Baharvand Parastoo, Malekshahi Farideh, Gheydar Nafiseh
Department of Social Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
J Educ Health Promot. 2022 Feb 26;11:47. doi: 10.4103/jehp.jehp_512_21. eCollection 2022.
Health-promoting behaviors can affect the psychological and physical consequences of hypertension. For the prevention and control of hypertension, lifestyle modification has been recommended. This study aimed to investigate the health-promoting behaviors of patients with hypertensive heart disease in Iran and compare them with those of healthy people.
This was a descriptive comparative study with cross-sectional design. Participants were 141 patients with hypertensive heart disease (mean age = 39 ± 10.2 years) referred to the cardiac clinic of Madani Hospital in Khorramabad, Iran, and 141 healthy people selected from those referred to the hospital. The Persian version of the revised Health-Promoting Lifestyle Profile-II (HPLP-II) was used to evaluate the health-promoting behaviors of participants. After collecting data, they were analyzed in SPSS v. 22 software using descriptive statistics and statistical tests including independent -test and one-way ANOVA.
The overall HPLP-II score was 142.34 ± 30.48 in patients and 150.52 ± 37.07 in controls. The highest and lowest HPLP-II dimension scores in both groups were related to health responsibility and stress management dimensions. There was a significant difference between groups only in dimensions of nutrition ( = 0.017) and physical activity ( = 0.016), and in the overall score ( = 0.044), whose scores were lower in patients compared to controls. The difference in HPLP-II score of patients with different demographic characteristics (marital status, place of residence, gender, age, educational level, and occupation) was not statistically significant.
Patients with heart disease caused by high blood pressure in Iran have poorer diet and physical activity compared to healthy people. Educational interventions with a focus on the importance of dietary regime and exercise are recommended for them.
促进健康的行为会影响高血压的心理和生理后果。为预防和控制高血压，建议改变生活方式。本研究旨在调查伊朗高血压性心脏病患者的促进健康行为，并将其与健康人群的行为进行比较。
这是一项采用横断面设计的描述性比较研究。研究对象为141例转诊至伊朗霍拉马巴德马丹尼医院心脏科的高血压性心脏病患者（平均年龄=39±10.2岁），以及从转诊至该医院的人群中选取的141名健康人。使用修订版《健康促进生活方式量表-II》（HPLP-II）的波斯语版本来评估参与者的促进健康行为。收集数据后，使用SPSS v. 22软件进行描述性统计和包括独立样本t检验和单因素方差分析在内的统计检验。
患者的HPLP-II总分是142.34±30.48，对照组为150.52±37.07。两组中HPLP-II维度得分最高和最低的分别是健康责任维度和压力管理维度。两组仅在营养维度（P=0.017）、身体活动维度（P=0.016）和总分（P=0.044）上存在显著差异，患者在这些方面的得分低于对照组。不同人口统计学特征（婚姻状况、居住地点、性别、年龄、教育水平和职业）的患者在HPLP-II得分上的差异无统计学意义。
与健康人群相比，伊朗高血压所致心脏病患者的饮食和身体活动状况较差。建议对他们进行以饮食制度和运动重要性为重点的教育干预。
