American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(4), 445-452
DOI: 10.12691/ajnr-7-4-6
Open AccessArticle

Measure Outcomes of Patients’ Instructions about Modifiable Risk Factors for Hypertensive Patients on Their Attitude and Lipid Profile

Laila Abdelnaby Hamed1, Sheren El sayed Shrief2, Abeer Yahia Mahdy3 and Mageda Abdelaty Soliman Arafat4,

1Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt

2Medical Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt

3Medical Surgical Nursing department, Faculty of Nursing / Benha University, Egypt

4Nursing Administration, Faculty of Nursing / Benha University, Egypt

Pub. Date: May 15, 2019

Cite this paper:
Laila Abdelnaby Hamed, Sheren El sayed Shrief, Abeer Yahia Mahdy and Mageda Abdelaty Soliman Arafat. Measure Outcomes of Patients’ Instructions about Modifiable Risk Factors for Hypertensive Patients on Their Attitude and Lipid Profile. American Journal of Nursing Research. 2019; 7(4):445-452. doi: 10.12691/ajnr-7-4-6

Abstract

Background: Hypertension is affecting 40.8% of females 38.7% of males in Egypt, and the total is affecting 39.7% of the population. High prevalence of hypertension connected to a wide range of severe medical disorders. Aim: to measure the outcomes of patients' instructions effects about modifiable risk factors for hypertensive patients on their attitude, and lipid profile. Subjects and Methods: A quasi-experimental design with one group pre, post, and follow-up was utilized to achieve the aim of the study. Sample: a convenience sample including 100 adult patients enrolled in this study. Setting: a study was conducted in cardiac and internal medicine outpatient clinics at Zagazig University Hospital and Beni-suef University hospital. Tools: The researchers prepared an interview form including three sections: I- Questionnaire to Patient Interview Questionnaire Sheet include Part 1: Assess patients’ demographic characteristics Part 2: Assess Patient 's family, past and recent medical history, assess the associated chronic disease, medications, allergies and previous source of health knowledge. Part 3: Patient's Physical Assessment and Laboratory Investigation Sheet. II- The lifestyle attitude assessment. Results: the present study showed that more than have of the study sample have 50+years, female, have work, secondary school, their blood pressure, lipid profile, blood glucose reading decreased at the follow-up with highly statistically significant,marked changes of lifestyle with highly statistically significant difference among study phases in all items except in exercise . also in knowledge, levels, and medical examination, there is Correlation between lipid profile and level of practice, Correlation between lab investigation and level of knowledge. Conclusions: study concluded that personalized, tailored nursing instructions could be adjusted blood pressure through improving hypertensive patients' attitude and normalize lipid profile. Therefore, the confident effect of the program is lifelong. Recommendations: study recommended nursing instructions should apply in various outpatients' cardiac clinics and medical service centers and training of nurses to provide this service. The informative booklet ought to be conveyed to all patients.

Keywords:
patients’ instructions modifiable risk factors hypertension attitude lipid profile

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References:

[1]  Doaa, M., Hasan, Aya, H., Emeash, Sara, B., Mustafa, Galal, E.A., Abdelazim, & Aya, A.E., (2014). Faculty of Medicine, Cairo University, Egypt, https://www.researchgate.net/publication/270158946.Current Hypertension Reviews, 10, 134-141.
 
[2]  American Association for Clinical Chemistry (AAC), (2012). Lipid Profile. http://labtestsonline.org/understanding/analytes/lipid/tab/glance. Updated January 4, 2009. Accessed July 2012.
 
[3]  Cardiology/American Heart Association CHA, (2017). Task Force on Clinical Practice Guidelines, Detailed Summary From the 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults, A REPORT OF THE American College
 
[4]  Whelton, P.K., Carey, R.M., Aronow, W.S., Casey, D.E., Collins, K.J., Dennison, H. C., DePalma, S.M., & Gidding, S., et al. (2017). ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines [published online ahead of print November 13, 2017]. Hypertension.
 
