Effect of Lifestyle Intervention Program on Controlling Hypertension among Older Adults

Hypertension is one of the most common health problems in older adults and affects approximately one billion individuals worldwide. Interventions for hypertensive patient should be designed to increase adherence to lifestyle modification and antihypertensive medications. Aim: to determine the effect of lifestyle intervention on controlling hypertension among older adults. Method: quasi-experimental research design was used. The study carried out on 84 hypertensive elderly patients attending outpatient clinics of the specialized medical hospital, Mansoura university hospital, and New Mansoura general hospital. The subjects were alternatively divided into two equal groups; the first was study group, comprised of 42 patients and they were received the lifestyle intervention regarding control blood pressure. The second was control group, comprised of 42 patients and exposed to routine outpatient care only. Data was collected using 3 tools, socio-demographic and clinical data structured interview sheet, hypertension knowledge, and health promoting lifestyle profile II. Conclusion: the lifestyle intervention program was effective in the control of blood pressure via adoption of healthy behaviors. Keywords: lifestyle intervention, hypertension, older adult

Work-related psychosocial hazards among emergency medical responders (EMRS) in Mansoura city

Purpose: This research was done to assess levels of psychosocial stress and related hazards [(burnout, depression, and posttraumatic stress disorder (PTSD)] among emergency medical responders (EMRs). Materials and Methods: A comparative cross-sectional study was conducted upon (140) EMRs and a comparative group composed of (140) nonemergency workers. The groups studied were subjected to semistructured questionnaire including demographic data, survey for job stressors, Maslach burn out inventory (MBI), Beck depression inventory (BDI), and Davidson Trauma scale for PTSD. Results: The most severe acute stressors among EMRs were dealing with traumatic events (88.57%), followed by dealing with serious accidents (87.8%) and young victims (87.14%). Chronic stressors were more commonly reported among EMRs with statistically significant differences (P 0.05). There was increased risk of PTSD for those who had higher stress levels from death of colleagues [odds ratio (OR) [95% confidence interval (CI)] = 2.2 (0.7-7.6), exposure to verbal or physical assault OR (95% CI) = 1.6 (0.5-4.4) and dealing with psychiatric OR (95% CI) 1.4 (0.53.7) (P > 0.05) Conclusion: EMRs group had more frequent exposure to both acute and chronic work-related stressors than comparative group. Also, EMRs had higher levels of EE, DP, and PTSD compared with comparative group. EMRs are in need for stress management program for prevention these of stress related hazards on health and work performance