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Showing 3 results for Hypertension
Evaluation of Obstructive Sleep Apnea in Myocardial Infarction Patients By Stop-Bang Questionnaire in Cardiac Care Units (CCU) of Karaj Hospitals, 2009
Alam Imani Giglou , Sharareh Zeighami Mohamadi , Fatemeh Gholi, Dr Ahmad Mahdavi, Dr Mohammad Reza Torabi, Zahra Abbasi Validkandi ,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Obstructive sleep apnea (OSA) is an important risk factor for cardiovascular disorders. The aim of this study was to determine the frequency of OSA in myocardial infarction patients in the CCU of Karaj Hospitals, 2009. 
Material and Methods: This cross-sectional study was conducted , via convenience sampling , on 140 acute myocardial infarction patients in two cardiac care units of Shariati and Rajaei hospital in Karaj, 2009. We assessed demographic data, history of cardiovascular risk factors, STOP-Bang questionnaire through interview, information related to the type of myocardial infarction and laboratory parameters from medical records, and also we measured anthropometric indices with balance scale and meter tap. 
Results: Mean score of STOP-BANG questionnaire was 4.9 ± 1.2 in the range of 2 to 8 points and in 64% of the participants was higher than 4 points. The Score of STOP-BANG questionnaire was statistically significant considering age, smoking, hypertension, dyslipidemia, extensive infarction, BMI, waist-to-height ratio, Waist to Hip Ratio, Waist Circumference, neck circumference, cholesterol and left ventricular ejection fraction (P=0.001), sex (P=0.044), Diabetes(P=0.019), inferior infarction (P=0.006), anterior wall (P=0.048) and triglyceride levels (P=0.031). 
Conclusion: OSA is common among patients with myocardial infarction and is associated with anthropometric indices, cardiovascular risk factors, the location of infarction and left ventricular ejection fraction. Thus, Screening, evaluating the symptoms of OSA and referring for counseling and treatment is necessary.

Assessment of Dietary Adherence in Hypertensive Patients Referred to Shahid Sayyad Shirazi Teaching Hospital in Gorgan
Atharalsadat Mirkarimi, Homeira Khoddam, Mohammad Ali Vakili, Mohammad Bagher Sadeghi , Mahnaz Modanloo,
Volume 13, Issue 1 (6-2016)
Abstract

Background: Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.

Methods: This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.

Results: The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).

Conclusion: Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.


Effect of Self-Care Training Based On VARK Learning Style Preference on Blood Pressure of Patients with Hypertension
Zeinab Ghorbani, Elham Imani, Saeed Hoseini Teshnizi,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Hypertension has been a global public health crisis. Complications of hypertension can be reduced by educating patients. Consideration of the learning styles of patients is important for effective education. The aim of this study was to determine effects of self-care training based on visual, aural, reading/writing, and kinesthetic (VARK) learning style preference on blood pressure of hypertensive patients.
Methods: This semi-experimental study was conducted in Bandar Abbas, South of Iran in 2019. Forty-four eligible patients who were referred to six comprehensive health centers in Bandar Abbas were selected by convenience sampling and then allocated into four visual, aural, reading/writing, and kinesthetic groups based on the results of the VARK learning style questionnaire.
Educational interventions were performed according to patients' learning style preference in four sessions. To evaluate effectiveness of the training, patients' blood pressure was measured before the intervention and two months after the intervention. Data were analyzed with SPSS 16 software using paired t-test, Wilcoxon test, and one-way analysis.
Results: After the educational intervention, a statistically significant difference was observed in the mean systolic and diastolic blood pressures of all patients (P<0.001). After the intervention, the mean systolic blood pressure did not change significantly in the kinesthetic group (P>0.05) but decreased significantly in other groups (P<0.05). In addition, the mean diastolic blood pressure decreased significantly after the intervention in all study groups (P<0.05).
Conclusion: Providing education based on the preferred learning style can be an effective way to educate patients with hypertension in comprehensive health care centers across the country.

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