Researches conducted in different departments of Feofaniya Clinical Hospital in recent 5 years suggest extremely wide prevalence of arterial hypertension. According to the data of the representative extract survey the age-standardized prevalence of arterial hypertension at the hospital is 39.9% among men and 41.1% among women

Hordienko, L.

Perepadya, O.

Żukow, Walery

Journal of Education Health and Sport

English

Hordienko L., Perepadya O., Zukow W. Preventive measures for arterial hypertension risk factors among medical staff of Feofaniya Clinical Hospital of State Management of Affairs. Journal of Education, Health and Sport. 2018;8(6):458-468. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2541646

http://ojs.ukw.edu.pl/index.php/johs/article/view/6491

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The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017).

1223 Journal of Education, Health and Sport eissn 2391-8306 7

 

© The Authors 2018;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

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Received: 02.06.2018. Revised: 18.06.2018. Accepted: 30.06.2018.

 

 

 

 

 

UDC 616.071.1:613.6.027


 

Preventive measures for arterial hypertension risk factors among medical staff of Feofaniya Clinical Hospital of State Management of Affairs


 

L. Hordienko

Feofaniya Clinical Hospital of State Management of Affairs, Kyiv, Ukraine


 

O. Perepadya 

Head of The Prevential Medicine Center of State Management of Affairs, Kyiv, Ukraine


 

W. Zukow

Department of Spatial Management and Tourism, Faculty of Earth Sciences,

Nicolaus Copernicus University in Torun, Torun, Poland


 


 


 

Summary. Researches conducted in different departments of Feofaniya Clinical Hospital in recent 5 years suggest extremely wide prevalence of arterial hypertension. According to the data of the representative extract survey the age-standardized prevalence of arterial hypertension at the hospital is 39.9% among men and 41.1% among women.

Key words: cardiovascular diseases, arterial hypertension, ischemic heart disease, somatotype

Zukow, W.

NEUROSURGERY ENTHUSIASTIC WOMEN SOCIETY

Preventive measures for arterial hypertension risk factors among medical staff of Feofaniya Clinical Hospital of State Management of Affairs

