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The effect of educational intervention on blood pressure levels among hypertensive female patients aged over 30 and living in Sivas

Yıl 2009, Cilt: 31 Sayı: 1, 31 - 40, 06.03.2009

Öz

Abstract

Aim. The aim of this study was to determine the effects of life style modification in patients with borderline and mild hypertension who were unaware of their blood pressure elevation and have had no diet or drug therapy previously. Methods. The study was conducted in Emek Health Center region in Sivas between January and November 2000. It was an interventional study and involved 189 housewives aged over 30 years. Cases involved were regularly followed for 6 months. The adherences of the cases to the life style-modifications were evaluated. At the end, the results were compared with the baseline values. Results. All the borderline and mild hypertensive housewives had life style modifications such as nutritional education; regular exercise and giving up smoking. Of 111 cases that had borderline hypertension before education program, 49 (44.1%) were found to be normotensive, 42 (37.9%) were borderline hypertensive, and 20 were (18.0%) mild hypertensive at the end. Among 78 mild hypertensive cases, 13 (16.7%) were found to be normotensive, while 31 (39.7%) were borderline hypertensive and 34 (43.6%) were mild hypertensives. Significant improvement was found when baseline values were compared with results at sixth month. Conclusions. It appeared that life style modifications have favorable effects in borderline and mild hypertensive patients. Early diagnosis and treatment is very important in reducing the burden in communities. Life style modifications must be kept in mind especially in borderline and mild hypertensive cases. This will help us to avoid side effects of pharmacological agents and reduce unnecessary costs.

Keywords: Hypertension, lifestyle modification, intervention

 

Özet

Amaç. Bu çalışmanın amacı kan basınçlarının yüksek olduğunun farkında olmayan, daha önce diyet yapmamış ya da ilaç tedavisi almamış hafif veya sınırda hipertansiyonu olan hastalarda yaşam tarzı değişikliklerinin etkilerini incelemektir. Yöntem. Araştırma Sivas Emek Sağlık Ocağı bölgesinde Ocak-Kasım 2000 tarihleri arasında yürütüldü. Otuz yaş üzeri 189 ev hanımının çalışmaya alındığı bir müdahale araştırmasıydı. Katılımcılar 6 ay düzenli izlendi. Olguların yaşam şekli değişikliklerine bağlılıkları değerlendirildi. İzlem sonucu elde edilen veriler çalışma başındaki verilerle karşılaştırıldı. Bulgular. Sınırda veya hafif hipertansiyonu olan 189 ev hanımı, beslenme eğitimi, düzenli egzersiz ve sigarayı bırakmak gibi yaşam şekli değişikleri uyguladı. Eğitim programından önce sınırda hipertansiyonu olan 111 olgunun sonunda 49'u normotansif, 42'si sınırda hipertansif ve 20'si hafif hipertansif bulundu. Hafif hipertansif 78 olgunun 31'i sınırda hipertansif, 13'ü hafif hipertansif bulunurken 13'ü de normotansif bulundu. Altı ay sonunda elde edilen sonuçlar ilk değerlerle karşılaştırıldığında istatistiksel olarak anlamlı farklılık bulundu. Sonuçlar. Yaşam şekli değişikliklerinin sınırda ve hafif hipertansif hastalarda faydalı etkilere sahip olduğu görüldü. Erken tanı ve tedavi toplumlarda sıkıntıyı azaltmada çok önemlidir. Yaşam şekli değişiklikleri özellikle sınırda ve hafif hipertansif hastalarda akılda tutulmalıdır. Bu bizi farmakolojik ajanların yan etkilerinden korumada yardımcı olacak ve gereksiz harcamaları azaltacaktır.

