Volume 3, Number 1 (Spring 2016)                   JECH 2016, 3(1): 12-19 | Back to browse issues page



DOI: 10.21859/jech-03012

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Babaei-Sis M, Ranjbaran S, Mahmoodi H, Babazadeh T, Moradi F, Mirzaeian K. The Effect of Educational Intervention of Life Style Modification on Blood Pressure Control in Patients with Hypertension. JECH. 2016; 3 (1) :12-19
URL: http://jech.umsha.ac.ir/article-1-188-en.html

1- BSc, Health Network of Shabestar, Shabestar, Iran, Iran
2- MSc, Department of Health Education and Promotion, School of Health, Tehran University of Medical sciences, Tehran, Iran.
3- MSc, Student Research Committee, Health Faculty, Tabriz University of Medical sciences, Tabriz, Iran.
4- MSc, Student Research Committee, Health Faculty, Tabriz University of Medical sciences, Tabriz, Iran. , towhid.babazadeh@gmail.com
5- MSc, Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran
Abstract:   (1813 Views)

Background and Objectives: Today, chronic diseases such as high blood pressure are increasing; this disease is closely associated with lifestyle. Therefore, the current study was conducted to assess the effect of lifestyle modifying educational intervention on blood pressure control in patients with hypertension.

Materials and Methods: This Quasi-experimental study was conducted on 210 patients with hypertension, referring to health centers of Shabestar County, Iran in 2016. Patients were assigned into two groups of intervention (n = 105) and control (n = 105) using random multi-stage sampling method. The data was collected using standard life style questionnaire (LSQ) in four dimensions of exercise, weight control, nutrition, and mental and spiritual health, before and two months after the educational intervention. Data were analyzed in SPSS-21 using descriptive and inferential statistics, such as chi-squared, paired t-test and independent t-test.

Results: The results showed that the mean scores of exercise, weight control, nutrition and mental health in the intervention group increased significantly after the intervention (P< 0.05). However, the changes were not significant in the control group (P> 0.05). Also, the educational intervention had a significant effect on reducing blood pressure in the intervention group compared with the control group (P< 0.05).

Conclusions: According to the findings of the study, educational intervention is effective in promoting physical activity, improving weight management, nutrition and mental health in patients with hypertension. In addition, the results indicated that controlled blood pressure can be achieved by improving the lifestyle.

Full-Text [PDF 385 kb]   (1159 Downloads)    
Type of Study: Research Article | Subject: Special
Received: 2016/04/12 | Accepted: 2016/06/20