L. Hordienko

O. Perepadya

W. Zukow

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Hordienko L., Perepadya O., Zukow W. Preventive measures for arterial hypertension risk factors among medical staff of Feofaniya ClinicalHospital  of  State  Management  of  Affairs. Journal  of  Education,  Health  and  Sport.  2018;8(6):458-468.  eISNN  2391-8306.  DOIhttp://dx.doi.org/10.5281/zenodo.2541646http://ojs.ukw.edu.pl/index.php/johs/article/view/64  91  https://pbn.nauka.gov.pl/sedno-webapp/works/898466The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017).1223 Journal of Education, Health and Sport eissn 2391-8306 7© The Authors 2018;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the originalauthor (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.06.2018. Revised: 18.06.2018. Accepted: 30.06.2018.UDC 616.071.1:613.6.027Preventive measures for arterial hypertension risk factors among medical staffof Feofaniya Clinical Hospital of State Management of AffairsL. HordienkoFeofaniya Clinical Hospital of State Management of Affairs, Kyiv, UkraineO. Perepadya Head of The Prevential Medicine Center of State Management of Affairs, Kyiv, UkraineW. ZukowDepartment of Spatial Management and Tourism, Faculty of Earth Sciences,Nicolaus Copernicus University in Torun, Torun, Poland458Summary. Researches  conducted  in  different  departments  of  FeofaniyaClinical  Hospital  in  recent  5  years  suggest  extremely  wide  prevalence  of  arterialhypertension.  According  to  the  data  of  the  representative  extract  survey  the  age-standardized prevalence of arterial hypertension at the hospital is 39.9% among menand 41.1% among women.Key  words: cardiovascular  diseases,  arterial  hypertension,  ischemic  heartdisease, somatotype.Research  relevance. It  is  known  that  arterial  hypertension  (AHT)  in  thestructure of general morbidity and mortality occupies one of the leading positions.About 25% of the world's adult population suffers from AHT, the global hypertensioninvolvement in the world is to increase to 1.5 billion people in 2025 (World HealthOrganization, 2011). 7.6 million cases of premature deaths (about 13.5% out of totalcases), 54% of strokes and 47% of events caused by ischemic heart disease developdue to high blood pressure (BP) (V. Kovalenko, 2013).In Ukraine, there are almost 12 million hypertensive people that is up to 30% ofthe adult population. Unfortunately, only 60% of people are aware of the presence ofhigh BP, 50% out of them stick to medical treatment during one month, only 14% ofthe  AHT patients  follow permanent  treatment  regimen.  In  addition  to  significantcardiovascular  events  and  urinary  tract  complications,  AHT  causes  prematuresenescence and cognitive decline; it is a comorbidity associated with obesity, diabetesand atherosclerosis (I. Horbas with the co-author, 2010).In the structure of cardiovascular diseases arterial hypertension (AHT) rankshigh  as  it  leads  to  serious  complications,  contributes  to  the  development  ofcerebrovascular accident (CVA) and ischemic heart disease (IHD) that often results indisability and mortality of the population.459AHT is one of the most common cardiovascular diseases in Ukraine and  in thewhole world. In 30-40% of Ukrainian adult population blood pressure exceeds 140/90mmHg. This is due to the fact that AHT in many respects causes high cardiovascularmorbidity and mortality; it is characterized by substantial prevalence and, at the sametime, the lack of adequate control at a population scale. Even in countries with high-level healthcare outcomes this figure does not exceed 25-27%  while in Ukraine only5.7% in men and 17.5% in women have adequately controlled blood pressure (BP).The severeness of AHT lies in the fact that quite often it is not clinically apparent andleads to the development of significant cardiovascular events - ischemic heart disease,cerebrovascular accident, premature disability and life expectancy decline.Epidemiological  researches  conducted  in  different  departments  of  FeofaniyaClinical  Hospital  in  recent  5  years  suggest  extremely  wide  AHT  involvement.According  to  the  data  of  the  representative  extract  survey  the  age-standardizedprevalence of arterial hypertension at the hospital is 39.9% among men and 41.1%among  women.  37.1% of  men  and  58.9%  of  women  are  aware  of  their  diseasepresence, 21.6% of men and 45.7% of women are medically treated, and only 5.7% ofmen and 17.5% of women get effective treatment. However, these values vary greatlydepending on the department they work at.  It  is  concluded that  AHT is the mostfrequently registered in the departments of anesthesiology and neurology.Hypertension prevalence among young people is of particular concern. Theyare poorly informed about the disease presence or do not attach importance to AHT.Blood pressure control of the working-age population is considered to be one of thekey  links  in  the  system  of  preventive  measures  carried  out  in  relation  to  majorcardiovascular diseases.460The  incidence  of  AHT among  village  residents  is  recorded with  steadilyincreasing frequency. In Kyiv oblast it occurs in 30% of men and 38-41% of womenamong village residents in the age group of 35-60 years.Similar  work is  carried out  among medical  staff  in the age group of  20-59years. AHT is found in 34.2% of the surveyed who work at night.However, despite the abundance of publications on the AHT prevalence amongthe population only a few researches are devoted to this problem among medical staff.The prevalence of hypertension and its risk factors among medical staff of FeofaniyaClinical Hospital is studied for the first time.Research Aim. Set out the system of preventive measures for the prevalence ofarterial hypertension risk factors and life quality according to different somatotypesand