Anahtar Sözcükler: Hipertansiyon, yaşam şekli değişikliği, müdahale

Kaynakça

  • 1. Burt VL, Cuttler JA, Higgins M, et al. Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population: data from the health examination surveys, 1960 to 1991. Hypertension 1995; 26: 60-9.
  • 2. Rivera A, Roldan F, Casanova I et al. Effects of an educational intervention on the quality of life of the hypertensive patient. Salud Publica Mex 1998; 40: 503-9.
  • 3. Guidelines Subcommittee of World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. J Hypertension 1999; 17: 151-83.
  • 4. Muller J, Franz I. Significance of a life style change in arterial hypertension. Fortschr Med 1998; 116: 20-5.
  • 5. Garcia-Pena C, Thorogood M, Armstrong B, Reyes-Frausto S, Munoz O. Int J Epidemiol 2001; 30: 1485-91.
  • 6. Okazaki T, Himeno E, Nanri H, Ikeda M. Effects of a community-based lifestylemodification program on cardiovascular risk factors in middle-aged women. Res 2001; 24: 647-53.
  • 7. McAlister FA, Levine M, Zarnke KB et al. The 2000 Canadian recommendations for the management of hypertension: Part one-therapy; The Canadian Hypertension Recommendations Working Group. Can J Cardiol 2001; 17: 543-59.
  • 8. Appel LJ, Champagne CM, Harsha DW at al. Effects of Comprehensive lifestyle modification on blood pressure control. JAMA 2003; 289: 2083-93.
  • 9. Conlin PR. Dietary modification and changes in blood pressure. Curr Opin Nephrol Hypertens 2001; 10: 359-63.
  • 10. Çakır H, Pınar R. Randomized controlled trial on lifestyle modification in hypertensive patients. West J Nurs Res, Vol. 2006; 28: 190-209.
  • 11. Matsuzawa Y. Life style-related disease. Nippon Rinsho 2001; 59: 188-94.
  • 12. Kanda A, Hoshiyama Y, Kawaguchi T. Association of lifestyle parameters with the prevention of hypertension in elderly Japanese men and women: a four-year follow-up of normotensive subjects. Asia Pac J Public Health 1999; 11: 77-81.
  • 13. Reid CM, Maher T, Jennings GL; Heart Project Steering Committee. Substituting lifestyle management for pharmacological control of blood pressure: a pilot study in Australian general practice. Blood Press 2000; 9: 267-74.
  • 14. Medical Research Council Working Party. MRC trial of treatment of mild hypertension. Principal results. BMJ 1985; 291: 97- 104.
  • 15. Stamler R, Stamler J, Gosch F. Primary prevention of hypertension by nutritionalhygienic means. Final results of randomized controlled trial. J Am Med Assoc 1989; 262: 1801- 7.
  • 16. The Trials of Hypertension Prevention Collaborative Research Group. The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels: results of the trials of hypertension prevention. J Am Med Assoc 1992; 267: 1213- 20.
  • 17. Erem C, Yıldız R, Kavgacı H et al. Prevalence of diabetes, obesity and hypertension in a Turkish population (Trabzon city). Diabetes Res Clin Pract 2001; 54: 203-8.
  • 18. Sönmez H, Başak O, Camcı C et al. The epidemiology of elevated blood pressure as an estimate for hypertension in Aydın, Turkey. J Hum Hypertens 1999; 13: 399-404.
  • 19. Onat A. Risk factors and cardiovascular disease in Turkey. Atherosclerosis 2001; 156: 1- 10.
  • 20. Soylu A, Kavukcu S, Turkmen M et al. Effect of socioeconomic status on the blood pressure in children living in a developing country. Pediatr Int 2000; 42: 37-42.
  • 21. Okazaki T, Himeno E, Nanri H, et al. Effects of body weight control on changes in blood pressure: three-year follow-up study in young Japanese individuals. Hypertens Res 2000; 23: 421-6.
  • 22. Law M, Frost D, Wald J. By how much does dietary salt reduction lower blood pressure? III-Analysis of data from trials of Salt reduction. BMJ 1991; 6: 819- 24. 23. Cutler JA, Follmann D, Elliott P, et al. An overview of randomized trials of sodium reduction and blood pressure. Hypertension 1991; 17 (Suppl 1): 127- 33.
  • 24. Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol 1999; 28: 1073-80.
  • 25. Arroll B, Beaglehole R. Does physical activity lower blood pressure? A critical review of the clinical trials. J Clin Epidemiol 1992; 45: 439- 447. 26. National High Blood Pressure Education Working Group. Report on primary prevention. Arch Int Med 1993; 153: 186-208.
Yıl 2009, Cilt: 31 Sayı: 1, 31 - 40, 06.03.2009

