[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
Flowchart of approve and expert process::
indexing and abstracting::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
:: Volume 14, Issue 4 (winter 2024) ::
j.health 2024, 14(4): 491-505 Back to browse issues page
Promotion of the Hypertension Prevention and Control Process at Alzahra Primary Health Care Center in Marand through Action Research Approach
S Gorbanzadeh , R Khodayari-Zarnaq , J* Babaie *
Tabriz University of Medical Sciences, Tabriz, Iran
Abstract:   (496 Views)
Background & objectives: Prevention and control programs for hypertension have been integrated into the health system and implemented for many years in Iran. However, executing such programs often faces challenges in practice, and requires continuous promotion. This study aims to share the experience of promoting hypertension prevention and control processes at the Alzahra Healthcare Center in Marand.
Methods: This quantitative-qualitative study utilized an action research approach. Initially, the performance of the control process was assessed at Alzahra Healthcare Center in Marand. The nominal group method and semi-structured interviews were then used to identify challenges in the process from the perspective of purposefully selected stakeholders. Suggestions for promotion were generated through focus group discussions and finalized using priority matrices. The interventions were implemented, and the process performance was reassessed.
Results: Implementation of the interventions led to improvements in indicators related to the percentage of newly identified patients, care for patients with high blood pressure referrals and visits to physicians for the thirty-year-old and older population, and referrals to specialists for patients with hypertension.
Conclusions: While the prevention process for patients with high blood pressure at the selected healthcare center showed relatively good performance, there was still a need for promotion. This study provided solutions to enhance aspects of the process. To ensure continued improvement, the action research cycle should be sustained. 
 
Keywords: Action Research, Process Promotion, Prevention and Control, Hypertension
Full-Text [PDF 267 kb]   (215 Downloads)    
Type of Study: Research | Subject: General
Received: 2023/06/2 | Accepted: 2023/10/18 | Published: 2024/01/4
References
1. Sripipatana A, Pourat N, Chen X, Zhou W, Lu C. Exploring racial/ethnic disparities in hypertension care among patients served by health centers in the United States. Journal of Clinical Hypertension. 2019; 21(4):489-98. [DOI:10.1111/jch.13504] [PMID] []
2. Piper MA, Evans CV, Burda BU, Margolis KL, O'Connor E, Whitlock EP. Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: a systematic review for the US Preventive Services Task Force. Annals of internal medicine. 2015; 162(3):192-204. [DOI:10.7326/M14-1539] [PMID]
3. Lyratzopoulos G, Heller RF, McElduff P, Hanily M, Lewis P. Deprivation and trends in blood pressure, cholesterol, body mass index and smoking among participants of a UK primary care-based cardiovascular risk factor screening program: both narrowing and widening in cardiovascular risk factor inequalities. Heart. 2006; 92(9):1198-206. [DOI:10.1136/hrt.2005.081042] [PMID] []
4. Boutayeb A. The double burden of communicable and non-communicable diseases in developing countries. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2006; 100(3):191-9. [DOI:10.1016/j.trstmh.2005.07.021] [PMID]
5. Kosha A, Najmi M, Mahdavi Hazaveh A, Moghisi A, Ganbari Motlag A, et al. Collection of essential interventions on non-communicable diseases in Iranian primary health care system. Ministry of Health. 2017. [Persian]
6. Azdaki N, Kazemi T. National project of blood pressure control. J Birjand Univ Med Sci. 2019; 26(2): 95-7. [Persian] [DOI:10.32592/JBirjandUnivMedSci.2019.26.2.100]
7. Nerenberg KA, Zarnke KB, Leung AA, Dasgupta K, Butalia S, McBrien K, et al. Hypertension Canada's 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children. Canadian Journal of Cardiology. 2018; 34(5):506-25 [DOI:10.1016/j.cjca.2018.02.022] [PMID]
8. Chiolero A, Bovet P, Paradis G. Screening for elevated blood pressure in children and adolescents: a critical appraisal. JAMA Pediatrics. 2013; 167(3):266-73. [DOI:10.1001/jamapediatrics.2013.438] [PMID]
9. Atlas of STEP-wise approach to non-communicable diseases (NCD) risk factors surveillance (STEPs) 2021.Spring 2022
10. MOHME. National Program for Prevention and Control of Hypertension. 2013. [Persian]
11. Doosti Irani M, Abdoli S, Parvizi S, Seyed Fatemi N, Amini M. An umberella named action research. Iranian journal of medical education. 2012; 11 (9): 1223-1230. [Persian]
12. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011.
13. Atashzadeh Shourideh F, Hasani P. Action research: a way to improving quality nursing practice. Nursing journal of AJA. 2012; 1(19): 7-16. [Persian]
14. Asadizaker M, Abed saeedi Zh, Abedi HA. Development of Clinical Teaching Process of the Fundamentals of Nursing with Participatory Approach: an Action Research. J Qual Res Health Sci 2014; 3(2): 175-89.
