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

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dc.contributor.authorERGÜN, AYŞE
dc.contributor.authorsKolcu, Merve; Ergun, Ayse
dc.date.accessioned2022-03-12T22:41:12Z
dc.date.available2022-03-12T22:41:12Z
dc.date.issued2020
dc.description.abstractAim 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 chi(2)-test, Wilcoxon signed-rank test and Mann-WhitneyU-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/m(2)), 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/m(2); 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; center dot center dot: center dot center dot-center dot center dot.
dc.identifier.doi10.1111/ggi.14068
dc.identifier.eissn1447-0594
dc.identifier.issn1444-1586
dc.identifier.pubmed33079474
dc.identifier.urihttps://hdl.handle.net/11424/236082
dc.identifier.wosWOS:000579545800001
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofGERIATRICS & GERONTOLOGY INTERNATIONAL
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjecthypertension
dc.subjecthypertension management
dc.subjectolder adults
dc.subjectquality of life
dc.subjectSTRESS-MANAGEMENT
dc.subjectBLOOD-PRESSURE
dc.subjectEDUCATION
dc.subjectEXERCISE
dc.titleEffect of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults: A randomized controlled trial
dc.typearticle
dspace.entity.typePublication
local.avesis.id3f56625e-a7d9-46af-8abc-7e04d75430a0
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
local.journal.quartileQ2
oaire.citation.endPage1189
oaire.citation.issue12
oaire.citation.startPage1182
oaire.citation.titleGERIATRICS & GERONTOLOGY INTERNATIONAL
oaire.citation.volume20
relation.isAuthorOfPublication098bab86-3b56-47a8-be7d-172e2f0e19a5
relation.isAuthorOfPublication.latestForDiscovery098bab86-3b56-47a8-be7d-172e2f0e19a5

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