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Patient-tailored self-management intervention for older adults with hypertension in a nursing home

Cited 22 time in Web of Science Cited 24 time in Scopus
Authors

Park, Yeon-Hwan; Chang, HeeKyung; Kim, JinShil; Kwak, Jin Sang

Issue Date
2013-03
Publisher
Blackwell Publishing Inc.
Citation
Journal of Clinical Nursing, Vol.22 No.5-6, pp.710-722
Abstract
Aims and objectives. This study was to evaluate the effects of a patient-tailored self-management intervention on (1) blood pressure control and (2) self-care behaviour, exercise self-efficacy and medication adherence among Korean older hypertensive patients in a nursing home. Background. Little is known about whether a patient-tailored self-management for nursing home residents with hypertension is likely to advance the care of this growing population worldwide. Design. A non-equivalent comparison group design. Methods. Forty-seven patients (23 and 24 in the intervention and comparison groups, respectively) participated in the study. No one withdrew during the eight-week study period. Hypertensive patients in the intervention group received health education and tailored individual counselling for eightweeks to enhance the self-management. Results. The mean age of patients was 77 center dot 4years. Patients were on hypertensive medications for 11 center dot 8years; only 36 of them took medications without assistance. The baseline comparisons of the patients with and without 8-week intervention did not differ for clinical and demographic variables and outcome measures. Blood pressure decreased when comparing the baseline to eightweeks later from baseline; moreover, blood pressure was significantly reduced only in patients who received the intervention. Self-care behaviour and exercise self-efficacy significantly increased over time only in those who were in the intervention group. However, no significant difference was observed in medication adherence between the two groups. Conclusions. Patient-tailored self-management intervention was a practical approach for decreasing blood pressure and increasing self-care behaviour in older hypertensive patients in a nursing home. Further studies are neededto validate thesefindings using a larger samplewith long-term follow-up. Relevance to clinical practice. A patient-tailored intervention is feasible not only to empower nursing home residents with hypertension for their care, but also to offer a qualified training and guidelines to nursing home staffs, expanding their professional competence in clinical practice.
ISSN
0962-1067
URI
https://hdl.handle.net/10371/204142
DOI
https://doi.org/10.1111/j.1365-2702.2012.04236.x
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  • College of Nursing
  • Dept. of Nursing
Research Area Chronic Disease in Elderly Population, Evidence-Based Nursing Intervention

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