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Randomized Controlled Trial
. 2020 Dec;20(12):1182-1189.
doi: 10.1111/ggi.14068. Epub 2020 Oct 20.

Effect of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults: A randomized controlled trial

Merve Kolcu  1 , Ayse Ergun  2
Affiliations
Randomized Controlled Trial

Effect of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults: A randomized controlled trial

Merve Kolcu et al. Geriatr Gerontol Int. 2020 Dec.

Abstract

Aim: This study evaluated the effects of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults.

Methods: A total of 74 hypertensive older adults residing in two different nursing homes were randomized to the intervention group (n = 37) or control group (n = 37). The intervention group participated in a training program consisting of 20 weeks of health education and motivational meetings. Data were collected using a hypertension management knowledge and behavior questionnaire, quality of life scale, Morisky Medication Adherence Scale, and measurements of blood pressure and anthropometric and biochemical parameters. Data were analyzed using the χ2 -test, Wilcoxon signed-rank test and Mann-Whitney U-test.

Results: Post-test systolic (118.64 ± 10.04 mmHg) and diastolic (77.83 ± 5.34 mmHg) blood pressures, and total cholesterol levels (178.43 ± 25.59 mg/dL) were significantly lower in the intervention group compared with the control group (130.54 ± 15.08 mmHg, 82.70 ± 7.69 mmHg, 200.7 ± 34.57 mg/dL, respectively). Post-test hypertension knowledge score (20.75 ± 1.01), medication adherence rate (100.0%), and quality of life scale physical component (58.42 ± 13.93) and mental component (64.24 ± 12.85) scores were significantly higher in the intervention group than in the control group (12.21 ± 2.48; 64.9%; 44.36 ± 16.73; 53.93 ± 15.71, respectively). In addition, mean post-test body mass index (27.19 ± 4.62 kg/m2 ), weight (74.81 ± 15.33 kg), waist circumference (93.29 ± 15.20 cm), hip circumference (107.67 ± 14.05 cm) and total cholesterol (178.43 ± 25.59 mg/dL) values were lower than pretest (28.13 ± 4.96 kg/m2 ; 77.37 ± 16.56 kg; 97.83 ± 16.23 cm; 112.89 ± 14.37 cm; 194.78 ± 38.64 mg/dL, respectively) in the intervention group.

Conclusions: The nurse-led hypertension management program implemented in this study provides an example of an effective program to guide nurses who work with older adults. Geriatr Gerontol Int 2020; 20: 1182-1189.

Keywords: hypertension; hypertension management; older adults; quality of life.

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References

    1. Mancia G, Fagard R, Narkiewicz K et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2013; 34: 2159-2219.
    1. Malhotra R, Angelique C, Malhotral C. Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore. Hypertens Res 2010; 33: 1223-1231.
    1. Pekel Ö, Arık H, Sözmen MK, Ünal B, Kalaça S. Changes in blood pressure levels in Turkey. Turk Public Health 2013; 11: 129-148.
    1. Göçgeldi E, Babayiğit MA, Hassoy H, Açıkel CH, Taşçı İ, Ceylan S. Evaluation of perceived quality of life and affecting factors of patients diagnosed with hypertension. Gülhane Tıp Dergisi 2008; 50: 172-179.
    1. Nguyen QT, Anderson SR, Sanders L, Nguyen LD. Managing hypertension in the elderly: a common chronic disease with increasing age. Clinical 2012; 5: 253-259.

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