[5]  Xu, W., Goldberg, S.I., Shubina, M.,& Turchin, A., (2015). Optimal systolic blood pressure target, time to intensification, and time to follow-up in treatment of hypertension: population based retrospective cohort study. PubMed. BMJ. Feb 5; 350: h158.
 
[6]  Saha, M.S., Sana, N.K., & RanajitK, S., (2006). Serum lipid profile of hypertensive patients in the northern region of Bangladesh. J bio sci, 14: 93- 8.
 
[7]  Truswell, A.S., Hiddink, G.J., & Blom, J., (2003). Nutrition guidance by family doctors in a changing world: Problems, opportunities, and future possibilities. Am J Clin Nutr; 77: 1089S-92S.
 
[8]  Oliviera, A.S., Chen,, R.S., McCarthy B.D., Davis, C.C., & Hill, M.N.(2005). Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population.
 
[9]  Masters, K., (2011). Nursing Theories: A Framework for Professional Practice. Sudbury, MA: Jones and Bartlett Learning, LLC.
 
[10]  Ibrahim, A.,(2016). Theoretical Nursing Development & Progress. Tehran: Salami-James Negar. Edition 5, No. 5, Lippincott Williams & Wilkins. International Journal of the Cardiovascular Academy, Volume 2, Issue 1, pp. 27-32.
 
[11]  Hong,W.H.S.,(2010).Evidence-based Nursing Practice for Health Promotion in Adults with Hypertension: A Literature Review. Asian Nursing Research; December; 4(4): 227-245.
 
[12]  Ali Z.H., (2013): Effect of Nursing Care Strategy on the Functional and Physical Abilities of Patients Following Stroke., J Neurology Neurophysiolgy 2013, S8.
 
[13]  Michael, J., Bloch, M.D., FACP, F., FSVM, F., & (2019). Patient education: High blood pressure, diet, and weight (Beyond the Basics). UpToDate Terms of Use, Jul 05, 2018.
 
[14]  Capella University (2018).RN-to-BSN Completion and RN-to-BSN/MSN Combined Option, Post Master's DNP and BSN-to-DNP, Tips to Improve Patient Education, Nurse Journal.org, (2018).
 
[15]  Pickering, T.G., Appel, L.J., Graves, J., Jones, D., & Sheps, S.G. (2005). Recommendations for blood pressure measurements in humans and experimental animals. Hypertension. 45: 142. PMid: 15611362.
 
[16]  Gupta, R., Rastogi, P., Sarna, M., Gupta, VP., Sharma, SK. & Kothari, K., (2007). Body-mass index, waist-size, waist-hip ratio and cardiovascular risk factors in urban subjects, J Assoc Physicians India; 55:621-7.
 
[17]  Abdulameer, S.A., (2012). Physician adherence to hypertension treatment guidelines and drug acquisition costs of antihypertensive drugs at the cardiac clinic: a pilot study. Patient Preference and Adherence, 101-108.
 
[18]  Kanchana, G., & Nagarathnamma, M., (2009). Effect of structure teaching programme on patient attending cardiology outpatient department. Nurs. India.; 10(10): 4-6.
 
[19]  Zhu, X., Wong, F. K., & Wu, L. H. (2014). Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial. International journal of clinical and experimental medicine, 7(11), 4369-77.
 
[20]  William, K., Bosu, A., (2015). The prevalence, awareness, and control of hypertension among workers in West Africa: a systematic review. Systematic review.Bosu WK.Glob Health Action. Jan 22; 8: 26227.
 
[21]  Ebrahem, S., Ghsh, N., Abd-elhalem, S,(2017). The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia, Clinical Nursing Studies, Vol. 5, No. 2, cns.sciedupress.com.
 
[22]  Kisokanth, G., Ilankoon, I., Arulanandem, K., Goonewardena, C., Sundaresan, K.T., & Joseph, J., (2016). Assessment of Knowledge on Hypertension, its consequences and management practices among hypertensive patients - A descriptive study journal of the Postgraduate Institute of Medicine; 3:E30:11.
 
[23]  Mahmut, K., Tuğba, U.k, &Huseyin, E.,(2016). The effect of knowledge about hypertension on the control of high blood pressure.
 