Öz

Kaynakça

  • 1. Burt VL, Cuttler JA, Higgins M, et al. Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population: data from the health examination surveys, 1960 to 1991. Hypertension 1995; 26: 60-9.
  • 2. Rivera A, Roldan F, Casanova I et al. Effects of an educational intervention on the quality of life of the hypertensive patient. Salud Publica Mex 1998; 40: 503-9.
  • 3. Guidelines Subcommittee of World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. J Hypertension 1999; 17: 151-83.
  • 4. Muller J, Franz I. Significance of a life style change in arterial hypertension. Fortschr Med 1998; 116: 20-5.
  • 5. Garcia-Pena C, Thorogood M, Armstrong B, Reyes-Frausto S, Munoz O. Int J Epidemiol 2001; 30: 1485-91.
  • 6. Okazaki T, Himeno E, Nanri H, Ikeda M. Effects of a community-based lifestylemodification program on cardiovascular risk factors in middle-aged women. Res 2001; 24: 647-53.
  • 7. McAlister FA, Levine M, Zarnke KB et al. The 2000 Canadian recommendations for the management of hypertension: Part one-therapy; The Canadian Hypertension Recommendations Working Group. Can J Cardiol 2001; 17: 543-59.
  • 8. Appel LJ, Champagne CM, Harsha DW at al. Effects of Comprehensive lifestyle modification on blood pressure control. JAMA 2003; 289: 2083-93.
  • 9. Conlin PR. Dietary modification and changes in blood pressure. Curr Opin Nephrol Hypertens 2001; 10: 359-63.
  • 10. Çakır H, Pınar R. Randomized controlled trial on lifestyle modification in hypertensive patients. West J Nurs Res, Vol. 2006; 28: 190-209.
  • 11. Matsuzawa Y. Life style-related disease. Nippon Rinsho 2001; 59: 188-94.
  • 12. Kanda A, Hoshiyama Y, Kawaguchi T. Association of lifestyle parameters with the prevention of hypertension in elderly Japanese men and women: a four-year follow-up of normotensive subjects. Asia Pac J Public Health 1999; 11: 77-81.
  • 13. Reid CM, Maher T, Jennings GL; Heart Project Steering Committee. Substituting lifestyle management for pharmacological control of blood pressure: a pilot study in Australian general practice. Blood Press 2000; 9: 267-74.
  • 14. Medical Research Council Working Party. MRC trial of treatment of mild hypertension. Principal results. BMJ 1985; 291: 97- 104.
  • 15. Stamler R, Stamler J, Gosch F. Primary prevention of hypertension by nutritionalhygienic means. Final results of randomized controlled trial. J Am Med Assoc 1989; 262: 1801- 7.
  • 16. The Trials of Hypertension Prevention Collaborative Research Group. The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels: results of the trials of hypertension prevention. J Am Med Assoc 1992; 267: 1213- 20.
  • 17. Erem C, Yıldız R, Kavgacı H et al. Prevalence of diabetes, obesity and hypertension in a Turkish population (Trabzon city). Diabetes Res Clin Pract 2001; 54: 203-8.
  • 18. Sönmez H, Başak O, Camcı C et al. The epidemiology of elevated blood pressure as an estimate for hypertension in Aydın, Turkey. J Hum Hypertens 1999; 13: 399-404.
  • 19. Onat A. Risk factors and cardiovascular disease in Turkey. Atherosclerosis 2001; 156: 1- 10.
  • 20. Soylu A, Kavukcu S, Turkmen M et al. Effect of socioeconomic status on the blood pressure in children living in a developing country. Pediatr Int 2000; 42: 37-42.
  • 21. Okazaki T, Himeno E, Nanri H, et al. Effects of body weight control on changes in blood pressure: three-year follow-up study in young Japanese individuals. Hypertens Res 2000; 23: 421-6.
  • 22. Law M, Frost D, Wald J. By how much does dietary salt reduction lower blood pressure? III-Analysis of data from trials of Salt reduction. BMJ 1991; 6: 819- 24. 23. Cutler JA, Follmann D, Elliott P, et al. An overview of randomized trials of sodium reduction and blood pressure. Hypertension 1991; 17 (Suppl 1): 127- 33.
  • 24. Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol 1999; 28: 1073-80.
  • 25. Arroll B, Beaglehole R. Does physical activity lower blood pressure? A critical review of the clinical trials. J Clin Epidemiol 1992; 45: 439- 447. 26. National High Blood Pressure Education Working Group. Report on primary prevention. Arch Int Med 1993; 153: 186-208.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Dahili Tıp Bilimleri Araştırma Yazıları
Yazarlar

Levent Özdemir

Haldun Sümer

Yayımlanma Tarihi 6 Mart 2009
Yayımlandığı Sayı Yıl 2009Cilt: 31 Sayı: 1

Kaynak Göster

AMA Özdemir L, Sümer H. The effect of educational intervention on blood pressure levels among hypertensive female patients aged over 30 and living in Sivas. CMJ. Mayıs 2009;31(1):31-40.