Hypertensive Clients Research Articles

Some Risk factors among hypertensive Clients in an Outpatient Clinic of a Tertiary health centre, Southern Nigeria.

Introduction: Hypertension has risen to become a notable public health issue, consuming a reasonable amount of various countries’ health budget.Despite increasing awareness of predisposing risk factors, there is surging increase in modifiable risk factors for hypertension and so also the disease among residents in Bayelsa state. The research therefore, highlights the prevailing risk factors among known hypertensive patients in Bayelsa state and determinants. Materials and Method: A total of 172 hypertensive patients visiting a cardiology clinic in Federal Medical Center ,Bayelsa Nigeria were recruited for the study, 93 males and 79 females. A short interview was carried out to assess risk for hypertension such a tobacco,salt consumption to already cooked food, exercise lifestyle and family history of hypertension. Total numbers recruited was determined using formulae for population sampling. Data was recorded and analyzed using SPSS. Results: Greater than 55 percent of these clients visiting the clinics were 50 years and above, and more than 50 percent of had no educational status or of low educational status(primary level). At least a third proportion of the studied population either consume tobacco product, or add salt to already cooked food or practice exercise as lifestyle or had positive family history of hypertension. The determinants for these observations had arisen from socio-cultural background, educational status, and religious background. Conclusion: Strategies for influencing some of the modifiable risk factors of hypertension (HTN) can only be more effective by directing public health effort to their cultural, religious and socioeconomic background.

Effectiveness of a dietary education program upon hypertensive clients' information

Objective: To determine the effectiveness of a dietary educational program upon the hypertensive client’sinformation.Methodology: The sample of the study consists of (60) hypertensive clients who attended Al Anbar Health Office –AlAndalus Health Center during the period of the study from the14th of March 2010 to the 30th of September 2010. Thesample is divided into two groups; study group (30) hypertensive clients who received dietary educational programand control group (30) hypertensive clients who received a routine care from the center. Three major instrumentswere used; these instruments included (1) knowledge test which was applied on both groups pretest and eight weekspost-test (2) questions to know what they eat in the last 24 hours in the main meals and in between meals (snacks)which were applied on both groups pretest and eight weeks post-test (3) Body Mass Index measurement was appliedon both groups pre-test and eight weeks post-test.Results: The results show that there is highly significant difference concerns the decrease of BMI in post- test forhypertensive clients in the study group than the control group marked improvement in dietary status of the studygroup compared to the control group. The results of our study also show that there is a significant difference betweenstudy group and control group in post-test regarding the adequate grain vegetable fruit. Meat, poultry, and fish (MPF)and Nuts, seeds, and legumes (NSL) intake daily.Recommendations: The study recommends that all hypertensive clients should be involved in the application ofnutritional educational programme which was developed in this study.

Nursing consultation applied to hypertensive clients: application of orem's self-care theory

The objective was to implant the Nursing Consultation for hypertensive patients, using Orem's Self-Care Theory and to systematize nursing care. Thirty-six patients were interviewed. Of these, 58.9% were women, 75.0% of them ranging from 50 to 80 years of age, 76.4% were married, 42.9% were housewives, 47.2% were retired, and 67.3% completed elementary education. Patients were interviewed with a structured instrument addressing the requirements for universal, developmental, and health deviations self-care. Data analysis made it possible to assess the altered self-care requirements. In patient care planning, support-education actions were our top priority. Orem's self-care theory permitted identifying important aspects, which need to be developed by the nurses.

