MODIFIED AND NON-MODIFIED RISK FACTORSOF ARTERIAL HYPERTENSION AT THE MEDICALSISTERS ON THE EXAMPLEOF JSC"CENTRAL ROAD HOSPITAL" ASTANA

Abstract

Background. Trends in the development of nursing significantly strengthen the role of a nurse in the
modern health care system. Practical health workers are exposed to numerous unfavorable factors of
the work process, which leads to the formation of an increased level of morbidity in this professional
group. However, the health and well-being of medical workers is affected not only by working conditions,
but also by a number of other factors, in particular modifiable and non-modifiable risk factors [4].
The aim of the study was to identify modifiable and non-modifiable risk factors for hypertension in
nurses.
Materials and methods.This study is based on the collected data of a cross-sectional survey in
2017. 102 representatives of nursing staff of JSC "Central Road Hospital" of Astana city were surveyed.
A specially developed questionnaire on the identification of risk factors for hypertension was used. The
statistical processing was carried out with the help of Microsoft Exsel, Statistica 6.0. The numerical data
are presented as the mean (M) and standard deviation (SD) as M ± SD, the variation interval (minimum
and maximum), and the confidence interval. The significance of differences in mean values was
estimated using the χ2 criterion, the Spearman rank correlation coefficient, logistic regression (logit (p)).
Significant strong and medium force correlations were taken as significant (r = 0,31,0). For all types of
analysis, the values p <0,05 were considered statistically significant.
Results of the study.The results showed that 42,16% of the respondents had a hereditary
predisposition to such diseases as hypertension, myocardial infarction, cerebral stroke, diabetes
mellitus; overweight in 49,02%, obesity in 8,82%; abdominal obesity ≥80 cm 42,16% (χ2 = 4,38, p =
0,036). The presence of hypertension was found in 31,4% of nurses. According to the construction of
logistic regression, significantly increases the risk of arterial hypertension, the body mass index is
23,6 (OR = 4,6-112) times p = 0,000, and salt intake is not actually associated with AH risk (OR = 1-
6,7).
Conclusions.The study showed a high prevalence of modifiable and non-modifiable RF among
nurses, such as overweight, abdominal obesity, smoking, drinking alcohol, dosing of finished food, age
and hereditary predisposition to diseases of the cardiovascular system. Correlation analysis revealed
strong and significant links between age and level of SBP and DBP, age and the presence of AH. In
order to more efficiently and systematically carry out the prevention of risk factors for hypertension
among nursing staff, it is advisable to introduce the incidence rate, as well as the behavioral FR AH, by
the occupational physicians of the hospital. We propose to use our developed questionnaire as one of
the variants of the approach to further monitoring of risk factors for hypertension in nurses.