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Journal of the Korean Academy of Family Medicine 1989;10(4):17-29.
Published online April 1, 1989.
고혈압 환자에서 가족지능지수(Family APGAR)와 혈압강하 정도와의 관계에 대한 연구
최상모 박주성 배철영 이혜리 윤방부
연세대학교의과대학 가정의학교실
Abstract
The psychosocial stress has been considered as one of the effecting factors to the etiology, progress and prognosis of hypertension. It is true that the family APGAR score was proved as a predictor of psychosocial stress.
In order to find out the relationship between family APGAR and the degree of depression in blood pressure, a study was carried out at Oryu Health Service Clinic and Ganghwa Community Hospital from May 1988 to October 1988.
Total 103 patients had been on antihypertensive medications(Aldactazide 50mg/day)at least 60 days of 3 months follow-up. During that 3 months period, their blood pressures were checked. The systolic, diastolic, and mean blood pressures before treatment were compared to those after treatment.
Of the 103 patients, male patients were 7, and female patients were 96 respectively. The mean age was 62.8 years old, and obese patients were 16, smoking patients were 7, and drinking patients were 8, respectively. The average duration of hypertension was 4.6 years.
According to family APGAR, their family function were moderately dysfunctional showing the average score of 6.4 points.
The systolic, diastolic, and mean blood pressures, before and after treatment, were significantly depressed.
In relation to the systolic, diastolic, and mean blood pressures, among the variables that might influence the degree of depression in blood pressure after treatment, only the family APGAR showed statistically significant. On the other hand, sex, age, obesity, smoking, alcohol, the presence of complications, and the duration of hypertension were not statistically significant.
As a result, the degree of family dysfunction was observed as a significant impact on the degree of depression in blood pressure after treatment.
However, because this study included the old-aged, female, relatively high in compliance, the effect fo smoking and alcohol to the depression of blood pressure were excluded. Therefore the study dealing with this points should be explored in the future.
The family physician who is at close contact with hypertensive patients, must be familiar with the family dysfunction which may disturb the curative activity of the antihypertensive medications, and make every effort to resolve family dysfunction.
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