Juhari, Siti Norazlina
(2017)
Cardiovascular risk assessment and preventive activities associated factors among women nurses in Hospital Universiti Sains Malaysia.
Masters thesis, Pusat Pengajian Sains Perubatan.
Abstract
Introduction: Cardiovascular diseases are the leading cause of death and disability among
both women and men globally, including Malaysia and are projected to leading cause of
death up to 2030. Lifestyle cardiovascular risks such as dietary habits, physical activities,
and smoking are fundamental components in preventive cardiovascular activities and
reflected to blood pressure, level of blood lipid, level of blood sugar, BMI that contribute
to development of cardiovascular disease.
Objectives: To determine the rate of moderate to high CVD risk and preventive activities
associated factors and association between shift work with cardiovascular risk among
women nurses in Hospital Universiti Sains Malaysia.
Methadology: This cross sectional study was done among women nurses who are working
in Hospital Universiti Sains Malaysia. A structured question derived from WHO STEPs
questionnaire was used as study tool. Cardiovascular screening of blood pressure, blood
glucose, serum lipids and BMI measurement were done for each participants. Cardiovascularrisk assessment were done based on Framingham Coronary Disease Risk prediction score
(FRS).
Findings : A total of 202 women nurses were involved in this study. The cardiovascular
disease risk of moderate to high and low were 33.2% and 66.8% respectively based on
Framingham Coronary Disease Risk prediction. Physical activities (adjusted odds ratio of
3.36, 95% confidence interval (CI) 1.70-6.64, p<0.001), dietary habit (adjusted odds ratio of
16.87, 95% CI 3.84-74.39, p<0.001), screening of DM (adjusted odds ratio of 3.59, 95% CI
1.81-7.10, p<0.001) and shiftwork (adjusted odds ratio of 9.85, 95% CI 4.71-20.60, p<0.001)
were significantly associated with moderate to high cardiovascular disease risk.
Conclusion: Measures needed to be done to promote appropriate healthier diet and healthy
lifestyle activities. Promotion of healthy lifestyle should be a fundamental action of primary
care in disease prevention.
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