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Factors Affecting Blood Pressure Control in Hypertension Patients and Their Social Adaptation

Year 2022, Volume: 12 Issue: 1, 91 - 97, 15.01.2022
https://doi.org/10.16899/jcm.1017617

Abstract

Aim: In this research, we aimed to analyze the factors affecting the control of blood pressure and social adaptation in hypertensive patients.
Material and Method: Our study was conducted with 100 hypertensive patients in Ankara Training and Research Hospital Family Medicine Polyclinics between December 2015 and March 2016. Five-day blood pressure follow-up, socio-demographic characteristics and "Fatih Social Tendencies Scale" questionnaire data of the patients were recorded. 5-day blood pressure follow-up of the patients was performed.
Results: In our research, physical activity, regular exercise, being on diet, smoking, regular doctor check, medication compliance, marital status, years of education, regular book reading, working status and monthly income were found to be effective in blood pressure control. “Social Adaptation”, “Avoidance of Substance”, “Avoidance of Violence”, “Family Status” and “Economic Status” among social tendency factors were found to be better in patients with blood pressure under control.
Conclusion: In blood pressure follow-up, the lifestyle characteristics of the patient should be questioned and taken into consideration. Questioning psychological factors such as social adaptation and providing support through the provision of necessary information and education to the patient will make a great contribution to the patients in terms of blood pressure control.

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References

  • Chowdhury EK, ASPREE Investigator Group. Impact of the 2017 American Heart Association and American College of Cardiology hypertension guideline in aged individuals. J Hypertens. 2020 Dec;38(12):2527-2536. doi:10.1097/HJH.0000000000002582. PMID: 32740404
  • Altun B, Arici M, Nergizoglu G, et al. Prevalence, awareness, treatment and control of Hypertension, in Turkey (the PatenT study) in 2003. J Hypertens 2005;23:1817–23.
  • Soydan İ. Hipertansiyon ile ilgili TEKHARF çalışması verileri ve yorumu. In: Onat A (ed). Türk Erişkinlerde Kalp Sağlığı (TEKHARF). İstanbul: Argos iletişim, 2003; 60-71.
  • Ulusal Hastalık Yükü ve Maliyet-Etkililik Projesi Final Raporu, Ankara: T.C. Sağlık Bakanlığı, Refik Saydam Hıfzıssıhha Mektebi Müdürlüğü ve Başkent Üniversitesi Yayını; 2004. Pages 33-34. https://sbu.saglik.gov.tr/Ekutuphane/Home/GetDocument/166 Erişim tarihi: 22.09.2020.
  • James P, Oparil S, Carter B, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507-20.
  • Tekin O, Özkara A, Cebeci S,ve ark. 11-20 Yaş Öğrencilerde Sosyal Eğilimler Anketi. Yeni Tıp Dergisi 2007;24:198-204.
  • Fagard RH. Physical activity, fitness and mortality. Journal of Hypertension 2012;30: 1310-12.
  • Cornelissen VA, Fagard RH. Effects of endurance training on blood pressure, blood pressure–regulating mechanisms, and cardiovascular risk factors. Hypertension 2005;46: 667-75.
  • Li X, Ning N, Hao Y, Sun H, Gao L, Jiao M, Wu Q, Quan H. Health Literacy in Rural Areas of China: Hypertension Knowledge Survey. International Journal of Environmental Research and Public Health. 2013;10(3):1125-1138. https://doi.org/10.3390/ijerph10031125
  • Emine Öncü, Sümbüle K. Vayısoğlu, Yasemin Güven, Gamze Aktaş, Halil Ceyhan, Esra Karakuş. The evaluation of hypertensive individuals regarding chronic disease management and its relation to health literacy. Anatol j fm. 2018; 1(1): 31-32.
  • Bardage C, Isacson GL. Hypertension and health-related quality of life: an epidemiological study in Sweden. Journal of Clinical Epidemiology 2001;54:172-81.
  • Viera AJ, Cohen LW, Mitchell CM, et al. High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study. The Journal of the American Board of Family Medicine 2008;21:300-8.
  • Sanne S, Muntner P, Kawasaki L, et al. Hypertension knowledge among patients from an urban clinic. Ethnicity and Disease 2008;18:42.
  • Li W, Jiang X, Ma H, et al. Awareness, treatment and control of hypertension in patients attending hospital clinics in China. Journal of Hypertension 2003;21:1191-97.
  • Cohen L, Curhan GC, Forman JP. Influence of age on the association between lifestyle factors and risk of hypertension. J Am Soc Hypertens. 2012;6:284-290. doi: 10.1016/j.jash.2012.06.002.
  • Clark LT, Afflu E. Antihypertensive therapy: factors affecting medication compliance and blood pressure control. The American J Manager Care 1995;1:289-94.
  • Çöl M, Özdemir O, Ocaktan ME. Park Sağlık Ocağı bölgesindeki 35 yaş üstü hipertansiflerde tedavi kontrol durumları ve davranışsal faktörler. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2006;59:144-50.
  • Oliveria Susan A,Chen RS, McCarthy BD, et al. Hypertension knowledge, awareness, and attitudes in a hypertensive population. Journal of General Internal Medicine 2005;20:219-225.
  • Watson K, Jamerson K. Therapeutic lifestyle changes for hypertension and cardiovascular risk reduction. The Journal of Clinical Hypertension 2003;5:32-37.

Hipertansiyon Hastalarında Tansiyon Kontrolüne Etki Eden Faktörler ve Sosyal Uyum

Year 2022, Volume: 12 Issue: 1, 91 - 97, 15.01.2022
https://doi.org/10.16899/jcm.1017617

Abstract

Amaç: Çalışmamızda, hipertansiyon hastalarının tansiyonlarının kontrolüne etki eden faktörleri ve sosyal uyumu değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmamız Aralık 2015 – Mart 2016 tarihleri arasında Ankara Eğitim ve Araştırma Hastanesi Aile Hekimliği Polikliniklerinde 100 hipertansif hasta ile yapıldı. Hastaların beş günlük tansiyon takibi, sosyodemografik özellikleri ve “Fatih Sosyal Eğilimler Ölçeği” anket verileri kaydedildi. Hastaların 5 günlük tansiyon takipleri yapıldı.
Bulgular: Çalışmamızda fiziksel aktiflik, düzenli egzersiz, diyetine dikkat etme, sigara kullanımı, doktora düzenli gitme, ilaçlarını düzenli kullanma, evli olma, eğitim yılı, düzenli kitap okuma, çalışma durumu ve aylık gelir düzeyi tansiyon kontrolünde etkili olduğu bulundu. Sosyal eğilim faktörlerinden “Sosyal Uyum”, “Maddeden Kaçınma”, “Şiddetten Kaçınma”, “Aile Statüsü” ve “Ekonomik Durum” faktörlerinin tansiyonları kontrol altında olan hastalarda daha iyi olduğu gözlendi.
Sonuç: Tansiyon takibinde hastanın yaşam tarzı özelliklerinin sorgulanması ve göz önüne alınması, sosyal uyum gibi psikolojik faktörlerin sorgulanması ve bu konuda gerekli bilgi ve eğitimin hastaya verilmesi ile destek sağlanması tansiyon kontrolü açısından hastalara büyük katkı sağlayacaktır.

