ارتباط بین پرفشاری خون و عوامل خطر مرتبط با آن در افراد بالای 30 سال شهر اصفهان در سال 1394

نوع مقاله: مقاله پژوهشی

نویسندگان

1 استادیار، گروه پرستاری، عضو مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

2 استاد، گروه پرستاری، عضو مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

3 دانشیار، گروه پرستاری، عضو مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

4 کارشناس ارشد مامایی، عضو کانون اصلاح و تربیت زنان شهر اصفهان. اصفهان. ایران.

چکیده

مقدمه: افزایش فشارخون یکی از مهم‌ترین مسائل بهداشت عمومی در کشورهای مختلف جهان است. این بیماری شایع، بدون علامت و اغلب غیرقابل تشخیص بوده و در صورت عدم کنترل عوامل خطرساز منجر به عوارض کشنده می‌شود. مطالعه حاضر به منظور تعیین ارتباط بین پرفشاری خون و عوامل خطر مرتبط با آن در افراد بالای 30 سال ساکن شهر اصفهان در سال 1394 انجام شد.
مواد و روش ­ها: این مطالعه توصیفی با شرکت 4900 نفر از مردان و زنان ساکن اصفهان که به روش خوشه‌ای و ساده انتخاب شده بودند، انجام شد. ابزار پژوهش پرسشنامه دو قسمتی مشخصات دموگرافیک و اطلاعات مربوط به عوامل خطرساز پرفشاری خون بود. داده‌ها با استفاده از آمار توصیفی (شاخص میانگین، انحراف معیار و توزیع فراوانی) و استنباطی (مجذور کای، ضریب همبستگی پیرسون، رگرسیون لجستیک و آزمون تی مستقل) تجزیه‌ و تحلیل شدند.
یافته‌ها: میانگین و انحراف معیار سن نمونه­های مطالعه 28/11 ± 57/48 سال و شاخص توده بدنی 1/4 ± 71/26 کیلوگرم بر متر مربع بود. میانگین فشارخون سیستولی و دیاستولی واحدهای پژوهش، به ترتیب 69/16 ± 54/121 و 42/10 ± 47/78 میلی‌متر جیوهبود. ضریب همبستگی پیرسون بین فشارخون سیستولی و دیاستولی با متغیرهای سن، شاخص توده بدنی و دور کمر رابطه مستقیم نشان داد (001/0>p). بین جنس با پرفشاری خون نیز رابطه معنی‌داری وجود داشت (001/0>p).
نتیجه­ گیری: مطالعه حاضر یک تصویر واقعی از عوامل زمینه‌ساز ابتلا به پرفشاری خون در ساکنین شهر اصفهان فراهم نمود. استفاده از این نتایج در طراحی و اجرای برنامه‌های مداخله‌ای برای کنترل و پیشگیری از بیماری پرفشاری خون در این منطقه می‌تواند مؤثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The Relationship between Hypertension and Its Related Risk Factors in People Over 30 Years of Age in Isfahan

نویسندگان [English]

  • M Keshvari 1
  • F Taleghani 2
  • M Shahriari 3
  • Z Baghersad 4
1 Asistant Prof, Dept of Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
2 Prof, Dept of Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
3 Associate Prof, Dept of Nursing, Nursing and Midwifery Care Research Center, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
4 MSc of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: Hypertension is one of the most important public health issues in different countries around the world. The disease is common, asymptomatic and often indistinguishable. If the risk factors of the disease which include an inappropriate diet, obesity, low activity and exercise, smoking, consumption of alcohol and stress are not controlled, the disease can lead to fatal complications in the absence of treatment. This study was conducted to determine the relationship between hypertension and its related risk factors in people over 30 years of age living in Isfahan.
Materials and Methods: This descriptive-correlational research was conducted in 2013-2014. This study was conducted with a sample of 4900 men and women selected by using a simple and cluster sampling method in the city of Isfahan.
The research instrument was a researcher-developed questionnaire containing demographic characteristics and information about risk factors for hypertension. Data were analyzed using descriptive and analytical tests in the SPSS software version 18.
Results: The results showed that the mean age of the units was 48.57 ± 11.28 years and the mean BMI was 26.71 ± 4.1 kg/m2. The mean of systolic and diastolic blood pressure in the studied units were 12.45 ± 16.6 mmHg and 78.47 ± 10.42 mmHg, respectively. Also, there was a direct correlation between systolic blood pressure and diastolic blood pressure with age, BMI and waist circumference (p<0.001). The results of the study showed that there was a significant relationship between sex and hypertension. In males (13.9%) it was higher than females ( 98.9%) (p<0.001).
Conclusion: The results of this study provide a real picture of the underlying causes of people's attitude toward hypertension in the population of Isfahan residents. It is recommended to take these results into consideration in the design and implementation of any interventional program for the control and prevention of hypertension in this area.
 

کلیدواژه‌ها [English]

  • Prevalence
  • Hypertension
  • risk factors
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