Volume 10, Issue 2 (2022)
Health Educ Health Promot 2022, 10(2): 309-314 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hosseini A, Borhani M, Shakerian S. The Effects of Educational Program on Self-Care Behavior of the Hypertension Patients in Rural Areas of Minoodasht. Health Educ Health Promot 2022; 10 (2) :309-314
URL: http://hehp.modares.ac.ir/article-5-56642-en.html
URL: http://hehp.modares.ac.ir/article-5-56642-en.html
1- Health Management and Social Development, Research Center, Golestan University of Medical Sciences, Gorgan, Iran
2- Department of Community Based Education in Health Sciences, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Community Based Education in Health Sciences, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (1190 Views)
Aims: Many people with hypertension are unaware of their problem. As hypertension may have no warning signs and causes serious complications, designing effective interventions to sensitize the community towards its control is necessary. The current study aimed to evaluate the effectiveness of self-care educational programs for hypertension in rural areas.
Materials & Methods: In this quasi-experimental study, 136 patients with hypertension from rural areas of Minodasht county were studied in 2019. Two-stage random cluster sampling was used to select participants. Data were collected by a self-administered questionnaire whose validity and reliability were assessed. The questionnaire consisted of demographic and related outcomes parts (adherence to diet and drug therapy, physical activity, adherence to control (measurement) of blood pressure, and feelings related to behavior). Data were analyzed using paired t-tests and covariance by SPSS 19.
Findings: Based on the paired t-test, the mean of measured dimensions was significantly increased after providing the intervention (p<0.05). The covariance analysis was also statistically significant (p<0.05), after removing the pre-test effects of variables.
Conclusion: This study showed the positive effects of educational interventions on those who suffer from hypertension. Educational programs, as a core component of health promotion, can improve the knowledge, attitudes, and skills of trainees to maintain and adhere to promote their health.
Materials & Methods: In this quasi-experimental study, 136 patients with hypertension from rural areas of Minodasht county were studied in 2019. Two-stage random cluster sampling was used to select participants. Data were collected by a self-administered questionnaire whose validity and reliability were assessed. The questionnaire consisted of demographic and related outcomes parts (adherence to diet and drug therapy, physical activity, adherence to control (measurement) of blood pressure, and feelings related to behavior). Data were analyzed using paired t-tests and covariance by SPSS 19.
Findings: Based on the paired t-test, the mean of measured dimensions was significantly increased after providing the intervention (p<0.05). The covariance analysis was also statistically significant (p<0.05), after removing the pre-test effects of variables.
Conclusion: This study showed the positive effects of educational interventions on those who suffer from hypertension. Educational programs, as a core component of health promotion, can improve the knowledge, attitudes, and skills of trainees to maintain and adhere to promote their health.
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2021/10/25 | Accepted: 2022/03/15 | Published: 2022/06/14
Received: 2021/10/25 | Accepted: 2022/03/15 | Published: 2022/06/14
References
1. Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration. Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment. Lancet Diabetes Endocrinol. 2014;2(8):634-47. [Link] [DOI:10.1016/S2213-8587(14)70102-0]
2. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23. [Link] [DOI:10.1016/S0140-6736(05)17741-1]
3. Lawes CMM, Vander Hoorn S, Rodgers A, International Society of Hypertension. Global burden of blood-pressure-related disease, 2001. Lancet. 2008;371(9623):1513-8. [Link] [DOI:10.1016/S0140-6736(08)60655-8]
4. Hyman DJ, Pavlik VN. Poor hypertension control: let's stop blaming the patients. Cleve Clin J Med. 2002;69(10):793-9. [Link] [DOI:10.3949/ccjm.69.10.793]
5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42(6):1206-52. [Link] [DOI:10.1161/01.HYP.0000107251.49515.c2]
6. Azizi F, Ghanbarian A, Madjid M, Rahmani M, Sarrafzadeh A. Distribution of blood pressure and prevalence of hypertension in Tehran adult population: Tehran Lipid and Glucose Study (TLGS), 1999-2000. J Hum Hypertens. 2002;16(5):305-12. [Link] [DOI:10.1038/sj.jhh.1001399]
