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The effect of health behvarz’ education level on blood pressure control among hypertensive patients in the rural areas of Qazvin city, Iran
Elliyeh Hojjatzadeh, Alireza Heydari, Tahereh Samavat,
Volume 13, Issue 4 (3-2016)
Abstract

Background and Aim: Hypertension is a major risk factor for cardiovascular diseases. Its control decreases the risk of likely complications. The aim of this study was to determine the effect of behvarz’ education level on blood pressure control among hypertensive patients in the rural areas of Qazvin city, Iran.

Materials and Methods: This cross-sectional study, including 300 hypertensive patients and 18 behvarz selected by multi-stage sampling, was conducted in health houses of the rural areas of Qazvin city in 2010. Usning standard methods and technics, weight, height and blood pressure were measured. Data were collected by interviews (using questionnaires) and observations and anlyzed using the SPSS software and the Chi Square test as the statistical test (level of sinnificance 0.05 ).

Results: The prevalence of hypertension was 13.2% and 8.7% in the populations under coverage of the health houses manned by community behvarz with a high school diploma and those with an education level below high school diploma, repectively. Only 14.7% of the patienes studied had their blood pressure controlled. There was no statistically significant association between the extent of patients’ blood pressure control and behvarz’ educationl level.

Coclusion: It can be concluded that education level of the behvarz has no effect on hypertensive patients' blood pressure control. In any case, it is recommended to pay more attention to the education and literacy of peripheral health workers and put emphasis on the personnel in-service training, regular monitoring and supervision, as well as health indices assessment.


The Effect of Educational Intervention on the Nutritional Knowledge, Illness Perception and Dietary Adherence in Middle-Aged Women with Hypertension: Application of the Transtheoretical Model
Banafsheh Taqfaghodi, Bahram Mohebbi, Roya Sadeghi, Azar Tol, Mir Saeed Yakanejad,
Volume 19, Issue 4 (3-2022)
Abstract
Background and Aim: Cardiovascular diseases are the most common cause of death in most countries of the world, hypertension being the most important cause of disability. The aim of this study conducted in 2020-2021 was to determine the effect of educational intervention on the nutritional knowledge, illness perception and dietary adherence in hypertensive middle aged women based on the transtheoretical model (TTM).
Materials and Methods: This was a quasi-experimental study on middle-aged women (30-59 years old) suffering from hypertension referred to the  health centers and health bases in the 21st district of Tehran in 2020-2021. A total of 164 subjects were randomly assigned to the intervention (n=82) or control (n=82) group by randomized quadruple blocks. A multifaceted questionnaire was completed for both the control and intervention groups and their blood pressure measured. This was followed by  a one-month virtual education for the intervention group in the form of a WhatsApp group and designing and developing fifty-six podcasts and educational clips with a maximum duration of four minutes based on the transtheoretical model constructs. After a lapse of one and six months both groups completed the questionnaire again and their blood pressure was measured. Descriptive statistics and general linear model were used for data analysis using the SPSS version 25 (p<0.05).
Results: Before the intervention the mean age of the subjects was 50.16 years and their systolic and diastolic blood pressures were 1.35 and 1.84 mmHg, respectively, and there were no statistically significantly differences between the two groups as regards contextual variables, constructs of nutritional awareness, disease perception, diet adherence, systolic and diastolic blood pressures and body mass index (as an ananthropometric index) and transtheoretical model constructs. Data one month after the intervention revealed significant differences (p<0/001) between the two groups (p <0/001) as regards the constructs of nutritional awareness, disease perception, self-sufficiency construct of the transtheoretical model and systolic blood pressure. Six months after the intervention significant differences were observed between the two groups as regatds  nutritional awareness constructs, disease perception (p<0.007), diet adherence (p<0.001), stages of change constructs (p<0.001) and self-sufficiency (p<0.001) of the transtheoretical model.
Conclusion: The results of this study show that educational intervention based on the transtheoretical model in middle-aged women with hypertension can increase their nutritional knowledge, illness perception, self-sufficiency, self-adequacy and diet adherence.
 
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