Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hypertension Risk Factors for Climacteric Women in Rural Areas: A Cross-Sectional Study
Kırsal Bölgede Klimakterik Kadınlarda Hipertansiyon Risk Faktörleri: Kesitsel Bir Çalışma
Gamze Gülsüm KILIÇLIa , Ayşegül ÖZCANb , Figen İNCİc
aAnkara Provincial Health Directorate, Hürriyet Family Health Center, Ankara, Türkiye
bDepartment of Nursing, Division of Public Health Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir, Türkiye
cDepartment of Nursing, Division of Psychiatric Nursing, Niğde Ömer Halisdemir University Niğde Zübeyde Hanım Faculty of Health Sciences, Niğde, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1032-40
doi: 10.5336/nurses.2023-97496
Article Language: EN
Full Text
ABSTRACT
 Objective: The study examined the prevalence and risk factors of hypertension in climacteric women living in rural areas of Türkiye. Material and Methods: It is a descriptive-relational study. This study found that hypertension prevalence was 40.8% with a confidence level of 95%, a test power of 95.98%, and an effect size of d=0.20, resulting in a sample size of 84. Post-hoc power analysis revealed a power of 99.99% with a sample size of 348. The researcher used a faceto-face questionnaire to gather data from 348 women who applied to the family health center and met the inclusion criteria. The data was analyzed using the IBM SPSS Statistics 23 software package, employing ttests, chi-square tests, and binary logistic regression analysis. Results: The study found that one out of three climacteric women had hypertension and that the majority of those who weren't aware had pre-hypertension or Stage 1 hypertension. In addition, hypertension was found to be significantly higher in climacteric women aged 56 to 64 who were married, did not consume fruit and vegetables regularly, and had been menopausal for 1 to 5 years (p<0.05), and it was more common in older, married, chronically ill, and obese women. Conclusion: Women in the climacteric period who have hypertension should receive information and awareness-raising services on the associated risk factors.

Keywords: Women; climacteric period; hypertension
ÖZET
 Amaç: Araştırma, Türkiye'nin kırsal kesiminde yaşayan klimakterik dönemde olan kadınlarda hipertansiyon ve risk faktörlerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma, betimsel-ilişkisel türdedir. Çalışmalara dayalı olarak hipertansiyon prevalansı %40,8 alınmış, %95 güven, %95,98 test gücü ve d=0,20 etki büyüklüğü ile örneklem büyüklüğü 84 olarak hesaplanmıştır. ''Post hoc'' güç analizi sonucuna göre aynı etki büyüklüğü ve 348 örneklem ile testin gücü %99,99 bulunmuştur. Araştırma, aile sağlığı merkezine başvuran dâhil edilme kriterlerine uyan 348 kadın ile yüz yüze görüşme yöntemiyle soru formu doldurularak gerçekleştirilmiştir. Veriler IBM SPSS Statistics 23 paket programı üzerinde t-testi, ki-kare testi ve ikili lojistik regresyon analizi kullanılarak yapılmıştır. Bulgular: Her üç klimakterik dönemde olan kadından birinde hipertansiyon olduğu, hipertansiyonun farkında olmayan kadınların çoğunluğunun prehipertansiyon ve Evre 1 hipertansiyon olduğu saptanmıştır. Ayrıca 56-64 yaş grubunda, evli, düzensiz meyve sebze tüketen, menopoza girme süresi 1-5 yıl olan klimakterik kadınlarda (p<0,05), yaşlılarda, evli, kronik hasta ve obez klimakterik kadınlarda hipertansiyon anlamlı derecede daha fazla saptanmıştır. Sonuç: Hipertansiyon sorunu yaşayan klimakterik dönemde olan kadınlara risk faktörleri konusunda eğitim ve farkındalık hizmeti verilmelidir.

Anahtar Kelimeler: Kadın; klimakterik dönem; hipertansiyon
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