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노인의 식사 후 저혈압의 발생실태와 위험요인

 Prevalence and Risk Factors of Postprandial Hypotension in Korean Elderly People

Journal of Korean Academy of Nursing 2009년 39권 2호 p.198 ~ 206
KMID : 0806120090390020198
손정태 ( Son Jung-Tae ) - 대구가톨릭대학교 간호학과

이은주 ( Lee Eun-Joo ) - 경북대학교 간호대학

Abstract

Purpose : The purposes of this study were to identify the prevalence of postprandial hypotension (PPH) and risk factors for PPH in Korean elderly people.

Methods : A cross-sectional descriptive study was conducted with community dwelling and nursing home residents. The blood pressure of 162 adults aged 65 yr or older was measured before meal as a baseline and then at 15 min intervals from immediately after the meal through 90 min after the meal. Descriptive statistics and logistic regression with the SPSS WIN 14.0 program were used to analyze the data.

Results : The prevalence of PPH was 29% and the PPH occurred immediately after the meal continuously through 90 min after the meal. The biggest drop in systolic blood pressure occurred at 45 min after the meal. Risk factors for PPH were age, base line systolic blood pressure, and presence of cardiovascular disease.

Conclusion : To prevent side effects of PPH such as falls and syncope, nurses should provide careful management of PPH and prohibit activities until at least 90 min after a meal. We also recommend that risk of PPH should be included in fall prevention guidelines for elderly people.
KeyWords

Aged, Postprandial period, Hypotension
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed