Palagiri Sushma, Bala Sudha, Pandve Harshal, Polamuri Chandralekha, Katkuri Sushma
Department of Community Medicine, ESIC Medical College, Hyderabad, Telangana, India.
Community Medicine, ESIC Medical College, Hyderabad, Telangana, India.
Indian J Occup Environ Med. 2023 Apr-Jun;27(2):155-158. doi: 10.4103/ijoem.ijoem_180_22. Epub 2023 Jul 3.
Establishing an association between the coping strategies, stress, and lifestyle determinants with blood pressure levels among industrial workers is very essential to incorporate in the management of hypertension.
A cross-sectional study was undertaken at three factories located in Hyderabad on a camp-based approach which employed the usage of two standardized data collection tools-brief cope inventory scale and perceived stress scale along with other lifestyle determinants.
There were 256 study participants consisting of 144 known diagnosed cases of hypertension and 112 normotensives. Overarching coping styles mainly emotion-focused and avoidant mean scores were found to be significantly higher among the hypertensive group compared to non-hypertensives with the following facets: planning, venting, self-distraction, substance use, and behavior disengagement having higher scores and low humor scores. Mean perceived stress score, increased mean body mass index, sedentary lifestyle, and family history of hypertension were found to be statistically significant with increased odds ratio among the hypertensives group.
A need exists to target this group with psychological interventions of cognitive behavior therapy at the earliest to improve the coping strategies which can be incorporated into the management of hypertension.
确定产业工人应对策略、压力和生活方式决定因素与血压水平之间的关联，对于纳入高血压管理非常重要。
在海得拉巴的三家工厂采用基于营地的方法进行了一项横断面研究，该方法使用了两种标准化数据收集工具——简易应对方式问卷量表和感知压力量表以及其他生活方式决定因素。
共有256名研究参与者，其中包括144名已知确诊的高血压病例和112名血压正常者。与非高血压组相比，高血压组总体应对方式主要是情绪聚焦和回避，在以下方面的平均得分显著更高：计划、发泄、自我分心、物质使用和行为脱离，得分较高且幽默得分较低。高血压组的平均感知压力得分、平均体重指数增加、久坐不动的生活方式和高血压家族史在统计学上具有显著意义，且比值比增加。
有必要尽早对该群体进行认知行为疗法的心理干预，以改善应对策略，这些策略可纳入高血压管理。