7. Barikani A. Prevalence of hypertension among women aged 30+ in Minoodar region of Qazvin in 2009. J Inflamm Dis. 2010;14(1):41-8. [Persian] [Link]
8. Bromfield SG, Bowling CB, Tanner RM, Peralta CA, Odden MC, Oparil S, et al. Trends in hypertension prevalence, awareness, treatment, and control among US adults 80 years and older, 1988-2010. J Clin Hypertens. 2014;16(4):270-6. [Link] [DOI:10.1111/jch.12281]
9. Zinat Motlagh SF, Chaman R, Sadeghi E, Eslami AA. Self-care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J. 2016;18(6):e35805. [Link] [DOI:10.5812/ircmj.35805]
10. Ademe S, Aga F, Gela D. Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Serv Res. 2019;19(1):51. [Link] [DOI:10.1186/s12913-019-3880-0]
11. Pongkiatchai R, Wongwiseskul S. Nutrition literacy and the elderly with hypertension. J Food Health Bioenvironl Sci. 2018;11(3):49-55. [Link]
12. Haghdoust AA, Sadeghirad B, Rezazadeh KM. Epidemiology and heterogeneity of hypertension in Iran: a systematic review. Arch Iran Med. 2008;11(4):444-52. [Link]
13. Miri M, Ramazani A, Hanafi H, Gholinejad B. Analysis of quality assessment of the prevention & control of hypertension plan in Birjand University of Medical Sciences. Intern Med Today. 2006;12(2):39-45. [Persian] [Link]
14. Sohrabi MR, Heidarnia MA, Mehrabi I, Abolhasani F. Evaluation of the coverage of national hypertension prevention and control program in Damavand. Res Med. 2007;31(3):255-61. [Persian] [Link]
15. Lorgelly P, Siatis I, Brooks A, Slinn B, Millar-Craig MW, Donnelly R, et al. Is ambulatory blood pressure monitoring cost-effective in the routine surveillance of treated hypertensive patients in primary care?. Br J Gen Pract. 2003;53(495):794-6. [Link]
16. Roca B, Nadal E, Rovira RE, Valls S, Lapuebla C, Lloria N. Usefulness of a hypertension education program. South Med J. 2003;96(11):1133-8. [Link] [DOI:10.1097/01.SMJ.0000053454.67173.48]
17. Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci. 2011;1(3):116-22. [Persian] [Link]
18. Bairami S, Fathi Y, Mohammadinasab S, Barati M, Mohammadi Y. Relationship between self-care behaviors and quality of life among hypertensive patients visiting comprehensive health centers in Hamadan, Iran. J Educ Community Health. 2017;4(1):20-7. [Link] [DOI:10.21859/jech.4.1.20]
19. Pescatello LS, Buchner DM, Jakicic JM, Powell KE, Kraus WE, Bloodgood B, et al. Physical activity to prevent and treat hypertension: a systematic review. Med Sci Sports Exerc. 2019;51(6):1314-23. [Link] [DOI:10.1249/MSS.0000000000001943]
20. Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada's Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7:38. [Link] [DOI:10.1186/1479-5868-7-38]
21. Lucan SC. Dietary management of hypertension: What works vs. What matters. Am Fam Physician. 2016;93(2):84-6. [Link]
22. Pickering TG. Why are we doing so badly with the control of hypertension? Poor compliance is only part of the story. J Clin Hypertens. 2001;3(3):179-82. [Link] [DOI:10.1111/j.1524-6175.2001.00465.x]
23. Baliz Erkoc S, Isikli B, Metintas S, Kalyoncu C. Hypertension knowledge-level scale (HK-LS): a study on development, validity and reliability. Int J Environ Res Public Health. 2012;9(3):1018-29. [Link] [DOI:10.3390/ijerph9031018]
24. Oskay EM, Önsüz MF, Topuzoglu A. Assesment of hypertension knowledge, attitude and throught of policyclinic patients at a primary health care center in Izmir. Meandros Med Dent J. 2010;11(1):3-9. [Turkish] [Link]
25. Zhang J, Xu A-q, Ma J-x, Shi X-m, Guo X-l, Engelgau M, et al. Dietary sodium intake: knowledge, attitudes and practices in Shandong Province, China, 2011. PloS One. 2013;8(3):e58973. [Link] [DOI:10.1371/journal.pone.0058973]
26. Pavey TG, Peeters G, Bauman AE, Brown WJ. Does vigorous physical activity provide additional benefits beyond those of moderate?. Med Sci Sports Exerc. 2013;45(10):1948-55. [Link] [DOI:10.1249/MSS.0b013e3182940b91]
27. AlGhurair SA, Hughes CA, Simpson SH, Guirguis LM. A systematic review of patient self‐reported barriers of adherence to antihypertensive medications using the world health organization multidimensional adherence model. J Clin Hypertens. 2012;14(12):877-86. [Link] [DOI:10.1111/j.1751-7176.2012.00699.x]
28. Ford CD, Kim MJ, Dancy BL. Perceptions of hypertension and contributing personal and environmental factors among rural Southern African American women. Ethn Dis. 2009;19(4):407-13. [Link]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |