9 results
Search Results
Now showing 1 - 9 of 9
Publication Open Access Relationship between Dyslipidemia and Hypertension: Follow-Up of Medical Record Data in Dyslipidemia Patients(2015) Sukanya Chongthawonsatid; Mahidol University. Faculty of Social Sciences and Humanities. Department of Social SciencesBackground: Dyslipidemia is associated with atherosclerosis and hypertension. Hyperlipidemia leads to the formation of atherosclerotic plaque and decreases the lumen diameter, whilst increasing the arterial wall resistance and contributing to hypertension. The aim of study was to examine the association between demographic factors, biochemistry factors and hypertension. Methods: The sample consisted of 203 dyslipidemia patients. Data were collected from the medical records of dyslipidemia patients who visited the Golden Jubilee Medical Center, Mahidol University from 2006-2009. All patients’ follow-ups were based on medical record data through 31 December 2013, looking at survival time of hypertension among dyslipidemia patients. Results: The results showed that an increase in age corresponded to a fasting blood sugar increase. The body mass index was not related to the total cholesterol level. The increasing body mass index was associated with a HDL-C decrease and a triglyceride and fasting blood sugar increase. The follow-up study was 91.73 months showed that dyslipidemia (at 64%), dyslipidemia and hypertension (at 16.7%), dyslipidemia and impaired fasting blood glucose (at 9.4%), dyslipidemia, hypertension and impaired fasting blood glucose (at 9.9%) all increased. Using a Kaplan Meier analysis of the median survival time of hypertension among dyslipidemia patients (the amount of time after which 50% of the dyslipidemia patients have hypertension), it was found that only the age variable was statistically significant (p=0.001). The median survival time of hypertension among dyslipidemia patients aged ≥ 55 years olds was 64.10 months shorter than in patients aged < 55 years old. Conclusions: Age was significantly associated with survival time of hypertension among dyslipidemia patients. Policy makers and health promotion campaigns need to address the early screening of dyslipidemia patients, especially the aging population. The general public also needs to be aware of the consequences of the risks after dyslipidemia, such as hypertension and diabetes mellitus.Publication Open Access Prevalence and risk factors for hypertension: evidence from non-communicable disease screening project in Nan province, Thailand(2006-01) Kattika Thanakwang; Kusol Soonthorndhada; กุศล สุนธรธาดา; Boonlert Leoprapai; Mahidol University. Institute for Population and Social ResearchHypertension is one of the most important public health problems in Thailand. It is a multifactorial disease, due to a combination of genetic, environmental and lifestyle factors. This study measured the prevalence of hypertension..., and investigated the relationships between risk factors and hypertension morbidity among people aged 40 years and over in Nan Province. The data used in this study were collected in 2004 by a non-communicable disease screening project. The sample consisted of 4Publication Open Access Prevalence and associating factors of atrial fibrillation in patients with hypertension: a nation-wide study(2016) Rungroj Krittayaphong; Ram Rangsin; Bandit Thinkhamrop; Hurst, Cameron; Suthee Rattanamongkolgul; Nintita Sripaiboonkij; Ahthit Yindeengam; Mahidol University. Faculty of Medicine Siriraj Hospital. Division of Cardiologyaged at least 20 years who had received medical care in the targeted hospital for at least 12 months. The main outcome measurement was AF rhythm, and was measured along with potential risk factors age, gender and cardiovascular risk factors. Results...: There were 13207 hypertensive patients who had ECG data recorded during the survey. AF was detected in 457 patients (3.46 %). Prevalence of AF increased with increasing age, was more common in males and in patients with chronic kidney disease (CKDPublication Open Access Illness Perception, Personal Characteristics, Social Support, and Lifestyle Behavior in Patients With Hypertension, Attending a Cardiac Out-Patient Department, Nepal(2018) Rashmi Maharjan; Sirirat Leelacharas; Wonnapha Prapaipanich; ราสช์มิ มาหาร์จัน; สิริรัตน์ ลีลาจรัส; วรรณภา ประไพพานิช; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Kathmandu