psychological profiles of the medical staff cohort of Feofaniya Clinical Hospital.Research Objectives.1.To Identify the prevalence of hypertension and its risk factors amongFeofaniya Clinical Hospital medical staff who have different somatotypes.2.To  study  the  commitment of  medical  workers  to  medicalpharmacotherapy, its regularity and effectiveness.3.To research psychological peculiarities of Feofaniya Clinical Hospitalmedical staff depending on the levels of blood pressure and somatotype.4.To determine the influence of  socio-psychological  maladaptation onlife quality   of the patients with AHT among medical workers.Scientific Novelty. The  prevalence of  hypertension is  studied for  the firsttime  and  stratification  of  risk  factors  for  cardiovascular  disease  among  urbanpopulation is conducted; Feofaniya Clinical Hospital medical staff adherence toantihypertensive therapy and its effectiveness is studied.461For  the  first  time,  somatotype  extension  of  the  organized  population  ofmedical  workers  is  surveyed  and  specific  gravity  of  arterial  hypertensionprevalence  in  each  somatotype  with  frequency  partition  of  risk  factors  isdetermined.For the first time, urban population psychological peculiarities of FeofaniyaClinical  Hospital  medical  staff  and  their  influence  on  life  quality  are  examined,frequency of socio-psychological maladaptation is revealed.The  system of  preventive  measures  for  AHT among medical  workers  isdeveloped  in  terms  of  anthropometric  values,  the  frequency  of  risk  factorsoccurrence and peculiarities of psychological status.Results аnd Discussion. Heart, vessel, kidney and brain involvements headthe list  of  AHT complications.  To reduce  the  number  of  patients  with  arterialhypertension and its complicated forms, improve their life quality and prevent riskfactors (RF) of this pathology special national measures are required.  Currentlythree strategies of preventive measures are distinguished: population, high risk andsecondary prevention.The  study  includes  101  doctors  out  of  whom  21  subjects  are  women(21,21%) and 80 subjects are men (80.8%). Mean age of the medical staff is 47.Doctors’ working experience is 5-10 years. In the group of employed individuals19 subjects (19,19%) suffer from AHT, out of these 14 (14,14%) are men and 5(5,05%) are women. Stage 1 hypertension is found in 13 cases (13,13%), out ofthese 2 (2.02%) are women and 11 (11,11%) are men. 6 individuals (6.06%) havestage  2  hypertension  that  is  equally  found  among  men  (3  cases,  3,03%)  andwomen (3 cases, 3,03%).462The success of individual prevention depends on timely detection of peoplewith RF and the introduction of preventive treatment. Secondary prevention is toidentify individuals with early stages of the disease and to conduct medical andpreventive  treatment  (S.  Armesto  et  al.,  2007).  Taking  into  considerationsignificant prevalence of cardiovascular diseases population strategy should have adominant  role,  but  due  to  socio-political  and  economic  factors  in  Ukraine  itsimplementation in most cases is superficial and inconsistent. That is why at theregional  level  the  most  popular  and available  preventive  strategies  are  healthylifestyle,  high-risk  strategy  (preventive  medical  examination)  and  secondaryprevention (medical treatment).Polish  program  "Sopkard"  developed  by  scientists  at  Gdańsk  MedicalAcademy and based on the experience of Swedish colleagues can be consideredthe example of individual prevention. The essence of the program is a long (for 10years) preventive intervention aimed at 40- and 50-year-old residents focused ontimely detection of AHT, diabetes and hypercholesterolemia, implementation ofmeasures  for  primary  and  secondary  prevention  of  cardiovascular  diseases  (S.Boitsov, 2012).North Karelia Project was introduced in Finland. Within 20 years of projectimplementation the average blood cholesterol values in the population decreasedby 13%, AHT values declined by 9%, propensity for tobacco use lowered by 15%.Over the course of the study mortality from CHD among men dropped by 68%,from lung cancer  by 71% and total  mortality by 49%; life  expectancy for  thisperiod increased by 10 years. In Ukraine life expectancy in 1970 exceeded theindicated values in Finland, in 1991 the average value in Ukraine was 6 years lessthan that in Finland in 2007.463Preventive programs in the above-mentioned countries were designed for10-20 years. Implementation of health development programs in these countriesconsisted of two components: formation of healthy lifestyle and development ofprimary medical  assistance  with the priorities  for  the preventive component  ofhealth care.One  of  the  most  major  problems  with  implementation  strategies  was  toprovide provide a background for healthy lifestyle of the population (Table 1).Table 1.Over the last two yearsSubscale LowLevelModerateLevelHigh Level201620172016201720162017Emotional exhaustion 546427232014Depersonalization 73821612127Reduction of personal achievements55663227148Conclusions1.  Data on AHT prevalence is necessary for planning of measures forsecondary prevention of cardiovascular diseases.4642.  The obtained data on the prevalence of risk factors in the populationof  medical  staff  is  essential  for  planning  of  measures  for  primary  AHTprevention.3.  Psychological testing data of hypertensive patients determine patients’life quality.4.  The prevalence of arterial hypertension and risk factors both amongmedical  staff  and unorganized population is  quite  high accompanied  with  lowawareness on the disease and poor treatment effectiveness.5.  High values of SMOL test in hypertensive patients on the scale ofneurotic triad (1, 2,  3),  6 (paranoia),  7 (psychasthenia)  and 8 (schizoid) arecombined with strongly marked decline in the quality of life.6.  