بررسي همبستگي حمايت اجتماعي و مديريت پرفشاري خون درزنان يائسه مبتلا به پرفشاري خون مراجعه كننده به بيمارستان فرشچيان همدان

The Correlation Between Social Support and Management of Hypertension in Menopausal Females at the Farshchian Hospital, Hamadan

مقدمه: حمايت اجتماعي و خودمديريتي از عوامل تاثيرگذار دركنترل و پيشگيري از عوارض بيماريهاي مزمن از جمله فشار خون مي باشد. لذا مطالعه اي با هدف تعيين همبستگي بين حمايت اجتماعي و مديريت پرفشاري خون درزنان يائسه مبتلا به پرفشاري خون انجام شد. روش كار: در اين مطالعه توصيفي- مقطعي 200 نفر از زنان يائسه مبتلا به پرفشاري خون كه به بيمارستان فرشچيان همدان مراجعه نمودند به روش نمونه گيري در دسترس انتخاب شدند. داده ها با استفاده از پرسشنامه مشخصات دموگرافيك، پرسشنامه حمايت اجتماعي وايكس و پرسشنامه محقق ساخته مديريت پرفشاري خون جمع آوري گرديد. سپس با استفاده از نرم افزار SPSS/20 و بكارگيري آزمون هاي ضريب همبستگي اسپيرمن، تي مستقل، آناليز واريانس يك طرفه مورد تجزيه و تحليل قرار گرفت. يافته ها: در اين مطالعه 13 درصد زنان مورد پژوهش از حمايت اجتماعي ضعيف، 49/5 درصد از حمايت اجتماعي متوسط و 37/5 درصد از حمايت اجتماعي خوب برخوردار بودند. ارتباط معناداري بين حمايت اجتماعي و مولفه هاي مديريت پرفشاري خون ( رفتارهاي خود تنظيمي، خود پايشي، واكنش به بيماري، خودمراقبتي و پايبندي به رژيم دارويي) ديده شد( 0/005

Introduction: Social support and self-management are effective factors in control and prevention of chronic diseases, including hypertension. The aim of this study was to determine the correlation between social support and management of hypertension in menopausal females with hypertension. Methods: In this cross-sectional study, 200 menopausal females with hypertension, who were admitted to Farshchian hospital of Hamedan were selected by convenience sampling. The data were collected from questionnaires on demographic characteristics, social support scale, and the researchers' questionnaire on hypertension management. The data was analyzed by the SPSS version 20 software using the Spearman correlation coeffiicient, t test, and Analysis of Variance (ANOVA). Results: In this study, 13% of samples had poor social support, 49.5% of samples had moderate social support, and 37.5% of samples had good social support. A significant relationship was found between social support and blood pressure management components (self-regulation, self-monitoring, disease response, self-care, and adherence to the drug regimen)(P < 0.005). Conclusions: The results indicated that social support had a significant relationship with the management of hypertension. By considering the important role of females in maintaining the health of other family members, their support could lead to improvement in their health status, including blood pressure control. Therefore, it is recommended to carry out planned interventions to improve self-management behaviors and social support of the family and community.