• Title/Summary/Keyword: systolic and diastolic blood pressure

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Meta-analysis of Hypertension-related Nursing Intervention Programs (고혈압 간호중재의 혈압하강 효과에 대한 메타분석)

  • So, Eun-Sun;Lee, In-Sook
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.11-18
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    • 2010
  • Purpose: The aim of this study was to examine the characteristics of hypertension-related nursing intervention programs and their effects on systolic and diastolic blood pressure. Methods: Fifteen studies were selected from four databases (Korean studies, Riss4U, RICHIS, and JKAN) published as of 2009. They were analyzed by meta-analysis method. The selected studies contained a control group with pre-test and post-test design, measured blood pressure as a dependent variable, and used a reported statistical value for blood pressure to measure the size of effects. Results: The hypertension-related nursing intervention programs were relatively effective in lowering both systolic and diastolic blood pressure, although they were more efficient to decrease diastolic pressure. Among the hypertension-related intervention programs, complementary and alternative therapies were more effective in lowering blood pressure compared to lifestyle change intervention. Conclusions: To acquire substantial data of intervention effects, and complementary and alternative therapy, subjects in pre-hypertensive stage, and elderly people, better industrial and scholastic research methods need to be developed for future research. Further studies are needed to establish complementary and alternative therapies. Studies with different group of participants and studies using effective research design are in need as well.

Estimation of the Blood Pressure Using Point Variation Aspect of Dicrotic Notch on Pulsating Waveform at Each Cardiac Periods (주기별 맥동파형의 절흔점 위치변화 특성을 이용한 혈압 추정)

  • Baik, Seongwan;Park, Sungmin;Shon, Jungman;Park, Geunchul;Lee, Sanghoon;Jang, Wooyoung;Jeon, Ahyoung;Jeon, Gyerok
    • Journal of Sensor Science and Technology
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    • v.22 no.2
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    • pp.136-143
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    • 2013
  • In the study, novel blood pressure estimation method was proposed to improve the accuracy of oscillometric method. The proposed algorithm estimated the blood pressure by comparing and analyzing the point variation aspect of dicrotic notch on pulsating waveform during each cardiac cycle. The waveforms of each cardiac cycle were extracted by maximum points. The extracted pulsating waveforms were applied by re-sampling, end-matching, and normalization. The systolic and diastolic blood pressures were estimated by point variation aspect of dicrotic notch. The blood pressures, which were estimated from proposed algorithm, were compared and analyzed by blood pressures from oscillometric methods and auscultation. The systolic blood pressure from oscillometric methods were +0.88 mmHg more than proposed algorithm, and 1.875 less than the diastolic blood pressures from proposed algorithm. The systolic and diastolic blood pressures from auscultation were 2.89 mmHg and 3.44 mmHg less than the blood pressures from proposed algorithm. As the errors between blood pressures from proposed algorithm, oscillometric method and auscultation were less than 5 mmHg, the proposed algorithm was effective.

Effects of subtraction meditation on perceived stress, self-efficacy, systolic pressure, diastolic pressure, and pulse rate in paramedic students (마음수련명상 프로그램이 응급구조학과 학생의 지각된 스트레스, 자기효능감, 혈압, 및 맥박수에 미치는 효과)

  • Lee, In-Soo;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.2
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    • pp.89-102
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    • 2017
  • Purpose: The purpose of the study was to investigate the effects of subtraction meditation on perceived stress, self-efficacy, blood pressure, and pulse rate in paramedic students. Methods: A quasi-experimental study with non-equivalent comparison groups using pre and post-test design was performed. The experimental group consisted of 27 participants who attended the meditation program, and the control group consisted of 26 non-participants of the program. The data were analyzed using SPSS/WIN 24.0. Results: There were a statistically significant differences between the experimental group and the control group in perceived stress(t=2.301, p=.026), systolic pressure(F=18.531, p=.000), diastolic pressure(F=9.745, p=.003), and pulse rate(F=33.869, p=.000) between pretest and posttest results. Conclusion: The subtraction meditation program can help reduce perceived stress, systolic pressure, diastolic pressure, and pulse rate.

The Relationship of Renin Activity, Hormonal Na, Ca and Habitual Na, Ca Intake in Hypertension (정상생활을 하는 고혈압 환자에서 Renin활성도의 차이와 Na, Ca 조절호르몬 및 Na, Ca 섭취습관과의 관련성)

