Evaluating Brisk Walking, Deep Breathing, and Stress Disclosure for Blood Pressure Reduction in Individuals with Prehypertension and Stress | ||
| International Egyptian Journal of Nursing Sciences and Research | ||
| Volume 5, Issue 1, May 2024, Pages 52-69 PDF (824.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnsr.2024.274010.1362 | ||
| Authors | ||
| Sherif Nesnawy* 1; Ebtsam Abd El Monim Mohamed2; Eman Hussein Khalil3; Sara Ibrahim Sayed4; Mohamed Gamal Noaman Malek5; Enace Mohamed Abd Elaal6; Bedour Adel Mohamed Ibrahim1 | ||
| 1Lecturer of Medical-Surgical Nursing, Faculty of Nursing- Minia University, Egypt | ||
| 2Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing- Minia University, Egypt | ||
| 3Lecturer of Internal Medicine (Endocrinology), Faculty of Medicine, Minia University, Egypt. | ||
| 4Lecturer of Public Health & Preventive Medicine, Faculty of Medicine. Minia University. Egypt. | ||
| 5Lecturer of Community Health Nursing, Faculty of Nursing- Minia University, Egypt. | ||
| 6Lecturer of Medical-Surgical Nursing, Faculty of Nursing- Sohage University, Egypt. | ||
| Abstract | ||
| Background: Prehypertension often coincides with elevated stress levels, exacerbating the condition, and emphasizing the early self-management approach. Aim: Evaluate brisk walking, deep breathing, and stress disclosure for blood pressure reduction and perceived stress in individuals with prehypertension and stress. Methods: A parallel-group randomized controlled trial was conducted at Minia University Hospital, Egypt, involving 120 individuals aged ≥ 18 years with prehypertension and moderate to high perceived stress levels, randomly assigning them to either control (n=60) or study (n=60) groups. Data collected through structured interview questionnaires [Bio-socio-demographic and Perceived Stress Scale (PSS)], blood pressure (BP), and PSS were re-measured after 2 and 4 weeks. Results: Both groups had similar bio-socio-demographics. Significant reductions in BP and PSS were observed in the study group (p < 0.001). Study group mean systolic BP changes were -3.4 mmHg (2 weeks) and -7.7 mmHg (4 weeks), with decreases in Diastolic BP (-2.4 and -3.03) and perceived stress scores (-3.43 and -5.73), respectively, while controls had mean Systolic BP changes of -0.83 mmHg (2 weeks) and -1.77 mmHg (4 weeks), with slight reduction in Diastolic BP (-0.63 and -1.6) and slight stress score increases at +0.63 (2 weeks) then reductions at -1.72 (4 weeks). Systolic and diastolic BP changes had strong positive correlations with PSS changes in the study group. Conclusion: Brisk walking, deep breathing, and stress disclosure interventions significantly reduced BP and PSS score in individuals with prehypertension and stress. Recommendation: Incorporate interventions into care plans. Further research is needed on long-term effects and underlying mechanisms. | ||
| Keywords | ||
| Blood pressure reduction; Brisk walking; Deep breathing; Perceived stress; Prehypertension; stress | ||
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