대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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재가 노인의 체위성 저혈압 발생빈도와 위험요인

Prevalence and Risk Factors of Orthostatic Hypotension among the Community-Dwelling Aged

  • 유수정 (우석대학교 간호학과) ;
  • 송미순 (서울대학교 간호대학) ;
  • 김현숙 (청주과학대학 노인보건복지과)
  • 발행 : 2003.04.01
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초록

Purpose: This study was to identify the prevalence of orthostatic hypotension and its association with risk factors of orthostatic hypotension aged over 60 in Seoul and Chungju, Korea. Method: The data were collected from the 22th of August, 2000 to the 7th May 2001. The participants were 74 community-dwelling aged who could stand up from sitting position without assistance. Subjects were interviewed with structured questionnaire in order to ask experience of previous falls, hours in per day, symptoms related orthostatic hypotension and demographic characteristics. Orthostatic hypotension was assessed at 1 minute after the subjects standing from sitting position and defined as 20mmHg or greater decrease in systolic blood pressure after standing. Result: The prevalence of orthostatic hypotension was 17.1%. The mean drop of systolic blood pressure was 27.46mmHg among orthostatic hypotension subjects. The significant variables which explain the occurrence of orthostatic hypotension was the basal systolic blood pressure, the hit ratio of discriminant function with basal systolic blood pressure was 69.7%. Conclusion: Finding indicate that this study will contribute to develop nursing strategies to identify risk factors and to prevent orthostatic hypotension for the aged.

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참고문헌

  1. Applegate, W. B., Davis, B. R., Black, H. R., Smith, W. M., Miller, S. T., & Burlando, A. J. (1991). Prevalence of postural hypotension at baseline in the systolic hypertension in the elderly program cohort. J Am Geriatr Soc, 39, 1057-1064
  2. Campbell, A. J., Borrie, M. J., & Spears, G. F. (1989). Risk factor for falls in a community-based prospective study of people 70 & older. J Gerontal, 41, 112-117
  3. Chunha, U. V. (1987). Management of orthostatic hypotension in the elderly. Geriatrics, 42(9), 61-68
  4. David, S. S., Nora, L. K., Elizabeth, M. B., & Edward, H. W. (1991). Correlates of postural hypotension in a community sample of elderly blacks and whites. J Am Geriatr Soc, 39, 562-566
  5. Ford, G. A. (1999). Ageing and the baroreflex. Age Ageing, 28(4), 337-338
  6. Hermosillo, A. G., Marquez, M. F., Jauregui-Renaud, K., & Cardenas, M. (2001). Orthostatic hypotension. Cardiol Rev, 9(6), 339-347
  7. Jansen, R. W. M. M., Connelly, C. M., Kelly-Gagnon, M. M., Parker, J. A. & Lipsitz, L. A. (1995). Postprandial hypotension in elderly patients with unexplained syncope. Arch Intern Med, 153, 945-952
  8. Jansen, R. W. M. M. & Lipsitz, L. A. (1995). Postprandial Hypotension: Epidemiology, Pathophysiology, and Clinical Management. Ann Intern Med, 122, 286-285
  9. Kahn, R., Goldfarb, R., Pollack, M., & Peck, A. (1960). Brief objective measures for the determination of mental status in the aged. Am J Psychiatry, 17, 326-328
  10. Lee, S. H. (1996). Prevalence and risk factors of orthostatic hypotension among the elderly in a mental hospital. Unpublished master dissertation, The Yonsei University of Korea, Seoul
  11. Lilley, M. D. (1997). Postprandial blood pressure changes in the elderly. J Gerontol Nurs, 23(12), 17-25
  12. Lipsitz, L.A., Nyquist, R. R., Rowe, J. Y., & Wei, J. W. (1983). Postprandial reductions in blood pressure in the elderly. N Engl J Med, 309, 81-83
  13. Lye, M., Vargas, E., Fagather, B., Davies, I., & Goddurd, C. (1990). Haemodynamic and neuro-humoral responses in elderly patients with postural hypotension. Eur J Clin Invest, 20, 90-96 https://doi.org/10.1111/j.1365-2362.1990.tb01797.x
  14. Mader, S. L., Josephson, K. R., & Rubenstein, L. Z. (1987). Low prevalence of postural hypotension among community-dwelling elderly. J Am Med Assoc, 258(11), 1511-1514
  15. Mader, S. L. (1989). Aging and postural hypotension : An update. J Am Geriatr Soc, 37, 129-137
  16. Maurer, , M. S., Karmally, W., Rivadeneira, H., Parides, M. R., & Bloomfield, D. M. (2000). Up right posture and postprandial hypotension in elderly persons. Ann Intern Med, 3, 133
  17. Miller, C. A. (1990). Nuring Care of Older Adults : Theory and Practice. Scott : Foresman & Co. 299-328
  18. Miller, J. W., & Streeten, D. H. P. (1990). Vascular responsiveness to nonepinephrine in sympathicotonic orthostatic intolerance. J Lab Clin Med, 115, 449-558
  19. Mukai, S., & Lipsitz, L. A. (2002). Orthostatic hypotension. Clin Geriatr Med, 18(2), 253-268
  20. Oh, B, H., Kim, C. Y., Lee, K. S., Khan, Y. H., Lee, Y. J., & Kang, W. C. (1999). The Prevalence of Hypertension in the Rural area of Korea. Kor J Med, 56(3), 299-316
  21. Palmer, K. T. (1983). Studies into postural hypotension in elderly patients, J New med, 96, 43-45
  22. Robbins, A. S., & Rubenstein, L. Z. (1986). Postural hypotension in the elderly. J Am Geriatr Soc, 32(10), 769-774
  23. Rutan, G. H., Hermanson, B., Bild, D. E., Kittner, S. J., Labaw, F., & Tell, G. S. (1992). Orthostatic hypotension in order adults: The cardiovascular health study, Hypertension, 19. 508-519
  24. Rosenthal, M. J., & Naliboff, B. (1988). Postural hypotension : Its meaning and management in the elderly. Geriatrics, 43(12), 31-42
  25. Rubenstein, L. Z., & Robbins, A. S. (1984). Falls in the elderly : A clinical perspective, Geriatircs, 39(4), 67-78
  26. Youde, J. H., Manktelow, B., Ward-Close, S., & Potter, J. F. (1999). Measuring postural changes in blood pressure in the healthy elderly. Blood Press Manit, 4(1), 1-5
  27. Yu, S. J. (1994). A study on the risk factors of postural hypotension among elderly hospitalized patients. Unpublished master dissertation, The Seoul National University, Korea
  28. Walczak, M. (1991), Prevalence of orthostatic hypotension. Gerontol Nurs, 17(11), 26-29
  29. Weiss, A., Grossman, E., Beloosesky, Y., & Grinblat, J. (2002). Orthostatic hypotension in acute geriatric ward : Is it a consistent finding ?. Arch Intern Med, 162(20), 2369-2374
  30. White, N. J. (1980). Heart-rate changes on standing in elderly patients with orthostatic hypotension. Clin Sci, 58, 411-413