Epidemiology and management of hypertension among refugees in the Middle East: a review of the literature

Zibara, Victor; Costanian, Christy; Haddad, Nadia Al; Kilani, H; Tohme, Fadi A.; Bahous, Sola Aoun

doi:10.1038/s41371-021-00508-5

Cited by 9 publications

(9 citation statements)

References 36 publications

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“…In this study, lifestyle behaviors and religious beliefs are important cultural differences that are affected to the management of NCDs of Syrian refugees. Previous research revealed that cultural behaviors, poor hygiene, and eating habits adversely affected the prognosis of NCDs (Park & Johantgen, 2017; Zibara et al, 2021). It has been determined that poor hygiene habits and an unhealthy diet had risk factors, while religious belief is a protective factor for the control of NCDs.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Experiences as Care Providers for Syrian Refugees With Noncommunicable Diseases: A Qualitative Study

Çopur

2022

J Transcult Nurs

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Introduction: Noncommunicable diseases (NCDs) are the leading cause of disability and death in the world. In Syria, the incidence of NCDs in refugees is 45%. Cardiovascular diseases, cancers, chronic respiratory diseases, diabetes, and other NCDs are the most common causes of morbidity in Syria. Nurses have challenges caring for Syrian refugees with NCDs. The purpose of the study was to explore nurses’ experiences of caring for Syrian refugees with NCDs in Turkey. Methodology: A phenomenology design was used. Inclusion criteria were nurses working experience of more than 1 year, caring for Syrian refugees with NCDs, and willingness and ability to participate in an individual interview. The participants were 20 nurses who worked with Syrian refugees at a public hospital in Kilis Province the border with Syria. Data were collected using semistructured interviews and analyzed by the thematic analysis method of Braun and Clarke. Results: Three major themes and six subthemes were identified. Major themes included the communication experience, cultural differences, and Syrian refugees’ lack of knowledge about NCDs. Discussion: The results provide insight related to nursing care in Turkey for Syrian refugees with NCDs. The study revealed that nurses encountered challenges when caring for Syrian refugees with NCDs. Culturally competent assessment and interventions for refugees with NCDs should be encouraged considering these three themes.

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Section: Discussionmentioning

confidence: 99%

Nurses’ Experiences as Care Providers for Syrian Refugees With Noncommunicable Diseases: A Qualitative Study

Çopur

2022

J Transcult Nurs

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“…Results from this review are consistent with literature, with a particular emphasis on obesity, unhealthy diet, and decreased physical activity, all of which in turn can also be attributed to low socioeconomic level. Global reviews have displayed that in high-income countries, the decline in blood pressure has occurred despite rising BMI, whereas both BMI and blood pressure are rising in most LMIC [ 26 , 37 , 38 ]. This can be explained by enhanced social and economic development, including the availability of nutritious food options, better housing infrastructure, and importance given to early childhood and adolescent nutrition in high income countries [ 39 – 42 ].…”

Section: Main Textmentioning

confidence: 99%

Challenges of managing hypertension in Pakistan - a review

et al. 2023

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Background This review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension. Methods A comprehensive literature search was conducted electronically using PubMed and Google Scholar. Using specific screening methodology, 55 articles were selected to be included. Results We found from this extensive review that several small studies report high prevalence of hypertension but there is a lack of population based prevalence of hypertension in Pakistan. Lifestyle risk factors such as obesity, unhealthy diet, decreased physical activity, low socioeconomic status, and lack of access to care were the main associated factors with hypertension. Lack of blood pressure monitoring practices and medication non-adherence were also linked to uncontrolled hypertension in Pakistan and were more evident in primary care setups. The evidence presented is essential for delineating the burden of the disease, hence allowing for better management of this underserved population. Conclusion There is a need for updated surveys to depict the true prevalence and management of hypertension in Pakistan. Cost-effective implementation strategies and policies at the national level are needed for both prevention and control of hypertension.

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“…Hypertension is a syndrome with elevated blood pressure as the main clinical manifestation, with or without a variety of cardiovascular risk factors, which can cause a variety of cardiovascular and cerebrovascular diseases, and it can even cause heart, brain, kidney and other organ failures 1 . Elderly patients are the population with a higher incidence of hypertension 2 .…”

Section: Introductionmentioning

confidence: 99%

The correlation of blood pressure variability and cognitive function in hypertension patients: A meta‐analysis

Jin

Lü

Zhao

2021

Int J Clinical Practice

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Background Cognitive impairment (CI) is very common in patients with hypertension. It is necessary to conduct a meta‐analysis to evaluate the association between cognitive function and blood pressure variability in patients with hypertension, to provide insights into the clinical management of hypertension and cognitive impairment. Methods We searched PubMed and other databases for case–control studies on the association between blood pressure variability and cognitive function up to 15 July 2021. Two researchers independently screened the literature and retrieved the data. RevMan 5.3 was used for meta‐analysis. Results A total of 13 studies involving 2754 patients were included. Meta‐analysis indicated that 24‐hours systolic (MD = 3.54, 95% CI [2.48, 4.60]) and diastolic (MD = 2.43, 95% CI [1.55, 3.31]) blood pressure variation coefficients in the CI group were significantly higher than that of non‐CI group (all P < .05). Standard deviations of systolic (MD = 2.20, 95% CI [0.27, 4.13]) and diastolic (MD = 1.79, 95% CI [0.80, 2.79]) blood pressure variation in the CI group were significantly higher than that of the non‐CI group (all P < .05). Mean systolic (MD = 3.73, 95% CI [0.92, 6.53]) and diastolic (MD = 5.41, 95% CI [0.42, 10.40]) blood pressure variation in the CI group were significantly higher than that of non‐CI group (all P < .05). There were no statistically significant differences in the morning peak systolic (MD = 7.85, 95% CI [−1.30, 17.01]) and diastolic (MD = 4.44, 95% CI [−6.00, 14.89]) blood pressure drop between the CI group and non‐CI group (all P > .05). Conclusion CI in hypertensive patients is closely associated with increased blood pressure variability. Clinical healthcare providers should pay attention to the management of blood pressure variability in hypertensive patients to reduce the occurrence of CI.

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Epidemiology and management of hypertension among refugees in the Middle East: a review of the literature

Cited by 9 publications

References 36 publications

Nurses’ Experiences as Care Providers for Syrian Refugees With Noncommunicable Diseases: A Qualitative Study

Nurses’ Experiences as Care Providers for Syrian Refugees With Noncommunicable Diseases: A Qualitative Study

Challenges of managing hypertension in Pakistan - a review

The correlation of blood pressure variability and cognitive function in hypertension patients: A meta‐analysis

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