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

Authors

  • Yeon-Hwan Park,

    1. Authors:Yeon-Hwan Park, PhD, RN, Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul; HeeKyung Chang, MSN, RN, Clinical Instructor and Research Associate, The Research Institute of Nursing Science, Seoul National University, Seoul; JinShil Kim, PhD, RN, Assistant Professor, Department of Nursing, Sunchon National University, Suncheon; Jin Sang Kwak, RN, Manager, Department of Nursing, Seoul Dongbu Senior Care Center, Seoul, South Korea
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  • HeeKyung Chang,

    1. Authors:Yeon-Hwan Park, PhD, RN, Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul; HeeKyung Chang, MSN, RN, Clinical Instructor and Research Associate, The Research Institute of Nursing Science, Seoul National University, Seoul; JinShil Kim, PhD, RN, Assistant Professor, Department of Nursing, Sunchon National University, Suncheon; Jin Sang Kwak, RN, Manager, Department of Nursing, Seoul Dongbu Senior Care Center, Seoul, South Korea
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  • JinShil Kim,

    1. Authors:Yeon-Hwan Park, PhD, RN, Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul; HeeKyung Chang, MSN, RN, Clinical Instructor and Research Associate, The Research Institute of Nursing Science, Seoul National University, Seoul; JinShil Kim, PhD, RN, Assistant Professor, Department of Nursing, Sunchon National University, Suncheon; Jin Sang Kwak, RN, Manager, Department of Nursing, Seoul Dongbu Senior Care Center, Seoul, South Korea
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  • Jin Sang Kwak

    1. Authors:Yeon-Hwan Park, PhD, RN, Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul; HeeKyung Chang, MSN, RN, Clinical Instructor and Research Associate, The Research Institute of Nursing Science, Seoul National University, Seoul; JinShil Kim, PhD, RN, Assistant Professor, Department of Nursing, Sunchon National University, Suncheon; Jin Sang Kwak, RN, Manager, Department of Nursing, Seoul Dongbu Senior Care Center, Seoul, South Korea
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JinShil Kim, Assistant Professor, Sunchon National University Department of Nursing, 255 Jungangno, Suncheon, South Korea. Telephone: +82 61 750 3882.
E-mail:kimj@sunchon.ac.kr

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 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.

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