15. Talaei M, Sadeghi M, Mohammadifard N, Shokouh P, Oveisgharan S, Sarrafzadegan N. Incident hypertension and its predictors: the Isfahan Cohort Study. J Hypertension. 2014; 32(1):30-8. [DOI:10.1097/HJH.0b013e32836591d4] [PMID]
16. Miri M, Ramazani A, Hanafi H, Gholinejad B. Analysis of quality assessment of the prevention & control of hypertension plan in Birjand University of Medical Sciences. Quarterly of Horizon of Medical Sciences. 2006; 12(2):39-45. [Persian]
17. Khosravi A, Ansari R, Shirani S, Baghaei A. The causes of failure to control hypertension in population aged over 65. Journal of Inflammatory Disease. 2005; 9(2):8-14.
18. Shirani A, Baghaei A. The causes of failure to control hypertension in population aged over 65. J Qazvin Univ Med Sci. 2005; 35(35):8-14. [Persian]
19. Akhlaghi M, Ranjbar H, Abedinzadeh MR, Ahmadi A. Comparative study of two methods of fluid therapy with Ringer's Lactate and Ringer's solution. Medical journal of mashhad university of medical sciences. 2018; 61(1):888-99. [Persian]
20. Tabrizi JS, Farahbakhsh M, Sadeghi-Bazargani H, Hassanzadeh R, Zakeri A, Abedi L. Effectiveness of the health complex model in Iranian primary health care reform: the study protocol. Patient preference and adherence. 2016; 10: 2063. [DOI:10.2147/PPA.S107785] [PMID] []
21. Dehnavieh R, Noorihekmat S, Masoud A, Moghbeli M, Rahimi H, Poursheikhali A, et al. Evaluating the Tabriz Health Complex Model, Lessons to Learn. Iranian Journal of Epidemiology. 2018; 13(0):59-70. [Persian]
22. Bakhtiari A, Takian A, Sayari A, Bairami F, Sadeghtabrizi J, Mohammadi A, et al. Design and deployment of health complexes in line with universal health coverage by focusing on the marginalized population in Tabriz, Iran. Journal of Medicine and Cultivation. 2017; 25(4):213-32.
23. Kaye R, Kokia E, Shalev V, Idar D, Chinitz D. Barriers and success factors in health information technology: A practitioner's perspective. Journal of Management & Marketing in Healthcare. 2010; 3(2):163-75. [DOI:10.1179/175330310X12736577732764]
24. Nasrollahpour Shirvan SD, Ashrafian Amiri H, Motlagh ME, Kabir MJ, Maleki MR, Shabestani Monfared A, Alireza R. Evaluation of the Function of Referral System in Family Physician Program in Northern Provinces of Iran: 2008. J Babol university of medical sciences. 2010; 11 (6): 46-52. [Persian]
25. Chérrez-Ojeda I, Vanegas E, Felix M, Mata VL, Gavilanes AW, Chedraui P. Use and preferences of information and communication technologies in patients with hypertension: a cross-sectional study in 35- 35- 28- Ecuador. Journal of multidisciplinary healthcare. 2019; 12: 583. [DOI:10.2147/JMDH.S208861] [PMID] []
26. Fracolli LA, Gomes MFP, Nabão FRZ, Santos MS, Cappellini VK, Almeida ACCd. Primary health care assessment tools: a literature review and metasynthesis. Ciencia & saude coletiva. 2014; 19: 4851-60. [DOI:10.1590/1413-812320141912.00572014] [PMID]
27. D'Avila OP, Pinto LFDS, Hauser L, Gonçalves MR, Harzheim E. The use of the Primary Care Assessment Tool (PCAT): an integrative review and proposed update. Ciencia & saude coletiva. 2017; 22: 855-65. [DOI:10.1590/1413-81232017223.03312016] [PMID]
28. Mojahed F, Vahidi R, Asgari JM, Gholopour K, Mehri N. Payment mechanisms effect on performance indicators of family physician program. 2015. [Persian]
29. Strasser S, London L, Kortenbout E. Developing a competence framework and evaluation tool for primary care nursing in South Africa. Education for Health: Change in Learning & Practice. 2005; 18(2): 133-44 [DOI:10.1080/13576280500145615] [PMID]
30. Karami Z, Keyvanara M. Models of Relationship between Physicians and Patients Referring To the Clinic of Isfahan Shahid Beheshti Hospital, 2007. Strides in Development of Medical Education. 2010; 6(2): 149-156.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Gorbanzadeh S, Khodayari-Zarnaq R, Babaie J. Promotion of the Hypertension Prevention and Control Process at Alzahra Primary Health Care Center in Marand through Action Research Approach. j.health 2024; 14 (4) :491-505
URL: http://healthjournal.arums.ac.ir/article-1-2834-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 14, Issue 4 (winter 2024) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
Persian site map - English site map - Created in 0.15 seconds with 37 queries by YEKTAWEB 4623