MANAGING CLINICAL ISSUES
Patient-tailored self-management intervention for older adults with hypertension in a nursing home
Article first published online: 31 AUG 2012
© 2012 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 5-6, pages 710–722, March 2013
How to Cite
Park, Y.-H., Chang, H., Kim, J. and Kwak, J. S. (2013), Patient-tailored self-management intervention for older adults with hypertension in a nursing home. Journal of Clinical Nursing, 22: 710–722. doi: 10.1111/j.1365-2702.2012.04236.x
- Issue published online: 8 FEB 2013
- Article first published online: 31 AUG 2012
- Accepted for publication: 8 April 2012
- lifestyle modification;
- nursing home;
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 eight weeks to enhance the self-management.
Results. The mean age of patients was 77·4 years. Patients were on hypertensive medications for 11·8 years; 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 eight weeks 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 needed to validate these findings using a larger sample with 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.