• Title/Summary/Keyword: Hypertension control

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The Effects of Aerobic Exercise on Health Status of the Patients with Essential Hypertension (유산소운동이 본태성 고혈압 대상자의 건강상태에 미치는 효과)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.2
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    • pp.173-182
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    • 2003
  • Purpose: This study was conducted to evaluate the effects of aerobic exercise on health status with essential hypertension. Method: A non-equivalent control group design was used. For the experimental group, aerobic exercise was given by researcher at one health center in Daegu. Test for hypothesis was done by $X^2$-test t-test, paired t-test, and unpaired t-test. Result: There were significant differences in systolic, diastolic, and MAP between two groups. There were significant differences in body weight, BMI, and body composition between two groups. Hypothesis 3 was partially supported that the score of health status and physical function of experimental group were significantly higher than that of control group. Conclusion: Findings indicated that this study would contribute to application of aerobic exercise as nursing intervention for the people with high blood pressure.

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Effect of Case Management Intervention Program for Registered Clients with Home Health Care of Hypertension (고혈압 대상자의 방문간호 중재프로그램의 효과)

  • Oh, Suk-Hee;Kim, Yong-Soon;Park, Jee-Won;Yoo, Moon-Sook
    • Journal of Home Health Care Nursing
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    • v.17 no.1
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    • pp.28-35
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    • 2010
  • Purpose: The study compared the hypertension care efficacy of a case management intervention program for registered clients. Methods: The nonequivalent control group pretest-posttest design involved 53 registered hypertensive patients of a customized visiting health care service in S-city(n=28 experimental group, n=25 control group). Data collection and case management intervention were carried out from April to July, 2009. The experimental group had six home visits and two phone calls, and the control group had two home visits during the 8-week period. Outcome variables for test hypotheses were changes in physiologic index (blood pressure and total cholesterol) and degree of self-management performance and confidence. Results: Repeated measure ANOVA and t-test of means revealed significant differences before and after program for systolic and diastolic blood pressure and self-management performance and confidence, but no significant difference concerning total cholesterol. Conclusion: A case management program can have positive effects on blood pressure control and self management. However, research is needed to create a more effective case management for vulnerable patient populations.

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Review of Clinical Trials Using Qigong Exercise on Patients with Hypertension (고혈압 환자를 대상으로 한 기공운동 임상연구 방법론 고찰)

  • Jung, Hee-Jung;Park, Ji-Eun;Liu, Yan;Choi, Sun-Mi
    • Korean Journal of Acupuncture
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    • v.28 no.3
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    • pp.177-186
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    • 2011
  • Objectives : The aim of this study is to review clinical trials using Qigong exercise on patients with hypertension and to assess their methodology and results. Methods : Electronic literature searches for clinical trials (randomized trial, non-randomized trial, before-after study) of Qigong exercise were performed in 21 electronic databases (5 international databases and 16 Korean databases). English, Korean or Chinese articles were included. Laboratory or animal studies were excluded. Results : A total of 11 studies met the inclusion criteria. Five randomized controlled trials, Four non-randomized trials and two before-after studies were included. Seven studies used self-developed Qigong exercise. Two studies used Guolin Qigong exercise and two studies used Qigong exercise with an anti-hypertension drug. Of the nine randomized trials or non-randomized trials, four studies used an anti-hypertension drug control and three studies used waiting list controls. Compared to baseline, a change in blood pressure after the Qigong exercise treatment was significant in all studies. However, the results effect of blood pressure between Qigong exercise and controlled trials were not consistent. Conclusions : There are low-quality clinical trials of Qigong exercise for hypertension. To evaluate the effects of Qigong exercise, more rigorous trials are warranted.

An Analysis of Hypertension Status and Related Factors in Korean Early Adults (한국 청년층의 고혈압 현황 및 관련 요인 분석)

  • Heo, Myoung Lyun;Kim, Hee Dong
    • The Korean Journal of Food And Nutrition
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    • v.31 no.5
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    • pp.720-728
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    • 2018
  • The purpose of this study is to identify awareness of hypertension prevalence among Korean youth and related causes. Data from the Korean National Health and Nutritional Examination Survey, conducted in 2016 by the Korea Centers for Disease Control and Prevention, were used to apply weights for complex sample analysis. A total of 1,075 data age 19~35 Korean youth were used for analysis. The analysis demonstrated that 25.7% of age 19~35 Korean youth were in the prehypertension stage and 6.1% were in the hypertension stage. Those aware of hypertension was 0.3%. This revelation necessitates establishment of preventive measures by way of physical examination among youth to ensure no youth are left untreated in terms of health management. This study indicated that diabetes affects hypertension significantly among males (p<0.0001), with low income (p=0.034) and obesity (p<0.0001). Consequently, they should be managed as high-risk, and it is imperative to educate them about changes in lifestyle such as walking or less dining-out, rather than engaging in specific sports activities or nutrient intake.

