@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):59-64
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):59-64
Effect of Lifestyle Educational Intervention on Blood Pressure in Diabetic Patients with Hypertension
ARTICLE INFO
Article Type
Original ResearchAuthors
Soheili S. (1)Pirdehghan Y. (2)
Hosseini S.R. (*3)
(*3) Anesthesiology & Operating Department, Paramedical Sciences Faculty, Urmia University of Medical Sciences, Urmia, Iran
(1) Nursing Department, Marand Branch, Islamic Azad University, Marand, Iran
(2) EMS of Marand, Tabriz University of Medical Sciences, Marand, Iran
Correspondence
Article History
Received: October 1, 2019Accepted: December 21, 2019
ePublished: March 18, 2020
ABSTRACT
Aims
Hypertension is one of the most common and important problems of people with diabetes that its increase causes cardiovascular complications and mortality in these people. The aim of this study was to determine the effect of lifestyle educational intervention on blood pressure in diabetic patients with hypertension.
Materials & Methods In this experimental study, 74 patients with diabetes and hypertension referred to Urmia Diabetes Association in 2017 were selected by simple random sampling method and randomly divided into experimental (37 patients) and control (37 patients) groups. Educational intervention of lifestyle change was done for intervention group by providing educational pamphlets and holding educational classes in 4 sessions during 2 weeks. Data were analyzed by SPSS 16 software using chi-square test, paired t-test and independent t-test.
Findings Before intervention, the mean of systolic and diastolic blood pressure had no significant difference between two groups (p>0.05), but after intervention the mean of systolic and diastolic blood pressure in intervention group decreased significantly (p<0.001).
Conclusion Lifestyle educational intervention can significantly modulate hypertension in diabetic patients with hypertension
Materials & Methods In this experimental study, 74 patients with diabetes and hypertension referred to Urmia Diabetes Association in 2017 were selected by simple random sampling method and randomly divided into experimental (37 patients) and control (37 patients) groups. Educational intervention of lifestyle change was done for intervention group by providing educational pamphlets and holding educational classes in 4 sessions during 2 weeks. Data were analyzed by SPSS 16 software using chi-square test, paired t-test and independent t-test.
Findings Before intervention, the mean of systolic and diastolic blood pressure had no significant difference between two groups (p>0.05), but after intervention the mean of systolic and diastolic blood pressure in intervention group decreased significantly (p<0.001).
Conclusion Lifestyle educational intervention can significantly modulate hypertension in diabetic patients with hypertension
CITATION LINKS
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[16]Babaei Sis M, Ranjbaran S, Mahmoodi H, Babazadeh T, Moradi F, Mirzaeian K. The effect of educational intervention of life style modification and blood pressure control in patients with hypertension. J Educ Community Health. 2016;9(3):12-9. [Persian]
[17]Shams S, Moradi Y, Zaker MR. Effectiveness of self-care training on physical and mental health of patients with diabetic type 2. Avicenna J Nurs Midwifery care. 2017;25(2):54-60. [Persian]
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[22]Elmer PJ, Obarzanec E, Vollmer WM, Simons Moorton D, Stevens VJ, Young DR, et al. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med. 2006;144(7):485-95.
[23] Belli T, Ribeiro LF, Ackermann MA, Baldissera V, Gobatto CA, Galdino da Silva R. Effects of 12-week overground walking training at ventilatory threshold velocity in type 2 diabetic women. Diabetes Res Clin Pract. 2011;93(3):337-43.
[24]Qiu S, Cai X, Schumann U, Velders M, Sun Z, Steinacker JM. impact of walking on glycemic control and other cardiovascular risk factors in type 2 diabetes: a meta-analysis. PLoS One 2014;9(10):e109767.
[25]Ghalavand A, Delaramnasab M, Sayari AA, Heydari M, Rostami D. The effect of resistance training on cardiaometabolic factors in men with type 2 diabetes. Caspian J Health Aging. 2017;1(1):15-21. [Persian]
[26]DeFeyter HM, Praet SF, Van den Broek NM, Kuipers H, Stehouwer CD, Nicolay K, et al. Exercise training improves glycemic control in long-standing insulin-treated type 2 diabetic patients. Diabetes Care. 2007;30(10):2511-3.
[2] IDF. Diabetes Atlas. 6th Edition [Internet]. Brussels: International Diabetes Federation; 2013 [cited 2014 Feb 19]. Available from: https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/19-atlas-6th-edition.html.
[3] Erfanpour S, Etemad K, Khalili D, Khodakarim S, Kazempour Ardebili S, Hadaegh F, Azizi F. Assosition of diabetes and hypertension with the incidence of chronic kidney disease: Tehran Lipid and Glucose Study. J Shahrekord Univ Med Sci. 2017;18(6):75-90. [Persian]
[4]Borzecki AM, Wong AT, Hickey EC, Ash AS, Berlowits DR. Hypertension control: how well are we doing? Arch Intern Med. 2003;163(22):2705-11.