[24]  Mahajan, V. S., Demissie, E., Mattoo, H., Viswanadham, V., Varki, A., Morris, R., & Pillai, S. (2016). Striking Immune Phenotypes in Gene-Targeted Mice Are Driven by a Copy-Number Variant Originating from a Commercially Available C57BL/6 Strain. Cell Reports, 15(9), 1901-9.
 
[25]  McLeod, J., & Wheeler, S., (1995). Person-centered and psychodynamic counseling: a dialogue. Journal of the British Association for Counseling, 6(4): 283-287.
 
[26]  Galal, B., (2012). Effect of an educational program on self-efficacy for a patient with type2 diabetes mellitus, Doctorate thesis, faculty of nursing, Benha University, pp.119-129.
 
[27]  Gnanaselvelvan, K., Orlanden, K., Ilankon, P., Josef, J., (2016). Assessment of Knowledge on Hypertension, its consequences and management practices among hypertensive patients - A descriptive study.Availablefrom:https://www.researchgate.net/publication/310817627_.
 
[28]  Moustafa, S., (2011) Effect of an educational program on improving the quality of life of diabetic children and adolescents, Doctorate thesis, faculty of nursing, Benha University, pp.133-146.
 
[29]  Attia, W., (2012). Assess knowledge and practice of caregivers for school-age children with type 1 diabetes mellitus, unpublished master thesis, faculty of nursing, Benha University, pp.113-122.
 
[30]  Irmak, Z., Duzoz, G., &Bozyer, I., (2010). The effectiveness of a follow-up program on blood pressure and cardiovascular risk factors for hypertensive patients.
 
[31]  Rigsby, D., (2011). Hypertension Improvement through good lifestyle modifications. ABNF J.; 22(2): 41-43. PMid: 21675668.
 
[32]  Frisoli, M., Schmieder, E., Grodzicki, T., et al. Beyond, S., (2011). Lifestyle modifications and blood pressure. Eur Heart J: 32: 3081-3087. PMid: 21990264.
 
[33]  Duraimani, S., Schneider, R., Randall, O., et al., (2015). Effects of Lifestyle Modification on Telomerase Gene Expression in Hypertensive Patients: A Pilot Trial of Stress Reduction and Health Education Programs in African Americans., PLoS ONE. 2015; 10(11): e0142689. PMid: 26571023.
 
[34]  Australian Journal of Advanced Nursing A Quarterly Publication of the Royal Australian Nursing Federation. 28(2): 60-66.
 
[35]  Goldberg, S.I., Shubina, M., & Turchin, A., (2015). Optimal systolic blood pressure target, time to intensification, and time to follow-up in the treatment of hypertension: population based retrospective cohort study. BMJ.; 350: h158.
 
[36]  Hamed, M., (2001). The effect of self-care program on self-care cognition and quality of life among outpatient diabetics at Benha university hospital, Doctorate thesis, faculty of nursing, Benha University, pp.81-92.
 
[37]  Melin, E., Thunander, M., Landin-Olsson, M., Hillman, M., and Thulesius, H., (2014). Depression, smoking, physical inactivity and season independently associated with midnight salivary cortisol in type 1 diabetes Endocrine Disorders, v14(75) PP.1-10.
 
[38]  Riaz, M., Basit, A., & Ali, R.z., (2014). Factors associated with non- adherence in patients with type 1 diabetes, Pakistan Journal of Medical Sciences Pak JMed Sci., v30(2), pp. 233-239.
 
[39]  Shaw, R.J., Mcduffie, J.R., Hendrix, C.C, et al. (2014): Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis. 161(2): 113-121.
 
[40]  Alemu, G., Natesan, G., Menakath, M., Mekong, S., & Abriham, Z., (2018). Evaluation of lipid profiles and hematological parameters in hypertensive patients: Laboratory-based cross-sectional study SAGE Open Med. 2018; 6: 2050312118756663.
 
[41]  Borghi, C., Rodriguez,A.F., De Backer, G., et al. (2016). The association between blood pressure and lipid levels in Europe: a European study on cardiovascular risk prevention and management in usual daily practice. J Hypertension; 34: 2155-2163. [PubMed].