O consumo do álcool e as doenças cardiovasculares: uma análise sob o olhar da enfermagem

Estudo descritivo, exploratório e quantitativo, que apresenta uma análise parcial dos dados, cujos objetivos foram estimar a freqüência do uso de bebida alcoólica numa clientela com hipertensão arterial atendida no ambulatório de um hospital-escola do Município do Rio de Janeiro e discutir a relação do uso do álcool com as doenças cardiovasculares. A coleta de informações ocorreu num hospital-escola do Município do Rio de Janeiro. Foi utilizado um questionário aplicado oralmente a 73 clientes. Encontramos 59,9% de hipertensos, e, destes, 91,30% fazem uso de alguma medicação anti-hipertensiva e 74,36% referem não ingerir bebida alcoólica. Do total de entrevistados, 84,93% eram do sexo feminino. Foi observado na literatura que o uso moderado do álcool aponta uma proteção contra doença arterial coronariana. O estudo mostrou um controle da freqüência da ingesta alcoólica, o que pode estar relacionado ao tempo de acompanhamento ambulatorial desta clientela. Foi vista uma participação efetiva de enfermeiras, alunos e docentes de Enfermagem na assistência ambulatorial da referida instituição.

The relationship between knowledge and reported self-care practices of hypertensive clients at Bindura Provincial Hospital, Zimbabwe

No Abstract. Southern African Journal of Education, Science and Technology Vol. 1 (1) 2006: pp. 35-45

Lay beliefs about hypertension: An interpretive synthesis of the qualitative research

The purpose of this interpretive synthesis was to explore lay beliefs about high blood pressure and its treatment in order to develop a foundation for better partnering with clients. Meta-interpretation was used to analyze 11 qualitative research studies published in the United States between 2000 and 2005. Professional and lay beliefs about hypertension are not congruent. Historical factors, lack of congruence between belief systems, and poor relationships with providers lead many clients, especially African Americans, to distrust providers and impede the effectiveness of treatment plans. The most problematic discrepancies were related to beliefs about (a) the presence of symptoms, (b) the need to take medications for the rest of life, and (c) race-specific treatment plans. The interactions between nurse practitioners and hypertensive clients have not been explored. Professional-client interactions based on partnership models, with specific consideration for the above-stated discrepancies in beliefs, are necessary to improve hypertension control.

Scientific Production concerning with Ambulatorial Nursing Care to the Systemic Arterial Hypertension clients. A literature review

Quantitative bibliographical research, sub-project of a work entitled “Management Model of Nursing Ambulatory Care to the Patient with Hypertension”, aims to raise scientific production concerning Nursing ambulatory care to the patient with Hypertension. Thirty eight national publications located in the Nursing Database (BDENF) have been used, from the 90’s to our current days. Results: in the analyzed period, there has been ample advertising of the theme in respectable Brazilian scientific magazines, most of which having been published between 1996 and 2002 in the Southern region, mainly in the states of Sao Paulo and Rio de Janeiro. Conclusion: there should be better distribution of the scientific work concerning the theme, by nursing professionals to keep them updated with the techniques used in nursing ambulatory care to the patient with hypertension, focussing on non-hypertension medicated treatment.

Scientific Production concerning with Ambulatorial Nursing Care to the Systemic Arterial Hypertension clients. A literature review

Quantitative bibliographical research, sub-project of a work entitled “Management Model of Nursing Ambulatory Care to the Patient with Hypertension”, aims to raise scientific production concerning Nursing ambulatory care to the patient with Hypertension. Thirty eight national publications located in the Nursing Database (BDENF) have been used, from the 90’s to our current days. Results: in the analyzed period, there has been ample advertising of the theme in respectable Brazilian scientific magazines, most of which having been published between 1996 and 2002 in the Southern region, mainly in the states of São Paulo and Rio de Janeiro. Conclusion: there should be better distribution of the scientific work concerning the theme, by nursing professionals to keep them updated with the techniques used in nursing ambulatory care to the patient with hypertension, focussing on non-hypertension medicated treatment.