[5]Jalilian N, Tavafian S, Aghamolaei T, Ahmadi S. The effects of health education program on knowledge and attitudes of people suffering from hypertension. Iran J Health Educ Health Promot. 2014;1(4):37-44. [Persian]
[6]Saberi Isfeedvajani M, Karimi Zarchi AA, Musavi Heris A, Sajjadi F, Mehrabi Tavana A. Evaluation of personnel blood pressure and its risk factors in uni-versity affiliated medical centers: Iran’s Health Day 2013. Med J Islam Repub Iran. 2014;28(1):226-34.
[7]Bayat Z, Gaeini AA, Gholipour AR. The effectiveness of regular walking on glycemic index and blood pressure in type 2 diabetic women. Payesh. 2018;17(2):159-67. [Persian]
[8]American Diabetes Association. Lifestyle management. Standard of medical care in diabetes-2017. Diabetes Care. 2017;40(Suppl 1):S33-43.
[9]Manavifar M, Asaei E, Ghonabadi MR. Evaluation the lifestyle of patients with hypertension who referred to heart clinices dependent on Islamic Azad University of Mashhad. Razi J Med Sci. 2019;26(3):51-8. [Persian]
[10]Task Force on Community Preventive Services. Recommendations for healthcare system and self-management education interventions to reduce morbidity and mortality from diabetes. Am J Prev Med. 2002;22(4 Suppl):10-4.
[11] American Diabetes Association. Cardiovascular disease and risk management. Diabetes care. 2017;40(Suppl 1):S75-87.
[12] Hossaini FS, Farshidi H, Aghamolaei T, Madani A, Ghanbarnejad A. Lifestyle of patients with high blood pressure in rural areas of Jahrom, Iran. J Prev Med. 2014;1(1):1-9. [Persian]
[13]Safari O, Esmaeilikia M, Yousefi J, Mansourian M. Determinants of relationship between lifestyle of hypertension patients and some risky behaviors in patients referred to health centers of Ilam province. Rahavard Salamat J. 2017;3(2):1-7. [Persian]
[14]Shayesteh H, Mansourian M, Mirzaei A, Sayehmiri K. Survey of the effect of educational intervention on the nutrition physical activity and stress management of patients with hypertension among the rural population of Aligoudarz County of Lorestan province in 2015. J Ilam Univ Med Sci. 2016;24(2):54-62. [Persian]
[15] Rezaei B, Hemmati Maslakpak M, Khdem Vatan K, Alinejad V. The impact of family-oriented life style based group discussion on the controlling hypertension. Nurs Midwifery J. 2016;14(6):535-42. [Persian]
[16]Babaei Sis M, Ranjbaran S, Mahmoodi H, Babazadeh T, Moradi F, Mirzaeian K. The effect of educational intervention of life style modification and blood pressure control in patients with hypertension. J Educ Community Health. 2016;9(3):12-9. [Persian]
[17]Shams S, Moradi Y, Zaker MR. Effectiveness of self-care training on physical and mental health of patients with diabetic type 2. Avicenna J Nurs Midwifery care. 2017;25(2):54-60. [Persian]
[18] U.S. Department of Health and Human Services. Physical activity guidelines for Americans. 2nd Edition. Washington, DC: U.S. Department of Health and Human Services; 2008.
[19]Ghavami H, Ahmadi F, Entezami H, Meamarian R. The effect of continuous care model on diabetic patients’ blood pressure. Iran J Med Educ. 2006;6(2):87-95. [Persian]
[20] Bahraminejad N, Haghighi N, Moosavinasab N. Comparing the effect of two family- and individual-based interventions on blood pressure and lifestyle. J Qazvin Univ Med Sci. 2008;12(1):62-79. [Persian]
[21]Paula TP, Viana LV, Neto AT, Leitão 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.
[22]Elmer PJ, Obarzanec E, Vollmer WM, Simons Moorton D, Stevens VJ, Young DR, et al. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med. 2006;144(7):485-95.
[23] Belli T, Ribeiro LF, Ackermann MA, Baldissera V, Gobatto CA, Galdino da Silva R. Effects of 12-week overground walking training at ventilatory threshold velocity in type 2 diabetic women. Diabetes Res Clin Pract. 2011;93(3):337-43.
[24]Qiu S, Cai X, Schumann U, Velders M, Sun Z, Steinacker JM. impact of walking on glycemic control and other cardiovascular risk factors in type 2 diabetes: a meta-analysis. PLoS One 2014;9(10):e109767.
[25]Ghalavand A, Delaramnasab M, Sayari AA, Heydari M, Rostami D. The effect of resistance training on cardiaometabolic factors in men with type 2 diabetes. Caspian J Health Aging. 2017;1(1):15-21. [Persian]
[26]DeFeyter HM, Praet SF, Van den Broek NM, Kuipers H, Stehouwer CD, Nicolay K, et al. Exercise training improves glycemic control in long-standing insulin-treated type 2 diabetic patients. Diabetes Care. 2007;30(10):2511-3.