Adib-Hajbaghery Mohsen, Lotfi Mohammad-Sajjad, Rezaee-Shahsavarloo Zahra, Sadat Mousavi Masoumeh
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
J Caring Sci. 2014 Sep 1;3(3):211-9. doi: 10.5681/jcs.2014.023. eCollection 2014 Sep.
Studies indicate that hypertension is prevalent in Iran, however, the reports are heterogeneous. The aim of this study was to estimate the incidence of hypertension and the rate of follow-up in a sample of population over 30 years old in Kashan city.
A descriptive study was conducted on people screened for hypertension in the project of "monitoring the health of Iranian population" in Kashan city at April 2013. Among all completed screening forms, 5000 forms were selected randomly. Required data were extracted from these forms and were recorded on a checklist that was consisted of 9 questions on demographics characteristics and 10 questions about follow-up. Descriptive statistics, independent sample t-test, paired t-test and pearson correlation coefficient was used to analyze the data.
Totally, 5% of the enrolled people had a systolic blood pressure over 140 mmHg and a diastolic pressure over 90 mmHg. Only 92 subjects with high blood pressure were available via telephone. Also, 42.42% of cases refused to answer. From all subjects who were available and answered the study questions, 50% had been referred to a physician after 5.17 (6.05) days. Of these, 52.2% were diagnosed as being hypertensive. Lacking time was the main reason for non-referral.
The incidence of hypertension was less than other studies but the rate of follow-up was low. Nurses and Iranian nursing organization are suggested to conduct a nationwide screening and follow-up project to improve the rate of early diagnosis and help people in better management of hypertension.
研究表明高血压在伊朗很普遍，然而，报告结果并不一致。本研究的目的是估计卡尚市30岁以上人群样本中高血压的发病率以及随访率。
2013年4月，在卡尚市“伊朗人口健康监测”项目中，对接受高血压筛查的人群进行了描述性研究。在所有完成的筛查表格中，随机抽取了5000份表格。从这些表格中提取所需数据，并记录在一份包含9个关于人口统计学特征问题和10个关于随访问题的清单上。使用描述性统计、独立样本t检验、配对t检验和皮尔逊相关系数对数据进行分析。
总共有5%的登记人员收缩压超过140 mmHg，舒张压超过90 mmHg。通过电话仅联系到92名高血压患者。此外，42.42%的病例拒绝回答问题。在所有能够联系到并回答研究问题的受试者中，50%在5.17（6.05）天后被转诊至医生处。其中，52.2%被诊断为高血压患者。没有时间是未转诊的主要原因。
高血压的发病率低于其他研究，但随访率较低。建议护士和伊朗护理组织开展全国范围的筛查和随访项目，以提高早期诊断率，并帮助人们更好地管理高血压。