Effects of Auricular Acupuncture on the Mild Hypertension (경증 고혈압에 대한 이침요법의 강압효과 - 24시간 활동혈압 측정기를 이용 -)

  • 안초흥;배형섭;노진환;문상관;고창남;조기호;김영석;이경섭
    • The Journal of Korean Medicine
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    • v.20 no.4
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    • pp.93-97
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    • 2000
  • Backgrounds and Purpose: Hypertension is a common origin for stroke, heart disease, etc. Clinical management is needed to prevent these diseases. It has been said that auricular acupuncture treatment can be used for the control of hypertension. In this study, we studied the effects of auricular acupuncture on mild hypertension. Materials and Methods: Clinical study was performed on 22 stroke patients who didn't take the antihypertensive drugs. They were admitted in Kyunghee University, Hospital of Oriental Medicine. We checked patients' 24-hour blood pressure by Ambulatory Blood Pressure Monitor and did auricular acupuncture treatment for one day and rechecked blood pressure for 24-hours. We compared the blood pressure between, before, and after auricular acupuncture treatment by Wilcoxon test. The acupuncture points were KOHYOLABJUM, NAEBUNBI, SHINMUN, SHIM, KANGABJUM. They were all on the auricular. Results: After auricular acupuncture treatment, systolic and diastolic hypertension decreased significantly(p<0.05), but heart rates didn't change significantly. Conclusions: These results suggest that Auricular acupuncture treatment may be used for antihypertensive purpose. About the efficacy and safety, further study is needed.

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A Comparison of Controlled and Uncontrolled Hypertension Groups Regarding Comprehensive Diagnosis of Qi Blood Water and Quality of Life (고혈압 환자에서 혈압 조절 여부에 따른 기혈수(氣血水) 변증(辨證)과 삶의 질 비교)

  • Choi, In-Young;Han, Chang-Ho;Choi, Dong-Jun;Jung, Seung-Hyun;Shin, Gil-Jo
    • The Journal of Internal Korean Medicine
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    • v.31 no.4
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    • pp.880-891
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    • 2010
  • This study is about a comparison of controlled and uncontrolled hypertension groups regarding comprehensive diagnosis of Qi blood water and quality of life. We surveyed "controlled and uncontrolled hypertension patients" using questionnaires for comprehensive diagnosis of Qi blood water, SF-36 and HTN QoL (Measurement Scale for the quality of life in hypertensive patients). There was no difference in comprehensive diagnosis of Qi blood water between the controlled and uncontrolled hypertension groups. Within the controlled hypertension group, the patients diagnosed with a Qi deficiency, Qi stagnation, Qi counterflow, blood deficiency, and water retention received lower total scores in SF-36 and HTN QoL than in undiagnosed patients. Within the uncontrolled hypertension group, the patients diagnosed with Qi deficiency, blood deficiency, and water retention got lower total scores in SF-36 and HTN QoL than in undiagnosed patients. These results were statistically significant. These results are insufficient that we and use comprehensive diagnosis of Qi blood water for a diagnosis tool of hypertension. But if we have better studies that make up for weak points, these results will help to make a diagnosis tool for hypertension.

The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses (맞춤형 방문건강관리사업 노인대상자의 고혈압군, 당뇨군, 고혈압.당뇨군별 건강상태 및 건강행태 비교)

  • Hyoung, Hee-Kyoung;Jang, Hyo-Soon
    • Research in Community and Public Health Nursing
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    • v.22 no.1
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    • pp.11-21
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    • 2011
  • Purpose: This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services. Methods: This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, $x^2$ test, t-test and ANOVA were used for the analyses. Results: BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group. Conclusion: It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the age.

