مجله پرستاری گروه های آسیب پذیر
سال پنجم شماره 2 (پیاپی 15، تابستان 1397)

Hypertension is one of the chronic diseases that has been introduced as a silent killer and general public health crisis. And Effective measures to prevent and control blood pressure can reduce the complications.   The aim of this study was to determine the effect of educational intervention about lifestyle modification on knowledge, attitude and behavior of blood pressure control among patients with hypertension in Urmia. This is a quasi-experimental study that was performed in 2017 on 160 patients with hypertension in urban health centers of Urmia in two intervention and control groups (80 each). Sampling method was multi-stage random. The data collection tool was a questionnaire including demographic questions, knowledge, attitude and self-control behaviors. Educational intervention was performed in three 45-minute sessions. Before training, Which included symptoms of illness, disease complications and lifestyle modifications, the importance of regular drug use, the need for regular blood pressure monitoring, blood pressure measurement standards and drug side effects information was collected through a questionnaire and after 3 months the questionnaire was completed again. Data were analyzed by SPSS Version 16 software using chi-square, Fisher test, independent t-test and paired T-test. The results showed that there was no significant difference between the two groups in the mean scores of knowledge, attitude and control of blood pressure before the intervention (P >0.05). However, the knowledge, attitude, and behavioral control of blood pressure after intervention in the intervention group were shown to be significant in comparison with control (P <0.05).   The results indicate that the educational intervention program is effective on knowledge, attitude and behavior of blood pressure control. By improving the level of knowledge and attitude, blood pressure control behaviors can be improved in patients with hypertension.

Since promotion of health nutritional behaviors can have a significant effect on the prevention of diseases, the present study was conducted to determine the nutritional status of the elderly and to identify their dietary habits. This descriptive-analytic study was performed on 200 elderly over 60 years of age without any cognitive problems in Sabzevar city. They were selected through systematic cluster and entered into the study. Data were collected by a questionnaire consisting of two sections: demographic and nutritional section of Healthy Life Style of Iran in the elderly. Data was analyzed by SPSS 21 using descriptive statistics, one way ANOVA and independent t-test. The mean age of the elderly was 70/00 ± 8/50 years. The mean score of nutrition score in males and females was 32.4 and 31.9, respectively. There was no significant difference between them (P> 0.05). Most elderly people cooked the food with no boiling water, they used both chicken and fish and red meat. On average, they drank 6 to 8 glasses of water a day and consumed a significant amount of whole-grain bread. Milk and dairy consumption, brains, fruits and vegetables were both modest in both men and women. More than 80% of elderly people always have the right food supply distance. Some healthy eating habits were moderate in most of the old men and women of Sabzevar. Therefore, it can be concluded that by planning to promote a healthy eating habit and providing the necessary substrates, the situation would be favorable.