Document Type : Original Article(s)
- Fahimeh Jafari 1
- Mohsen Shahriari 2
- Fakhri Sabouhi 3
- Alireza Khosravi-Farsani 4
- Maryam Eghbali-Babadi 5
1 School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Nursing and Midwifery Care Research Center AND Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4 Interventional Cardiology Research Center, Cardiovascular Research Institute AND Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran
5 Assistant Professor, Hypertension Research Center, Cardiovascular Research Institute AND Department of Intensive Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
BACKGROUND: Hypertension (HTN) is one of the most prevalent risk factors for arteriosclerosis and coronary artery disease (CAD). Its side effects can be decreased through the use of some methods and interventions. The present study was conducted with the aim to evaluate the effects of a lifestyle management on blood pressure, heart rate, and body mass index (BMI) of patients with HTN who have undergone angioplasty.METHODS: This clinical trial was conducted on 2 groups in 3 stages in an educational hospital in Isfahan, Iran, in 2014. The study participants consisted of 60 patients with HTN who had undergone angioplasty. The participants were randomly allocated to the study and control groups. The intervention was implemented in 6 educational sessions during 3 weeks, and then, follow-up was conducted through phone calls in the study group. The collected data were analyzed using independent t-test, chi-square, Mann-Whitney U test, and ANOVA in SPSS software.RESULTS: Repeated measures ANOVA results indicated that the effect of time (P < 0.001) and group (P = 0.027) on systolic blood pressure (SBP) was significant. The effect of time (P = 0.015) and group (P = 0.040) on diastolic blood pressure (DBP) was also significant. In terms of BMI, both effects of time (P = 0.010) and group (P = 0.034) were significant. However, the effect of time (P = 0.899) and group (P = 0.900) on heart rate was not significant.CONCLUSION: The lifestyle management program implemented in the present study was effective on decreased DBP, SBP, and BMI in patients with HTN who had undergone angioplasty. Thus, nurses could implement this program as a part of their care provision program for patients.
- World Health Organization. Cardiovascular disease: World Hypertension Day 2019 [Online]. [cited 2019]; Available from: URL: https://www.who.int/cardiovascular_diseases/world-hypertension-day-2019/en
- Dananagowda H. A study to assess the knowledge and attitude regarding life style modifications to prevent hypertension among bank employees in selected banks at tumkur [Thesis]. Karnataka, India: Rajiv Gandhi University of Health Sciences; 2013.
- Kwan MW, Wong MC, Wang HH, Liu KQ, Lee CL, Yan BP, et al. Compliance with the Dietary Approaches to Stop Hypertension (DASH) diet: A systematic review. PLoS One 2013; 8(10): e78412.
- Eskandarian R, Ghorbani R, Shiyasi M, Momeni B, Hajifathalian K, Madani M. Prognostic role of Helicobacter pylori infection in acute coronary syndrome: A prospective cohort study. Cardiovasc J Afr 2012; 23(3): 131-5.
- Woods SL, Sivarijan Froelicher ES, Motzer SU, Bridges EJ. Cardiac nursing. Philadelphia, PA: Lippincott Williams & Wilkins; 2009.
- Rodrigo R, Hasson D, Prieto JC, Dussaillant G, Ramos C, Leon L, et al. The effectiveness of antioxidant vitamins C and E in reducing myocardial infarct size in patients subjected to percutaneous coronary angioplasty (PREVEC Trial): Study protocol for a pilot randomized double-blind controlled trial. Trials 2014; 15: 192.
- Yousef Nejad K. Analysis of survival data in patients with coronary artery after angioplasty to help Kalks regression model [Thesis]. Sari, Iran: Mazandaran University of Medical Sciences; 2012. p. 101-7. [In Persian].
- Shahid Chamran Hospital. Medical Record Archive. Isfahan, Iran: Shahid Chamran Hospital; 2013. [Unpublished].
- Van Belle E, Ketelers R, Bauters C, Perie M, Abolmaali K, Richard F, et al. Patency of percutaneous transluminal coronary angioplasty sites at 6-month angiographic follow-up: A key determinant of survival in diabetics after coronary balloon angioplasty. Circulation 2001; 103(9): 1218-24.
- Sadeghzadeh V, Raoufi Kelachayeh SS, Naserian J. The effect of self-care documented program on performance of patients undergoing coronary angioplasty. Intl Res J Appl Basic Sci 2013; 4(1): 86-90.
- James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, 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(5): 507-20.
- Ariff F, Suthahar A, Ramli M. Coping styles and lifestyle factors among hypertensive and non-hypertensive subjects. Singapore Med J 2011; 52(1): 29-34.
- Svetkey LP, Pollak KI, Yancy WS Jr, Dolor RJ, Batch BC, Samsa G, et al. Hypertension improvement project: randomized trial of quality improvement for physicians and lifestyle modification for patients. Hypertension 2009; 54(6): 1226-33.
- Demaio AR, Otgontuya D, de Court Bygbjerg IC, Enkhtuya P, Meyrowitsch DW, et al. Hypertension and hypertension-related disease in mongolia; findings of a national knowledge, attitudes and practices study. BMC Public Health 2013; 13: 194.
- Song IH, Kim SA, Park WS. Effects of a hypertension management program by Seongcheon primary health care post in South Korea: An analysis of changes in the level of knowledge of hypertension in the period from 2004 to 2009. Health Educ Res 2012; 27(3): 411-23.