  • 박정아
    • Journal of Nutrition and Health
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    • v.32 no.6
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    • pp.671-680
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    • 1999
  • In order to investigate the relationship between plasma renin activity and metabolism of Ca and Na in blood pressure, the habitual dietary intakes of Na and Ca urinary excretion of Ca, Na and K, and plasma level of renin activity, aldosterone, and indices of Ca metabolism were measured in 27 untreated hypertensive women and 30 age-matched normal women on a free diet. Hypertensive subjects were classified into high renin hypertensive (HH), medium renin hypertensive(HM) and low renin showed no significant difference among normotensive, LH, MH and HM groups. It appeared that 25-(OH) Vit D3 level of HH group was significantly higher than LH group(p<0.05). There was significant difference in habitual intake of Ca between normotensive and LH groups. However, habitual intake of Na showed no significant difference among normotensive, LH, MH and HH group. Positive correlation of systolic and diastolic blood pressure with PTH(r=0.324, r=0.375) and urinary Ca(r=0.496, r=0.278) and a negative correlation of systolic blood pressure with habitual Ca intake(r=-0.371) existed(p<0.05). A relative magnitude of factors affecting hypertension was analyzed by multiple regression analysis. Overall results about relative influence of independent variables to dependent variable (systolic blood pressure) indicated that urinary Ca was the higher correlation in all subjects(p<0.0001), followed by age and aldosterone. PTH showed a significant correlation for relative influence on diastolic blood pressure in all subjects. The above results indicated that renin-aldosterone system and Ca regulating hormone had a mutual relationship in hypertension.

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The Depressive effect of Acupuncture on Gangap-point and Depletion on Taech'u-point in Stroke Patients (뇌졸중(腦卒中) 환자(患者)에서 강압혈(降壓穴) 자침(刺針)과 대추혈(大推穴) 사혈(瀉血)의 강압효과(降壓效果))

  • Kim, Sang-woo;Pak, In-bum;Kim, Cheol-hong;Seo, Jung-chul;Youn, Hyoun-min;Jan, Kyung-jeon;Song, Choon-ho;Ahn, Chang-bum
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.28-34
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    • 2002
  • Objective : The aim of this research was to investigate the depressive effect of acupuncture on Gangap-point and depletion on Taech'u-point in stroke patients. Methods : We measured the blood pressure of the patients who were admitted in the Oriental Medical hopital of Dongeui medical center from 21. Oct. 2001. to 20. Jan. 2002. 19 stroke patients were devided into two groups. 12 patients were treated by acupunctured on Gangap-point. The other 7 patients were treated by depletion on Taech'u-point. The activity of daily living was measured. If systolic blood pressure was over 160 mmHg or diastolic blood pressure was over 90 mmHg, acupunctured on Gangap-point and depletion on Taech'u-point were performed. Then 30minutes and 60minutes later, systolic, diastolic blood pressure and pulse rates were measured Results : After 30 minute treatment. both acupuncture on Gnagap-point and depletion on Taech'u-point significantly depressed the systolic blood pressure. After 60 minute treatment. only depletion on Taech'u-point were statistically significant in depressing the systolic blood pressure. Pulse rates were not significantly changed. Conclusion : These results suggest that depletion on Taech'u-point is more effective in depressing the systolic blood pressure than acupuncture on Gnagap-point.

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The Effect of Health Promotion Programs on Health Promoting Behavior and Cardiovascular Risk Factors of Middle-aged Women (건강증진프로그램이 중년기 여성의 건강증진행위와 심혈관계 위험요인에 미치는 영향)

  • Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.233-243
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    • 2002
  • Purpose: This study is aimed at testing the effect of health promotion program on health promoting behavior and cardiovascular risk factors of middle-aged women. Method: The research design was the nonequivalent control group pre-post test. Twelve middle-aged women were the experimental group and ten were the control group. The 8-week health promotion program was given to the experimental group. There were health promotion theories, flexibility and muscle strength exercise, cardiopulmonary endurance exercise, nutrition, stress management, cancer prevention and early detection, management of menopause and wrap-up in health promotion program for middle-aged women. The measurement tool was Health Promoting Behavior developed by researcher using serum cholesterol, obesity rate, systolic blood pressure, and diastolic blood pressure as cardiovascular risk factors. Result: The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cardiovascular risk factors(cholesterol, obesity rate, diastolic blood pressure) between the experimental and control groups except systolic blood pressure. Conclusion: Conclusively, this health promotion program for middle-aged women was effective in increasing health promotion behaviors, but wasn't effective in decreasing cardiovascular risk factors except the systolic blood pressure. It seems it's necessary to re-study this using more samples and a longer duration of the program, and smaller mortality rate.

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Analysis of the Convergence Algorithm Model for Estimating Systolic and Diastolic Blood Pressure Based on Two Photoplethysmography (두 개의 광전용적맥파 기반의 수축기 혈압과 이완기 혈압 추정 융합 알고리즘 모델 분석)

  • Kim, Seon-Chil;Cho, Sung-Hyoun
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.53-58
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    • 2019
  • Recently, product research has been continuously conducted to enhance accessibility to blood pressure measurement for the purpose of healthcare for the chronic patient. In previous studies, electrocardiogram (ECG) and photoelectric pulse wave (PPG) are analyzed to calculate systolic and diastolic blood pressure. The problem is the development of analysis algorithms for accuracy and reproducibility. In this study, in the development stage of a micro blood pressure measuring device, the size of the device was reduced and the measurement method was simplified, while the algorithm was to extract systolic blood pressure (SBP) using only two PPGs and obtain diastolic blood pressure (DBP). The difference value of PPG, DF_P, is inversely related to SBP, and has a proportional relationship with DBP, which can be leaked by algorithm, and DBP can be tracked through SBP.