Megalosomal  somatotype  is  the  predictor  of  arterial  hypertensiondevelopment among medical staff.References1. Guidelines Sub-Committee.  1993 Guidelines for  the management of  mildhypertension: memorandum from a World Health Organization/International Societyof Hypertension meeting. J Hypertens 1993;11: 905–918. GL.2. Guidelines Sub-Committee. 1999 World Health Organization/InternationalSociety of Hypertension Guidelines for the management of hypertension. J Hypertens1999;17:151–183. GL.3. Guidelines Committee 2003. European Society of Hypertension-EuropeanSociety  of  Cardiology  guidelines  for  the  management  of  arterial  hypertension.  JHypertens 2003;21:1011–1053. GL.4. Top 10 papers published. The Scientist 2005;19:26. OS.4655. ESH/ESC Hypertension Practice Guidelines Committee. Practice guidelinesfor  primary care  physicians:  2003 ESH/ESC hypertension guidelines.  J  Hypertens2003;21:1779–1786. GL.6.  Simoons ML, van der  Putten N,  Wood D,  Boersma E,  Bassand JP.  TheCardiology Information System: the need for data standards for integration of systemsfor  patient  care,  registries  and  guidelines  for  clinical  practice.  Eur  Heart  J2002;23:1148–1152. GL.7. MacMahon S, Peto R, Cutler J,  Collins R, Sorlie P, Neaton J,  Abbott R,Godwin J, Dyer A, Stamler J. Blood pressure stroke coronary heart disease. Part 1prolonged differences in blood pressure: prospective observational studies correctedfor the regression dilution bias. Lancet 1990;335:765–774. MA.8. Report of the Joint National Committee on Detection Evaluation. Treatmentof High Blood Pressure: a cooperative study. JAMA 1977;237: 255–261. GL.9. The 1980 report of the Joint National Committee on Detection, Evaluation,and Treatment of High Blood Pressure. Arch Intern Med 1980; 140:1280–1285. GL.10. Collins R, Peto R, MacMahon S, Herbert P, Fieback NH, Eberlein KA,Godwin J, Qizilbash N, Taylor JO, Hennekens CH. Blood pressure stroke coronaryheart disease. Part 2, short-term reductions in blood pressure: overview of randomiseddrug trials in their epidemiological context. Lancet 1990;335:827–839. MA.11. Prospective Studies Collaboration. Age-specific relevance of usual bloodpressure  to  vascular  mortality:  a  meta-analysis  of  individual  data  for  one  millionadults in 61 prospective studies. Lancet 2002;360: 1903–1913. MA.12. European cardiovascular disease statistics, British Heart Foundation 2000www.dphpc.ox.ac/UKbhfhprg. RV.13. Kannel WB. Blood pressure as a cardiovascular risk factor: prevention andtreatment. JAMA 1996;275:1571–1576. OS.46614. Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. The progression fromhypertension to congestive heart failure. JAMA 1996;275:1557–1562. OS.15. Criqui MH, Langer RD, Fronek A, Feigelson HS, Klauber MR, McCannTJ, Browner D. Mortality over a period of 10 years in patients with peripheral arterialdisease. N Engl J Med 1992;326:381–386. OS.16.  Klag MJ,  Whelton PK, Randall  BL, Neaton JD, Brancati  FL, Ford CE,Shulman NB, Stamler J. Blood pressure and end-stage renal disease in men. N Engl JMed 1996;334:13–18. OS.17.  Kearney PM, Whelton M, Reynolds K,  Muntner  P,  Whelton PK, He J.Global burden of hypertension: analysis  of worldwide data. Lancet 2005;365:217–223. OS.18. Martiniuk AL, Lee CM, Lawes CM, Ueshima H, Suh I, Lam TH, Gu D,Feigin V, Jamrozik K, Ohkubo T, Woodward M, for the Asia-Pacific Cohort StudiesCollaboration. Hypertension:  its  prevalence and population-attributable fraction formortality  from  cardiovascular  disease  in  the  Asia-Pacific  region.  J  Hypertens2007;25:73–79. OS.19. Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense HW, JoffresM,  Kastarinen  M,  Poulter  N,  Primatesta  P,  Rodriguez-Artalejo  F,  Stegmayr  B,Thamm M, Tuomilehto J, Vanuzzo D, Vescio F. Hypertension prevalence and bloodpressure  levels  in  6  European  countries,  Canada,  and  the  United  States.  JAMA2003;289:2363–2369. OS.20.  Ezzati  M,  Lopez  AD,  Rodgers  A,  Vander  Hoorn  S,  Murray  CJ,Comparative Risk Assessment Collaborating Group. Selected major risk factors andglobal and regional burden of disease. Lancet 2002;360:1347–1360. RV.21. Franklin SS. Ageing and hypertension: the assessment of blood pressureindices in predicting coronary heart disease. J Hypertens 1999;17(Suppl 5):S29–S36.RV.467Профилактические мероприятия факторов риска артериальнойгипертензией у медицинских работников клинической больницы«Феофания»Государственного управления деламиРезюме. Исследования  проведены  в  различных  отделениях  КБ«Феофания»  в  течение  последних  5  лет,  свидетельствуют  о  чрезвычайноширокую  распространенность  артериальной  гипертензии.  По  даннымобследования  репрезентативной  выборки,  стандартизированная  по  возрастураспространенность  артериальной  гипертонии  в  КБ  «Феофания»  составляетсреди мужчин 39,9%, а среди женщин 41,1%.Ключевые  слова:  сердечно-сосудистые  заболевания,  артериальнаягипертония, ишемическая болезнь сердца, соматотип. Preventive measures for arterial hypertension risk factors among medicalstaff of Feofaniya Clinical Hospital of State Management of AffairsSummary. Researches  conducted  in  different  departments  of  FeofaniyaClinical  Hospital  in  recent  5  years  suggest  extremely  wide  prevalence  of  arterialhypertension.  According  to  the  data  of  the  representative  extract  survey  the  age-standardized prevalence of arterial hypertension at the hospital is 39.9% among menand 41.1% among women.Key  words: cardiovascular  diseases,  arterial  hypertension,  ischemic  heartdisease, somatotype.468

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Preventive measures for arterial hypertension risk factors among medical staff of Feofaniya Clinical Hospital of State Management of Affairs

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