- Aucott L, Rothnie H, McIntyre L, Thapa M, Waweru C, Gray D. Long-term weight loss from lifestyle intervention benefits blood pressure?: A systematic review. Hypertension 2009; 54(4): 756-62.
- Schoenthaler A, Luerassi L, Teresi JA, Silver S, Kong J, Odedosu T, et al. A practice-based trial of blood pressure control in African Americans
- (TLC-Clinic): Study protocol for a randomized controlled trial. Trials 2011; 12: 265.
- Babu A. Effectiveness of structured teaching programme on knowledge of hypertensive patients regarding dash diet at selected kumbalagudu phc area bangalore [Thesis]. Karnataka, India: Rajiv Gandhi University of Health Sciences; 2013.
- Dawes MG, Kaczorowski J, Swanson G, Hickey J, Karwalajtys T. The effect of a patient education booklet and BP 'tracker' on knowledge about hypertension. A randomized controlled trial. Fam Pract 2010; 27(5): 472-8.
- Sharma S, Kc B, Alrasheedy AA, Kaundinnyayana A, Khanal A. Impact of community pharmacy-based educational intervention on patients with hypertension in Western Nepal. Australas Med J 2014; 7(7): 304-13.
- Siavoshi S, Roshandel M, Zareiyan A, Etefagh L. The effect of cardiac rehabilitation on hemodynamic status in patients after coronary artery bypass surgery. J Cardiovasc Nurs 2013; 2(4): 19-27.
- Cook NR, Cutler JA, Obarzanek E, Buring JE, Rexrode KM, Kumanyika SK, et al. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: Observational follow-up of the trials of hypertension prevention (TOHP). BMJ 2007; 334(7599): 885-8.
- Mokhtari Z, Alipor A, Hasanzadeh Pashang S, Exirifard M. Effect of emotional intelligence on physical health among heart patient's bed ridden. J Jahrom Univ Med Sci 2014; 12(2): 1-12. [In Persian].
- Paula TP, Viana LV, Neto AT, Leitao CB, Gross JL, Azevedo MJ. Effects of the DASH diet and walking on blood pressure in patients with type 2 diabetes and uncontrolled hypertension: A randomized controlled trial. J Clin Hypertens (Greenwich) 2015; 17(11): 895-901.
- Dekkers JC, van Wier MF, Ariens GA, Hendriksen IJ, Pronk NP, Smid T, et al. Comparative effectiveness of lifestyle interventions on cardiovascular risk factors among a Dutch overweight working population: A randomized controlled trial. BMC Public Health 2011; 11(1): 49.
- 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. [In Persian].
- Reuther LO, Paulsen MS, Andersen M, Schultz-Larsen P, Christensen HR, Munck A, et al. Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial. Fam Pract 2012; 29(6): 626-32.
- Jafari F, Shahriari M, Sabouhi F, Khosravi FA, Eghbali Babadi M. Effects of a lifestyle modification program on knowledge, attitude and practice of hypertensive patients with angioplasty: A randomized controlled clinical trial. Int J Community Based Nurs Midwifery 2016; 4(4): 286-96.
- Rocha-Goldberg MP, Corsino L, Batch B, Voils CI, Thorpe CT, Bosworth HB, et al. Hypertension Improvement Project (HIP) Latino: Results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults. Ethn Health 2010; 15(3): 269-82.
- Webber J. The effect of a lifestyle modification adherence tool on risk factors in patients with chronic hypertension compared to usual management [MSc Thesis]. Johannesburg, South Africa: University of the Witwatersrand; 2011.
- Wilson DE, Van Vlack T, Schievink BP, Doak EB, Shane JS, Dean E. Lifestyle factors in hypertension drug research: Systematic analysis of articles in a leading cochrane report. Int J Hypertens 2014; 2014: 835716.
- Navidian A, Abedi MR, Baghban I, Fatehizadeh MA, Poursharifi H. Effect of motivational interviewing on blood pressure of referents suffering from Hypertension. Kowsar Medical Journal 2010; 15(2): 115-21.
- Li J, Zheng H, Du HB, Tian XP, Jiang YJ, Zhang SL, et al. The multiple lifestyle modification for patients with prehypertension and hypertension patients: A systematic review protocol. BMJ Open 2014; 4(8): e004920.
- Pandit AU, Tang JW, Bailey SC, Davis TC, Bocchini MV, Persell SD, et al. Education, literacy, and health: Mediating effects on hypertension knowledge and control. Patient Educ Couns 2009; 75(3): 381-5.
- Mahajan H, Kazi Y, Sharma B, Velhal GD. Health education: An effective intervention in hypertensive patients. International Journal of Recent Trends in Science and Technology 2012; 4(2): 77-82.
- Aizawa K, Shoemaker JK, Overend TJ, Petrella RJ. Effects of lifestyle modification on central artery stiffness in metabolic syndrome subjects with pre-hypertension and/or pre-diabetes. Diabetes Res Clin Pract 2009; 83(2): 249-56.
- Farsi Z, Eslami R, Sajadi A, Afaghi E. Comparing the effect of peer education and orientation tour on the hemodynamic indices of patients candidate for coronary angiography. Medical-Surgical Nursing Journal 2016; 4(4): 65-72. [In Persian].