A Study on Measurement of Blood Pressure by Partial Least Square Method (부분최소자승법을 이용한 혈압 측정에 관한 연구)

  • Kim, Yong-Joo;Nam, Eun-Hye;Choi, Chang-Hyun;Kim, Jong-Deok
    • Journal of Biosystems Engineering
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    • v.33 no.6
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    • pp.438-445
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    • 2008
  • The purpose of this study was to develop a measurement model based on PLS (Partial least square) method for blood pressures. Measurement system for blood pressure signals consisted of pressure sensor, va interface and embedded module. A mercury sphygmomanometer was connected with the measurement system through 3-way stopcock and used as reference of blood pressures. The blood pressure signals of 20 subjects were measured and tests were repeated 5 times per each subject. Total of 100 data were divided into a calibration set and a prediction set. The PLS models were developed to determine the systolic and the diastolic blood pressures. The PLS models were evaluated by the standard methods of the British Hypertension Society (BHS) protocol and the American Association for the Advancement of Medical Instrumentation (AAMI). The results of the PLS models were compared with those of MAA (maximum amplitude algorithm). The measured blood pressures with PLS method were highly correlated to those with a mercury sphygmomanometer in the systolic ($R^2=0.85$) and the diastolic blood pressure ($R^2=0.84$). The results showed that the PLS models were the effective tools for blood pressure measurements with high accuracy, and satisfied the standards of the BHS protocol and the AAMI.

Effects of Antioxidant Vitamins & Minerals Supplementation on Blood Pressure and Lipids in the Elderly with Hypertension (항산화 비타민과 미네랄 보충이 고혈압 노인의 혈압과 혈중 지질에 미치는 효과)

  • Yang, Sook-Ja
    • Research in Community and Public Health Nursing
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    • v.17 no.4
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    • pp.461-471
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    • 2006
  • Purpose: The Purpose of this study was to evaluate the effects of antioxidant vitamins and minerals supplementation on blood pressure and lipids in the elderly with hypertension. Methods: This study adopted a unequivalent control group pretest-posttest design. For this study, 79 subjects with hypertension were selected among the home visiting clients of public health centers. The experimental group received 12-weeks' treatment with antioxidant vitamin A, C, E, carotene, magnesium and selenium and the control group did not take any antioxidant vitamin and mineral. Results: There were statistical differences in systolic blood pressure and diastolic blood pressure between the experimental group and the control group after the intervention. In the experimental group, systolic blood pressure decreased from 145.4mmHg before the intervention to 135.7mmHg after the intervention, and diastolic blood pressure decreased from 88.3mmHg before the intervention to 81.9mmHg after the intervention. However, there were no statistical differences in total cholesterol and triglyceride between the experimental group and the control group after the intervention. Conclusions: A short-term supplementation with antioxidant vitamins & minerals can reduce blood pressure in the elderly with hypertension. The continuous effects of the supplementation and its beneficial effects on the prevention of cardiovascular diseases still need to be studied further.

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Effects of Bamboo Stepping Exercise on Blood Pressure in the Elderly (대나무 밟기 운동이 노인의 혈압에 미치는 영향)

  • Song, Seongin;Goo, Bongoh
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.1
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    • pp.75-80
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    • 2019
  • Purpose : This study investigated the effect of bamboo stepping exercises on the blood pressure of the elderly. This study was performed for 8 weeks. Methods : The study participants included 25 people aged 65 and over. Of the participants, 16 were in the hypertensive elderly group and 9 were in the normal blood pressure elderly group. The participants stepped on semicircular bamboo for 20 minutes 3 times a week for 8 weeks. The participants' blood pressure was measured 3 times before and after 8 weeks of exercise. The mean values of the 3 before and after measurements were compared and analyzed statistically. Results : The systolic blood pressure of the hypertensive elderly group decreased significantly from $134.6{\pm}21.1mmHg$ to $119.9{\pm}18.1mmHg$ (p<.05). The diastolic blood pressure of the hypertensive elderly group decreased from $70.2{\pm}10.5mmHg$ to $66.1{\pm}9.8mmHg$, but the difference was not significant. The systolic blood pressure of the normal blood pressure elderly group decreased significantly from $127.2{\pm}18.7mmHg$ to $115.5{\pm}19mmHg$ (p<.05). The diastolic blood pressure of the normal blood pressure elderly group decreased from $72.6{\pm}11.3mmHg$ to $68.2{\pm}12mmHg$, but the decrease was not significant. Conclusion : After completing 8 weeks of the bamboo stepping exercises, the elderly participants' systolic blood pressure was effectively reduced. Today, lifestyle modifications, such as daily exercise, are necessary to control the blood pressure of the elderly. We hope that the bamboo stepping exercises, which are easy to perform and are not restricted by place and time, will become part of the elderly health policy.