity, drug regimen, and other domains of compliance with the treatment program (p≤0.0001), which indicated the effectiveness of lifestyle training using a mobile phone application on blood pressure and adherence to the treatment plan.
Conclusion. The use of mobile phone application can be effective and useful for improving and controlling blood pressure among patients with hypertension. Nurses, as one of the most important members of the health care team, can have a direct impact on patients’ quality of life through educational interventions
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