The Effects Walking Exercise Program on Blood Pressure as a Related Indicator for Aged Hypertension Patients in Rural Areas (농촌지역 고혈압 노인에서 걷기 운동 프로그램이 혈압관련지표에 미치는 효과)

  • Hyun, Sa-Saeng
    • Journal of Korean Academy of Rural Health Nursing
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    • v.1 no.1
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    • pp.21-31
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    • 2006
  • Purpose: This purpose of this study was to examine the effect of a walking exercise program on blood pressure and related factors in older patients with hypertension living in rural areas. Method: The participants were 233 patients with hypertension, 60years or age or over, who were registered at one of 36 public health centers in North Chung Cheong Province and agreed to participate in this study. The program was implemented for 12 weeks from Dec. 2005to Feb. 2006. The data were collected before and right after the program and paired t-test was used to analyze the data. Analysis was done with the SPSS program. Result: Systolic pressure (t=7.460, p=0.000) and diastolic pressure (t=5.309, p=0.000) decreased significantly. Total cholesterol l (t=-9.991, p=0.000), LDL cholesterol and HDL cholesterol (t=-3.180, p=0.000) all increased significantly. There was no change in weight or obesity level. Blood sugar (t=2.218, p=0.028) decreased significantly. Knowledge of hypertension increased significantly as did the self-care behavior of these patients with hypertension. Conclusion: The walking exercise program was found to be effective to control blood pressure in older patients with hypertension in rural areas and to help HDL cholesterol, knowledge of hypertension, and self-care behavior of hypertension increase greatly, while blood sugar level decreased.

A Case report of Hypertension Controlled with Weight-loss in Stroke Patient (단기간의 체중감량을 통한 뇌경색 환자의 고혈압 치험 1례)

  • Eom, Tae-Min;Oh, Jeong-Min;Choi, Ko-Eun;Heo, Jong-Won;Kim, Yoon-Sik;Seol, In-Chan;Yoo, Ho-Ryong
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.97-105
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    • 2014
  • Although hypertension doesn't kill itself, its complications can be deadly: increased risk of heart attack and stroke. So hypertension is often called the silent killer, and this is why controlled hypertension is so important. A 51 year-old female stroke patient was diagnosed with hypertension 10 years ago. Since then, though western medication have been used to control her hypertension, it was ineffective. As we know, obesity can cause high blood pressure, so we try weight-loss as alternative way to her hypertension drug. After discharge from hospital, she reduce her weight by 10kg and more by diet only. And her blood pressure became decreased steadily. As maintaining her decreased weight, her blood pressure is now relatively stable without taking any medication. In this case, we recognised that weight-loss by diet could be effective instead of taking hypertension drug for obesity patient who has high blood pressure.

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Impact of Anthropometric Indices of Obesity on the Risk of Incident Hypertension in Adults with Prehypertension: A Secondary Analysis of a Cohort Study (고혈압 전단계 성인의 비만 인체측정지수가 고혈압 발생 위험에 미치는 영향: 코호트 연구를 활용한 이차분석)

  • Jang, Se Young;Kim, Jihun;Kim, Seonhwa;Lee, Eun Sun;Choi, Eun Jeong
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.18-31
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    • 2024
  • Purpose: This study aimed to investigate the impact of anthropometric indices of obesity (body mass index [BMI], waist circumference, waist hip ratio, and body fat percentage) on the incidence of hypertension in adults with prehypertension. Methods: A longitudinal study design using secondary data form the Korean Genome and Epidemiology Study was employed. The study included 1,838 adults with prehypertension tracked every two years from 2001 to 2018. Statistical analyses, including frequency assessments, number of cases per 1,000 person-years, log-rank tests, Kaplan-Meier curves, and Cox's proportional hazards regression, were conducted using SPSS version 25. Results: Over the observation period (15,783.6 person-years), 1,136 individuals developed hypertension. The incidence of hypertension was significantly higher in the obesity groups defined by BMI (hazard ratio [HR] = 1.33), waist circumference (HR = 1.34), waist hip ratio (HR = 1.29), and body fat percentage (HR = 1.31) compared to the non-obese group. These findings indicate an increased risk of hypertension associated with obesity as measured by these indices. Conclusion: The study underscores the importance of avoiding obesity to prevent hypertension in individuals with prehypertension. Specifically, BMI, waist circumference, waist hip circumference, and body fat percentage were identified as significant risk factors for hypertension. The results suggest the need for individualized weight control interventions, emphasizing the role of health professionals in addressing the heightened hypertension risk in this population.