Continuous care, one more cardiovascular risk factor to consider?

Enfermería clínica
María Gema Lozano-LázaroGemma Alejandre-Lázaro

Abstract

To assess blood pressure (BP) in Primary Care (PC) professionals while working extra shifts and its relationship with the professional role, anxiety level and social support. Descriptive,, cross-sectional, multicentre and prospective study. PC health workers from Toledo Health Area who work on-call shifts. diagnosed hypertension, African origin, cardiovascular disease or chronic treatment. Voluntary sampling. sociodemographic, occupational and STAI questionnaire (anxiety state/feature); ISTAS21 questionnaire (psychosocial risks at work), and Ambulatory BP Monitoring with a Holter for two days, 48h: one of them during the shift and the other one during a day without being on-call. The BP monitor showed significant differences in daytime systolic BP: rest day115.9±8,3mmHg/ Shift mean: 120.2±8,1 (t=4.319; P<0.001); daytime diastolic: rest day 73.3±5.9mmHg/Shift 77.9±6.1 (t=6.555; P<0.001); night systolic: rest day 106.8±8.3mmHg/shift 111.6±9.5 (t=3.4; P<0.001); night diastolic: rest day 65.1±5.6mmHg/Shift 69.1±6.9 (t=4.14; P<0.0001). We found no relationship between variations in the BP, the category or role. The ISTAS dimensions (health situation status) and the anxiety level (average of 5/10 during the shift) are not related wit...Continue Reading

References

Oct 1, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S L AdamsJ E Rosenthal
Dec 9, 1998·Health Economics·A Williams

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