Project Number

-

References

  • Chowdhury EK, ASPREE Investigator Group. Impact of the 2017 American Heart Association and American College of Cardiology hypertension guideline in aged individuals. J Hypertens. 2020 Dec;38(12):2527-2536. doi:10.1097/HJH.0000000000002582. PMID: 32740404
  • Altun B, Arici M, Nergizoglu G, et al. Prevalence, awareness, treatment and control of Hypertension, in Turkey (the PatenT study) in 2003. J Hypertens 2005;23:1817–23.
  • Soydan İ. Hipertansiyon ile ilgili TEKHARF çalışması verileri ve yorumu. In: Onat A (ed). Türk Erişkinlerde Kalp Sağlığı (TEKHARF). İstanbul: Argos iletişim, 2003; 60-71.
  • Ulusal Hastalık Yükü ve Maliyet-Etkililik Projesi Final Raporu, Ankara: T.C. Sağlık Bakanlığı, Refik Saydam Hıfzıssıhha Mektebi Müdürlüğü ve Başkent Üniversitesi Yayını; 2004. Pages 33-34. https://sbu.saglik.gov.tr/Ekutuphane/Home/GetDocument/166 Erişim tarihi: 22.09.2020.
  • James P, Oparil S, Carter B, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507-20.
  • Tekin O, Özkara A, Cebeci S,ve ark. 11-20 Yaş Öğrencilerde Sosyal Eğilimler Anketi. Yeni Tıp Dergisi 2007;24:198-204.
  • Fagard RH. Physical activity, fitness and mortality. Journal of Hypertension 2012;30: 1310-12.
  • Cornelissen VA, Fagard RH. Effects of endurance training on blood pressure, blood pressure–regulating mechanisms, and cardiovascular risk factors. Hypertension 2005;46: 667-75.
  • Li X, Ning N, Hao Y, Sun H, Gao L, Jiao M, Wu Q, Quan H. Health Literacy in Rural Areas of China: Hypertension Knowledge Survey. International Journal of Environmental Research and Public Health. 2013;10(3):1125-1138. https://doi.org/10.3390/ijerph10031125
  • Emine Öncü, Sümbüle K. Vayısoğlu, Yasemin Güven, Gamze Aktaş, Halil Ceyhan, Esra Karakuş. The evaluation of hypertensive individuals regarding chronic disease management and its relation to health literacy. Anatol j fm. 2018; 1(1): 31-32.
  • Bardage C, Isacson GL. Hypertension and health-related quality of life: an epidemiological study in Sweden. Journal of Clinical Epidemiology 2001;54:172-81.
  • Viera AJ, Cohen LW, Mitchell CM, et al. High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study. The Journal of the American Board of Family Medicine 2008;21:300-8.
  • Sanne S, Muntner P, Kawasaki L, et al. Hypertension knowledge among patients from an urban clinic. Ethnicity and Disease 2008;18:42.
  • Li W, Jiang X, Ma H, et al. Awareness, treatment and control of hypertension in patients attending hospital clinics in China. Journal of Hypertension 2003;21:1191-97.
  • Cohen L, Curhan GC, Forman JP. Influence of age on the association between lifestyle factors and risk of hypertension. J Am Soc Hypertens. 2012;6:284-290. doi: 10.1016/j.jash.2012.06.002.
  • Clark LT, Afflu E. Antihypertensive therapy: factors affecting medication compliance and blood pressure control. The American J Manager Care 1995;1:289-94.
  • Çöl M, Özdemir O, Ocaktan ME. Park Sağlık Ocağı bölgesindeki 35 yaş üstü hipertansiflerde tedavi kontrol durumları ve davranışsal faktörler. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2006;59:144-50.
  • Oliveria Susan A,Chen RS, McCarthy BD, et al. Hypertension knowledge, awareness, and attitudes in a hypertensive population. Journal of General Internal Medicine 2005;20:219-225.
  • Watson K, Jamerson K. Therapeutic lifestyle changes for hypertension and cardiovascular risk reduction. The Journal of Clinical Hypertension 2003;5:32-37.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Merve Betül Özdemir 0000-0003-1122-2998

İsmail Arslan 0000-0002-0551-3484

Nuri Şengüleroğlu 0000-0003-3848-5077

İzzet Fidancı 0000-0001-9848-8697

Duygu Yengil Taci 0000-0003-2978-6863

Oğuz Tekin 0000-0002-3793-825X

Project Number -
Publication Date January 15, 2022
Acceptance Date November 10, 2021
Published in Issue Year 2022 Volume: 12 Issue: 1

Cite

AMA Özdemir MB, Arslan İ, Şengüleroğlu N, Fidancı İ, Yengil Taci D, Tekin O. Factors Affecting Blood Pressure Control in Hypertension Patients and Their Social Adaptation. J Contemp Med. January 2022;12(1):91-97. doi:10.16899/jcm.1017617