References
1. Hemmelgarn BR, McAllister FA, Myers MG, McKay DW, Bolli P, Abbott C, et al. The 2005 Canadian Hypertension Education Program recommendations for the management of hypertension: part 1- blood pressure measurement, diagnosis and assessment of risk. Can J Cardiol. 2005;21(8):645-56. [PubMed]
2. Centers for Disease C, Prevention. Vital signs: prevalence, treatment, and control of hypertension-United States, 1999-2002 and 2005-2008. MMWR Morb Mortal Wkly Rep. 2011;60(4):103-8. [PubMed]
3. Esteghamati A, Meysamie A, Khalilzadeh O, Rashidi A, Haghazali M, Asgari F, et al. Third national Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health. 2009;9:167.
4. Martiniuk AL, Lee CM, Lawes CM, Ueshima H, Suh I, Lam TH, et al. Hypertension: its prevalence and population-attributable fraction for mortality from cardiovascular disease in the Asia-Pacific region. J Hypertens. 2007;25(1):73-9. [DOI] [PubMed]
5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289(19):2560-72. [PubMed]
6. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R, Prospective Studies C. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in prospective studies. Lancet. 2002;360(9349):1903-13.
7. Whelton PK, He J, Appel LJ, Cutler JA, Havas S, Kotchen TA, et al. Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. JAMA. 2002;288(15):1882-8. [PubMed]
8. Monahan F, Sands J, Neighbors M, Marek J, Green C. Phipps’ medical-surgical nursing: health and illness perspectives. 8th ed. Louis: Mosby; 2007.
9. Smith RD. Hypertension: Pathophysiology, diagnosis, and management. In: Laragh JH, Brenner BM, editors. New York: Raven Press, Ltd.; 1995.
10. Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q, et al. The longterm effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study. Lancet.2008; 371(9626):1783-9. [PubMed]
11. Dickinson HO, Mason JM, Nicolson DJ, Campbell F, Beyer FR, Cook JV, et al. Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials. J Hypertens.2006; 24(2):215-33. [PubMed]
12. Khatib OMN, El-Guindy MS. Clinical guidelines for the management of hypertension. Cairo World Health Organ East Mediterranean Region office. 2005.
13. Najjar L, Heydari A, Behnam Vashani HR. The relationship between lifestyle and essential hypertension in Sabzevar. Iran J Sabzevar Univ Med Sci. 2004;11(2):49-54.
14. Faragzadeh Z, Kaheni S, Saadatjoo A. Relation between stress and hypertension and coping ways. J Birjand Univ Med Sci. 2005;12(1):2.
15. Baroogh N, Teimouri F,Saffari M, Hosseini Sadeh S, Mehran A. Hypertension and lifestyle in 24-65 year old people in Qazvin Kosar region in 2007. Pejouhandeh. 2010;15(5):Pe193-Pe8, En1.
16. Shayesteh H, Mansoriyan M, Mirzaie A, Sayehmiri K. Survey of the Effect of Educational Intervention on the Nutrition Physical Activity and Stress Management of Patients with Hypertension among the Rural Population of Aligoudarz County of Lorestan Province in 2015. Sci J Ilam Univ Med Sci. 2016;24(2):54-62.
17. Lali M, Abedi A, Kajbaf MB.Construction and Validation of the Lifestyle Questionnaire (LSQ). Psychol Res. 2012;15(1):64-80.
18. Kalhornia-Golkar M, Banijamali S, Bahrami H, Hatami HR, Ahadi H .Effectiveness of Mixed Therapy of Stress Management Training and Spiritual Therapy on Level of Blood Pressure, Anxiety and Quality of Life of High Blood Pressure Patients]. J Clin Psychol. 2014;3(23):1-11.
19. Samiei Siboni F, Alimoradi Z, Sadegi T. [Impact of corrective life style educational program on controlling stress, anxiety and depression in hypertensives]. J Birjand Univ Med Sci. 2013;19(6):1-9.
20. Hosseini F, Farshidi H, Aghamolaei T, Madani A, Ghanbarnejad A. The Impact of an Educational Intervention Based On PRECEDE-PROCEED Model on Lifestyle Changes among Hypertension Patients. J Health Educ Health Prom. 2014;2(1):17-27.
21. Hanifi N, Bahrami Nejad N, Moosavi Nasab N. Comparing the effect of two family- and individual-based interventions on blood pressure and lifestyle. J Qazvin Univ Med Sci Health Serv.2008; 12(1):62-8.
22. Ferrara AL, Pacioni D, Di Fronzo V, Russo BF, Staiano L, Speranza E, et al. Lifestyle educational program strongly increases compliance to nonpharmacologic intervention in hypertensive patients: a 2-year follow-up study. J Clin Hypertens (Greenwich). 2012;14(11):767-72. [DOI] [PubMed]
23. Babaee Beigi MA, Zibaeenezhad MJ, Aghasadeghi K, Jokar A, Shekarforoush S, Khazraei H. The effect of educational programs on hypertension management. Int Cardiovasc Res J. 2014;8(3):94-8.
24. Cicolini G, Simonetti V, Comparcini D, Celiberti I, Di Nicola M, Capasso LM, et al. Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patient: a randomized controlled trial. Int J Nurs Stud. 2014;51(6):833-43. [DOI] [PubMed]
25. Beune EJAJ, van Charante EPM, Beem L, Mohrs J, Agyemang CO, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PloS one. 2014;9(3):e90103.
26. Hacihasanoglu R, Gozum S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011;20(5-6):692-705. [DOI] [PubMed]
27. Nguyen QN, Pham ST, Nguyen VL, Weinehall L, Wall S, Bonita R, et al. Effectiveness of community-based comprehensive healthy lifestyle promotion on cardiovascular disease risk factors in a rural Vietnamese population: a quasi-experimental study. BMC Cardiovasc Disord.2012; 56:12. [DOI] [PubMed]
28. Henje Blom E, Olsson EM, Serlachius E, Ericson M, Ingvar M. Heart rate variability (HRV) in adolescent females with anxiety disorders and major depressive disorder. Acta Paediatr. 2010;99(4):604-11. [DOI] [PubMed]
29. Rosengren A, Dotevall A, Eriksson H, Wilhelmsen L. Optimal risk factors in the population: prognosis, prevalence, and secular trends; data from Goteborg population studies. Eur Heart J. 2001;22(2):136-44. [DOI] [PubMed]
30. Pearson TA, Bazzarre TL, Daniels SR, Fair JM, Fortmann SP, Franklin BA, et al. American Heart Association Guide for Improving Cardiovascular Health at the Community Level A Statement for Public Health Practitioners, Healthcare Providers, and Health Policy Makers From the American Heart Association Expert Panel on Population and Prevention Science. Circ. 2003;107(4):645-51.
31. Hamidizadeh S, Ahmadi F, Asghari M. Study Effect of Relaxation Technique on Anxiety and Stress in Elders with Hypertension. J Shahrekord Univ Med Sci.2006; 45(8):51-2.
32. Jafari M. [Effects of group discussion method of teaching healthy lifestyles, stress, anxiety and depression, clinical nurses working in hospitals Asadabad city]. Tehran: Tarbiat Modarres University School of Medicine; 2009.
33. Huang N. Life style management of hypertension. Australian Prescribe. 2008;31(6):150-3. [DOI]
34. Prasanna DG, Gopinath C, Reddy KY, Rajasekhar DG, Chandrakanth P, Sravanakumari S. Effect of lifestyle modifications on blood pressure in hypertensive patients. Int J Pharm Sci Res. 2015;6(12):5159.
35. Simces ZL, Ross SE, Rabkin SW. Diagnosis of hypertension and lifestyle modifications for its management. BC Med J. 2012;54(8):392-8.
36. Bortolotto R, Santos R, Ikeda E, Giacchini F, Duenhas A, Loyola I. Impact of a multidisciplinary interventional program on blood pressure control and healthy lifestyle adherence in patients with hypertension and metabolic syndrome. J Hypertens. 2016;34(2):39.
37. Abbasian L, Abbasi M, Shamsi Goshki E, Memarian Z. Study the scientific status of spiritual health and its role in prevention of diseases: A pilot study. Med Ryhic J. 2011;4(14):83-104.

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb