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Showing 3 results for Blood Pressure Control
Seyedhashem Sezavar , Leili Abbaszadeh , Adalat Hosseinian , Manoochehr Iranparvar , Minaye Khodamoradzadeh ,
Volume 3, Issue 3 (9-2003)
Background & Objective: Hypertension and diabetes mellitus coexist more commonly than predicted by chance and the synergistic effect of these two diseases is the cause of early disability and high rate of mortality in these patients. Controlling the blood pressure has a critical role in decreasing cardiovascular mortality in diabetic hypertensive cases. The goal of this study is to determine the rate of recognition and treatment of hypertension in type II diabetic subjects referring to diabetes clinic of Bou-ali hospital, Ardabil.
Methods: In this cross-sectional study 300 type II diabetic patients were examined in terms of blood pressure control.
Results: The patients who participated in this study ranged between 28 to 80 years of age (mean: 55.5 ± 11.4). About 61.6% of diabetic patients had hypertension (BP>140/ 90 mmHg) 76.7% of these patients were aware of their hypertension. Only 8.8% of these patients with hypertension had a well-controlled blood pressure and the rest of them (91.2%) had a poorly- controlled blood pressure (BP>130/80 mmHg). About 21.8% of hypertensive diabetics although aware of their hypertension were not on any anti- hypertensive agents.
Conclusions: This study indicates poor control of hypertension in diabetic patients. It seems that reconsidering CME programs for the physicians, emphasizing the control of risk factors especially in high-risk groups and educating the diabetic patients will improve the control of hypertension in these patients.
Mohammad Ali Mohammadi, Behrouz Dadkhah, Hashem Sazavar , Naser Mozaffari ,
Volume 6, Issue 2 (6-2006)
Background & Objectives: Controlling diet to regulate blood pressure in hypertensive patients has always been a challenging issue. On the other hand, insufficient supporting systems, non efficient follow-up programs, patients inability to do treatment measures in relapsing period, insufficient following of diet and drug taking, unplanned discharge and poor knowledge of risk factors are among controllable factor that lead to the readmission of the patients. The aim of this study is determining the effect of follow up on blood pressure control in hypertentive patients.
Methods: In this interventional study, hypertensive patients referring to emergency ward were randomly divided into two case groups (100 patients) and two control groups (100 patients). After collecting data, case group patients were trained in their homes about the role of nutrition, mobility and regular drug use in blood pressure control for 3 months. Then, blood pressure in case and control groups was controlled and mean blood pressure in two groups was compared. The collected data were analyzed by SPSS software using descriptive and analytical statistics.
Result: 55.4 % of the case and 54.3% controls had family history of blood pressure. Before intervention mean BMI in case and control group was 26.8±5.56 and 28.04±14.66 and after intervention it was 25.96±5.38 and 27.61±14.29 respectively. Before follow up program was implemented, 39.13% of the cases and 35.87% of the controls had regular drug use history. After follow-up this rose to 44.6% and 42.4% respectively. After follow-up program 22.83% of the cases and 17.39% of the controls had referred to emergency ward or a physician once in 3 months. After intervention program, mean systolic blood pressure in cases and controls were 133 and 153 mmHg respectively and this difference was statistically meaningful (P<0.001). After follow-up, systolic blood pressure control in case and control groups was 59.8% and 35.9% respectively and this difference was meaningful (P<0.001).
Conclusion: Results showed that after training program and home follow-up, blood pressure and weight control were more in case group, than control group, Therefore, we suggest that patient training programs and follow up and home follow-up be used as an effective way in hypertensive patients' health care and their treatment.
Aghil Habibi, Soghra Neekpoor, Mahnaz Seyedolshohda, Hamid Haghani,
Volume 8, Issue 1 (4-2008)
Background & Objective: As life expectancy increases health promotion behaviours are even more important, particularly with regard to maintaining functional independence and improving quality of life (QoL). The purpose of this study was to explore the relationship
between health promotion behaviours and quality of life among elderly people in west region of Tehran.
Methods: This was a descriptive-correlational study. Through multi-stage sampling method, 410 participants over 60 years old and cognitively intact were selected to contribute in the study. The data-gathering tool consisted of a 2-part questionnaire Health Promotion Behaviour Checklist and Short Form Health Survey (SF12) that were used to measure QoL.
Results: The results of the study showed that there were statistically significant differences in QoL of the elderly related to 'exercise or walking and consumption of milk, dairy products, meat, vegetables and fruits and 'low salt diet', 'low fat diet', 'health check up', 'blood pressure (BP) (p< 0.05). The Elderly with high quality of life had more exercise or walking and consumption of milk, dairy products, meat, and fresh fruit and vegetables and the elderly with low quality of life, had better observed low salt diet, low fat diet, health condition control and blood pressure control.
Conclusion: Regarding the results we found that health promotion behaviours and the quality of life are related meaningfully, so, considering old people as a vulnerable group by health authorities, it is recommended to provide this group with programs and facilities to promote their health behaviours, social participation and to improve health care and provide consultation services.