Scientific production concerning with ambulatorial nursing care to the systemic arterial hypertension clients. A literature review

Quantitative bibliographical research, sub-project of a work entitled “Management Model of Nursing Ambulatory Care to the Patient with Hypertension”, aims to raise scientific production concerning Nursing ambulatory care to the patient with Hypertension. Thirty eight national publications located in the Nursing Database (BDENF) have been used, from the 90’s to our current days. Results: in the analyzed period, there has been ample advertising of the theme in respectable Brazilian scientific magazines, most of which having been published between 1996 and 2002 in the Southern region, mainly in the states of São Paulo and Rio de Janeiro. Conclusion: there should be better distribution of the scientific work concerning the theme, by nursing professionals to keep them updated with the techniques used in nursing ambulatory care to the patient with hypertension, focussing on non-hypertension medicated treatment.

Nursing actions at the CIPESC® project about educative practice for hypertensive clients: an exploratory study

High blood pressure is a chronic disease, which treatment alters the style of life of the carrier. This study tries to identify in the CIPESC Project the nursing procedures in the health education of hypertension patients and confirm them as professional practices of the Programa Saúde da Família (PSF). It is an exploratory-descriptive study that tries to validate the results from the CIPESC-Brasil Project, developed with twelve nurses in Fortaleza, CE. The investigation was approved by the Comitê de Ética em Pesquisa of the Universidade Estadual do Ceará and the participation was voluntary including signature of the Termo de Consentimento Livre e Esclarecido. The data was collected by means of an elaborate questionnaire about the CIPESC results of 88 learning practices for hypertensive patients. In order to follow the nurses’ carrying out of the program, nursing visits were also observed. It was found that 76 (86%) practices were widely used, 10 (11%) were used sometimes, and 2 (2%) were used seldom. In other words, all 88 practices studied in the CIPESC Project can be used in the Educação em Saúde of hypertensive patients. These practices are divided in the following: attending, 31; informing, 30; observing, 17; and managing, 10. It was concluded that the identified practices of the CIPESC Project are being executed by the nurses of the Programa Saúde da Família with hypertensive patients. 

Racial Discrimination - risk factor for high blood pressure? a survey study

The importance of institutional health practices as representative or not of institutional racism in the treatment of the hypertensive client was object of this study. A survey research was conducted and the results showed that perceived discrimination was reported by 15,3% of blacks participants (p=0,01) and the clients who identify the discrimination have a odds ratio that suggest protection. The implications of these results for health professionals and managers are discussed.

Racial Discrimination - risk factor for high blood pressure? a survey study

The importance of institutional health practices as representative or not of institutional racism in the treatment of the hypertensive client was object of this study. A survey research was conducted and the results showed that perceived discrimination was reported by 15,3% of blacks participants (p=0,01) and the clients who identify the discrimination have a odds ratio that suggest protection. The implications of these results for health professionals and managers are discussed.

Racial Discrimination - risk factor for high blood pressure? a survey study

The importance of institutional health practices as representative or not of institutional racism in the treatment of the hypertensive client was object of this study. A survey research was conducted and the results showed that perceived discrimination was reported by 15,3% of blacks participants (p=0,01) and the clients who identify the discrimination have a odds ratio that suggest protection. The implications of these results for health professionals and managers are discussed.

Health and african-brazilian ethnicity research group (HABERG)

Since 1994, the Health and African-Brazilian Ethnicity Research Group is focused on the social determinants of health inequalities. The group was created and is directed by Isabel Cruz, RN, PhD It is based in the Medical-Surgical Nursing Department, Fluminense Federal University (RJ, Brazil). Its aims were to undertake multi-disciplinary social and health science research to advance the understanding of the social processes, particularly the racism, which underlie and mediate socio-economic inequalities in health and to advance the methodology of health inequalities research.These aims are been taking forward through two projects. The project related to the nursing diagnosis chronic low self-esteem and the nursing intervention cultural brokerage is multi-disciplinary, involving collaborators from arts (music, dance, painting, literature), economics, history, psychology, social policy and sociology. The other project is related to the nursing diagnoses and interventions to the hypertensive client and his family. Both projects have a focus on racism and socio-economic inequalities in health, addressing for example ethnic and gender inequalities which are not yet on the scientific and policy agenda of public health.Communication with the users of research has been a priority for the HABERG, which was linked regularly to over 500 users in and beyond Brazil by the NEPAE-NESEN Eletronic Newsletter which provides updates on HABERG activities, researches, and its policy implications. The information on the website (www.uff.br/nepae/NESEN.htm) provides a record of the research group activities.Publications: all HABERG newsletter articles and research reports are displayed on the website www.uff.br/nepae or www.uff.br/nepae/NESEN.htm

Selected complementary methods and nursing care of the hypertensive client.

