Using Implementation Of Intention in decreasing daily salt intake in hypertensive patient in rural areas of Tabriz in 1395

Abstract

According to prevalence of hypertension, its relationship with salt intake and lack of research in regard to implementation of intention in controlling salt in Iran particularly in Eastern Azarbayjan , the present interventional research was conducted to decrease the amount of daily salt intake using implementation of intention in patient suffering from hypertension in the health centre of rural areas of Tabriz in 2016. Methods and Tooles Collecting the demographic data(sex, age, Education, Employment, Family Affluence State) in this interventional study was carried out through demographic questionnaire , the data relating to salt intake through Food Frequency questionnaire and measuring Sodium excreted in urine was done ,also measuring the blood pressure was done through pizometer to (mmhg)1 and it was compared to its standard criteria. The BMI2 was measured through determination of Weight, size and waistline. In order to assess knowledge , attitude and perceived controlled behavior,subjective norms and intention , the reliable questionnaire was used in two stages before and after intervention in patient. Implementing the research was divided to three stages pre-intervention intervention and post-intervention Findings In present descriptive-analytical study was conducted among 205 patients with hypertension, covered by 12 rural health centers of Tabriz, more than half of the patients (62.9%) were female (male: 37.1%), and the majority of them aged over 60 years (40.5%). More than half of the patients were illiterate or low educated (57.6%), were housewives (62.4%), and had low or moderate socio-economic status (14 and lower) based on the families affluence state (53.7%). There was a significant difference between men and women for age and occupation (P<0.001). Implementing the logistic regression test to adding salt during eating to more than the recommended dose for men(p=0/048) and age (54-59)(p=0/004) was significant. Adding salt during eating with knowledge (p=0/053) attitude (p=0/059) was relatively significant however,was not significant with the other variables including Family Affluence Status, Perceive control of behavior and Body mass index. Implement the logistic regression test was significant for Adding salt during cooking to more than recommended dose was significant with occupation (p=0/038) , knowledge (p=0/048) sodium intake (p=0/030).However was not significant with other variable including sex, age , Family Affluence Status,attitude, perceived control behavior and Body mass index. Knowledge was significant in patient with High blood presser before and after intervention in the control group. The mean of attitude in both groups (intervention and control groupes) increased after intervention. thus, the effect of education in attitude was clearly observed. Behavior and Perceived control of behavior in both groups before and after intervention was significant(p<0/001). Intention was significant in intervention(p=0/037)and control (p=0/027) groups before and after intervention. The rate of systolic blood pressure was significant in intervention (p=0/005) and control(p=0/003) groups before and after intervention. The rate of diastolic blood pressure was significant in the control group(p=0/045) before and after intervention. The mean and standard deviation of blood pressure decreased in intervention group (systolic128/6(16/41) , distolic80/76(8/84) and control group(systolic128/50(16/08)) ،)distolic77/95(11/05)( after intervention.Addition of salt during cooking was significant in the intervention group(p=0/013).Addition of salt during eating in both groups intervention(P=0/109 and control(P=0/455) was not significant before and after intervention .Daily Salt Intake was significant before and after intervention(p=0/022) . The urinary Sodium excretion was significant in both groups before and after intervention (p<0/001). The rate of blood presser, daily sodium Intake, urinary Sodium excretion in patient with and without intervention was not significant The mean and standard deviation of daily salt intake decreased in patients with intention(3283/6(1704)) in contrast to the patients without intention (4094(2874)) CONCLUSION The findings of the present study indicate the positive role of Implementation of intention in the salt intake of patient suffering from high blood pressure .continuing educational and interventional programs play an important role in decreasing the daily salt intake in patient with Hypertenssion.