Hamidiye Faculty of Nursing, Public Health Nursing Department, University of Health Sciences Turkey, Istanbul, Turkey.
Faculty of Health Science, Division of Nursing, Public Health Nursing Department, Marmara University, Istanbul, Turkey.
Geriatr Gerontol Int. 2020 Dec;20(12):1182-1189. doi: 10.1111/ggi.14068. Epub 2020 Oct 20.
This study evaluated the effects of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults.
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 χ -test, Wilcoxon signed-rank test and Mann-Whitney U-test.
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 ), 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 ; 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.
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.
本研究评估了由护士主导的高血压管理方案对老年人生活质量、药物依从性和高血压管理的影响。
共有 74 名居住在两家不同养老院的高血压老年患者被随机分为干预组（n=37）或对照组（n=37）。干预组参加了一项包含 20 周健康教育和动机会议的培训计划。使用高血压管理知识和行为问卷、生活质量量表、Morisky 药物依从性量表以及血压、人体测量学和生化参数的测量来收集数据。使用 χ 2 检验、Wilcoxon 符号秩检验和 Mann-Whitney U 检验进行数据分析。
与对照组相比，干预组患者的收缩压（118.64±10.04mmHg）和舒张压（77.83±5.34mmHg）以及总胆固醇水平（178.43±25.59mg/dL）在试验后显著降低（130.54±15.08mmHg、82.70±7.69mmHg、200.7±34.57mg/dL）。试验后，干预组高血压知识评分（20.75±1.01）、药物依从率（100.0%）和生活质量量表生理成分（58.42±13.93）和心理成分（64.24±12.85）评分均显著高于对照组（12.21±2.48、64.9%、44.36±16.73、53.93±15.71）。此外，干预组试验后平均体重指数（27.19±4.62kg/m 2 ）、体重（74.81±15.33kg）、腰围（93.29±15.20cm）、臀围（107.67±14.05cm）和总胆固醇（178.43±25.59mg/dL）值均低于试验前（28.13±4.96kg/m 2 、77.37±16.56kg、97.83±16.23cm、112.89±14.37cm、194.78±38.64mg/dL）。
本研究实施的由护士主导的高血压管理方案为指导与老年人一起工作的护士提供了一个有效的方案范例。老年医学与老年健康国际 2020; 20: 1182-1189.
