Investigation of factors related to the management of hypertension

Postgraduate Thesis uoadl:2932054 127 Read counter

Unit:
Κατεύθυνση Μονάδες Εντατικής Θεραπείας-Καρδιολογία, Ιατρική και Νοσηλευτική Φροντίδα
Library of the School of Health Sciences
Deposit date:
2021-01-07
Year:
2021
Author:
Tsamis Ioannis
Supervisors info:
Δημήτριος M. Τούσουλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Ελένη Κυρίτση, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο
Δυτικής Αττικής
Κωνσταντίνος Π. Τούτουζας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διερεύνηση παραγόντων σχετιζόμενων με τη διαχείριση της αρτηριακής υπέρτασης
Languages:
Greek
Translated title:
Investigation of factors related to the management of hypertension
Summary:
Hypertension occurs with increased frequency, as one in four adults suffers from hypertension. High blood pressure increases the chances of coronary heart disease, kidney disease and stroke resulting in hospital admissions more frequently.
The purpose of this study is to record the cases who were hospitalized with hypertension, to investigate the etiological factors and the correlation with the management and treatment of the disease and its effectiveness.
Material and Method: A retrospective epidemiological study was performed which were included 60 patients who were treated in the Pathology Clinic of KAT Hospital, with hypertension from 2018 to 2019. Were recorded the somatometric characteristics, sex, age, diet, the symptoms before recovery.( fever, vomiting, diarrhea, tachycardia, loss of consciousness), the medications, the laboratory findings and imaging control.
Results: Men more likely than women have high blood pressure as the cause of admission (p = 0.041), while the same was observed in lonely individuals. With the evaluation of the somatometric characteristics, an increased percentage of the sample (68.3%) was found to be overweight, but this is not a cause of deregulation of blood pressure and admission of the patient to the hospital (p = 0.308). The most common of the underlying diseases was 65% diabetes mellitus, with dyslipidemia and coronary heart disease followed by 45% and 30% respectively.It was found that patients who consumed alcohol more likely have a deregulation of blood pressure (p = 0.004). Individuals who presented headache on admission were also more likely have blood pressure deregulation (p <0.001). There was also a statistically significant correlation between hypertension and the occurrence of stroke (p = 0.001).
Conclusion: In the present study, the factors responsible for the deregulation of hypertension were both clinical and dietary factors. It is therefore necessary to frequently monitor blood pressure values, especially in patients with predisposing risk factors. With timely and effective treatment as well as improved lifestyle, hypertensive patients significantly reduce the risk of complications and have a very good prognosis.
Main subject category:
Health Sciences
Keywords:
Hypertension, Diabetes, Obesity, Diet, Alcohol
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
70
Number of pages:
91
File:
File access is restricted only to the intranet of UoA.

Tsamis Ioannis Master.pdf
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