The National Institutes of Health and the World Health Organization have targeted the treatment of mild or borderline hypertension as a critical health care issue. Conventional practitioners' focus on more intensive treatment for blood pressure elevations in the lower ranges is accompanying the consumer-driven movement toward the use of complementary methods. Over 60 million Americans used herbal therapies in the past year, and visits to complementary care practitioners are expected to increase beyond the 425 million now made annually. The purpose of this article is to identify four herbs that consumers commonly select for the treatment of hypertension and identify nursing care considerations for their use. Additionally, the article reviews research on the effectiveness of acupuncture for hypertension, along with nursing care implications for patients.

Issues and trends in care of the hypertensive client.

This article discusses issues and trends in care of the hypertensive client that pertain to practice, education, research, and health policy. Clinical practice issues center around obtaining accurate blood pressure measurements and educating patients about health promotion interventions and use of medications. These topics are important in the education of the beginning nurse student as well. Researchers have studied risk factors, incidence, and prevalence in global populations; use of pharmacologic agents; and investigative methods employing technology. Researchers are beginning to explore more holistic approaches to controlling risk factors before hypertension occurs. Funding for public education regarding prevention and control of hypertension is a number one health policy issue.

The Coping Experience in Hypertensive Clients

The Coping Experience in Hypertensive Clients

The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration of the Effect for up to 6 months

The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration of the Effect for up to 6 months

Erythrocyte cation fluxes in the normotensive and hypertensive clients of a health screening clinic.

Erythrocyte cation transport was measured in vitro using 22Na+ and 86Rb+ uptake techniques in Caucasian men with newly-detected hypertension and in male control groups. The Na+, K+ cotransport [determined by ouabain-resistant frusemide-sensitive (ORFS) components of Na+ or Rb+ influx], sodium pump activity (determined by ouabain-sensitive Rb+ influx) and erythrocyte Na+ and K+ concentrations were not significantly altered in hypertensive men. The total Na+ influx in hypertensives (n = 59) was significantly greater (P less than 0.001) than in controls. The difference was mainly attributable to an increase in the ouabain-resistant frusemide-resistant component of this flux. The total Rb+ influx in hypertensives (n = 39) was also greater (P less than 0.005) than in controls. Overall, both total Na+ influx and total Rb+ influx were positively correlated (P less than 0.01) with diastolic blood pressure and with habitual dietary intake of alcohol. Multivariate analyses after controlling for the effect of blood pressure showed that mean corpuscular volume (MCV) and alcohol intake were statistically significant predictor variables for total Rb+ influx, although not for total Na+ influx. The results are compatible with increased diffusion of cations across the erythrocyte membrane in hypertension, but raise the question of a possible role of alcohol intake in mediating this effect.

Physiologic responses of clients with essential hypertension to progressive muscle relaxation training.

The effects of progressive muscle relaxation on blood pressure of hypertensive clients were examined. After collection of baseline data, 22 clients received group relaxation training followed by individual monitoring sessions over a 6-week period. The 22 persons in the control group did not receive relaxation training. The group instructed in relaxation had a lower mean systolic blood pressure than the nontrained group at 4-month follow-up. While the relaxation-trained group showed a significant decrease in diastolic pressure from baseline to follow-up, the difference between trained and non-trained groups at follow-up was not significant. Relaxation, taught initially in group with individual follow-up visits, resulted in continued practice of relaxation and subsequent lowering of blood pressure in subjects with essential, uncomplicated hypertension.