University School of Medical SciencesBackground: Hypertension is the most common risk factor of premature deaths due to cardiovascular diseases worldwide. Currently, there is no available information of illness perception in Nepalese patients with hypertension and involved variablesPublication Open Access The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension A randomized control trial and follow-up study in Thailand(2017) Sukanya Chongthawonsatid; Wipawee Chinjenpradit; Mahidol University. Faculty of Social Sciences and Humanities. Department of Social Sciences; Mahidol University. Golden Jubilee Medical Center. Department of Rehabilitation Medicineintervention for the control of blood pressure. The purpose of this paper is to compare the effectiveness of a supervised modified exercise program of moderate-intensity exercise for one hour per week including the use of a pedometer, and with the use of a pedometer alone without additional exercise in reducing blood pressure. Design/methodology/approach – The study was a randomized control trial, with an experimental group of 30 people and a control group of 26 people. Participants were males and females aged 30-65 years with pre- to mild hypertension, and who were not receiving any drugs for the treatment of hypertension. Participants of the experimental group were assigned to a fitness program with supervised exercise once a week at the Golden Jubilee Medical Fitness Center, given access to a pedometer, and provided with health education. Participants in the control group were assigned to use a pedometer only. All experimental and control group members participated in the study for three months, as well as a follow-up at the third and sixth month. Findings – Comparison of the experimental and control groups at the first, third, and sixth month, using repeated measures analysis found that interaction effect groups and times were significantly different for mean systolic blood pressure (SBP), body mass index (BMI), hip circumference (HC), and high-density lipoprotein (HDL) (po0.05). Mean SBP, diastolic blood pressure (DBP), BMI, waist circumference (WC), HC, and low-density lipoprotein (LDL) within groups were significantly different ( po0.05). Mean WC, cholesterol, LDL, and triglyceride between groups were significantly different ( po0.05). Both groups had SBP improved at the third and sixth month when compared with baseline data. Mean HDL increased in the experimental group and decreased in the control group. Multiple regression analysis showed that both groups were not statistically different after intervention, SBP was reduced in the experimental group when compared to the control group. However, at six months, members in the experimental group reported spending less time sitting or reclining on a typical day than members of the control group.Publication Open Access Physical activity, dietary habits and blood pressure of hypertensive patients in Phutthamonthon district, Nakorn Pathom province, Thailand(2009) Mandal, Ganesh Kumar; Wirat Kamsrichan; วิรัตน์ คำศรีจันทร์; Napaporn Sowattanangoon; นภาพร โสวัฒนางกูร; Napaporn Sowattanangoon; Mahidol University. ASEAN Institute for Health DevelopmentHypertension is an important and major risk factor of many diseases and is rapidly emerging as a major public health problem in developing countries, including Thailand. This hospital based cross sectional study of 153 hypertensive patients agedPublication Open Access Hypertension preventive behavior among pre-hypertensive adults in Phutthamonthon district, Nakhon Pathom province, Thailand(2015) Robinson Mariyasoosai; Jiraporn Chompikul; Boonyong Keiwkarnka; Somsak Wongsawass; Mahidol University. ASEAN Institute for Health DevelopmentThe objectives of this research were to describe the hypertension preventive behavior and related risk factors among pre-hypertensive adults aged 35 years or older in Phutthamonthon district, Nakhon Pathom province, Thailand. Stratified sampling was used to select participants. Out of 382 self-administered questionnaires, only 227 (59.4%) which were completed and met the inclusion criteria. Chi-square tests and multiple logistic regressions were used to examine associations between independent and dependent variables. Preventive behavior was regarded as the dependent variable and other factors such as socio-demographic factors, physical factors, psycho-social factors and cues to action as independent variables. The results showed that only 22.2% of participants had good preventive behaviors on hypertension. Chi-square tests revealed that factors significantly associated with hypertension preventive behavior were occupation, perceived susceptibility, perceived barriers and knowledge levels. After adjusting for other factors, people who had poor knowledge about hypertension were less likely to have good preventive behavior compared to those who had good knowledge (Adjusted Odds Ratio=0.36, 95% CI =0.08-1.59). The findings suggested that health education programs should be strengthened and promoted to overcome knowledge deficiencies and negative perceptions. People should practice healthy behaviors to prevent hypertension. Moreover, strategies for overcoming the barriers of the old people, such as using home visits, should be more promoted.Publication Open Access การจัดการทางทันตกรรมในผู้ป่วยภาวะความดันโลหิตสูงฉบับปรับให้ทันเหตุการณ์(2551-01) สมชัย มโนพัฒนกุล; Somchai Manopatanakul; สุภาพร มิ่งอารีวาณิช; Supabhon Ming-a-reewanich; วิมลพรรณ นนทรีย์; Wimonpan Nonsri; นิธิมา เชาวลิต; Nithima Chawalit; Mahidol University. Faculty of Dentistry. Department of Hospital Dentistryผู้ป่วยที่มีภาวะความดันโลหิตสูงควรได้รับการดูแลทางทันตกรรมอย่างระมัดระวัง เมื่อผู้ป่วยเหล่านี้มาพบทันตแพทย์ควรได้รับการประเมินสภาวะร่างกาย จิตใจและความดันโลหิตก่อนการรักษา เพื่อลดโอกาสในการเกิดภาวะแทรกซ้อน นอกจากนี้ในปี พ.ศ. 2543 เกณฑ์วินิจฉัยและแนวทางการรักษาความดันโลหิตสูงมีการเปลี่ยนแปลง เช่น การให้ความสำคัญของความดันโลหิตช่วงหัวใจบีบตัวมากขึ้น การปรับอาหารและการดำรงชีวิตเพื่อป้องกันโรค ดังนั้นความเข้าใจในลักษณะของโรค การป้องกัน การรักษาและสภาวะต่าง ๆ ที่อาจเกิดขึ้นในช่องปากของผู้ป่วยที่มีภาวะความดันโลหิตสูงเป็นสิ่งที่ทันตแพทย์ควรทราบและติดตามการกำหนดแนวทางการรักษาล่าสุด รายงานนี้รวบรวมข้อมูลในแง่ การประเมิน การรักษาและภาวะแทรกซ้อนจากการรักษาภาวะความดันโลหิตสูงที่เกี่ยวข้องกับทางทันตกรรม เพื่อให้ทันตแพทย์ให้การรักษาได้อย่างถูกต้องตามแนวทางการรักษาที่ปรับเปลี่ยนแล้ว เพื่อนำไปสู่การรักษาที่ทันเหตุการณ์และมีประสิทธิภาพสูงสุดPublication Open Access Factors Related to Medication Adherence among Essential Hypertensive Patients in Tertiary Hospitals in Yangon, Myanmar(2015) Wai Phyo Han; Seo Ah Hong; Sariyamon Tiraphat; Mahidol University. ASEAN Institute for Health DevelopmentPoor adherence to medications is one of the major public health challenges. Due to little study on the adherence to anti-hypertensive treatment in Myanmar, where the prevalence of hypertension is the highest among South-East Asian Countries (42%), this study aimed to determine the prevalence of the adherence and to identify the factors related to medication adherence among hypertensive patients in Yangon, Myanmar. A hospital-based cross-sectional study was done on a sample of 216 hypertensive patients who recruited by convenient sampling method at tertiary hospitals in Yangon, Myanmar during April and May 2015. Faceto-face interview was conducted using a structured questionnaire to gather information on socio-demographic, knowledge, perception, self-efficacy, family support and cues to action. The medication adherence was measured by Morisky Medication Adherence Scale (MMAS-8). “Good adherence” was defined as MMAS- 8 scores of 6 or greater out of a total score of 8 points whereas “Poor adherence” as point of less than 6. Descriptive statistics, chi-square test and multiple logistic regressions were used for data analysis. Only 50% of hypertensive patients were reported as good adherence to anti-hypertensive medication. Using backward multiple logistic regression, younger age (adjOR=3.03, 95%CI=1.15-7.99), male patients (adjOR=1.84, 95%CI=1.01-3.37), low household income (adjOR=2.39, 95%CI=1.17-4.85), longer duration of hypertension (adjOR=4.00, 95%CI=1.87-8.59 for those within 1-3 years and adjOR=2.63, 95%CI=1.12-6.20 for those with more than 3 years compared to those less than 1year)) and higher level of perceived barriers (adjOR=2.55, 95%CI=1.27-5.09) were related with poor medication adherence. This study reported relatively high proportion of poor medication adherence. With regard to perceived barriers, such as medication side effects and complex dosing, health education program can be designed in out-patient settings particularly for patients with a long duration of hypertension. In addition, implementation of health insurance system should be considered to address external barriers like financial problem.