A Theory-Based Self-Care Intervention with the Application of Health Literacy Strategies in Patients with High Blood Pressure and Limited Health Literacy: A Protocol Study

Javadzade, Homamodin; Larki, Azam; Tahmasebi, Rahim; Reisi, Mahnoush

doi:10.1155/2018/4068538

Cited by 5 publications

(9 citation statements)

References 28 publications

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“…In the present study, training self-care behaviors via deploying cognitive therapy principles proved to be fruitful. This is compatible with the results of research by Javadzade et al that addressed the role of psychological factors in self-care among patients with hypertension (25). Meanwhile, cognitive education that focuses on mitigating negative thinking by stopping thought and affirmation may be a convenient intervention in raising the incentive to comply with treatment in HF patients (37).…”

Section: Discussionsupporting

confidence: 87%

“…Many authors have confirmed the effect of cognitive training on self-care and self-efficacy in hypertensive patients (25), the effect of psychological interventions on self-care in patients with chronic heart failure (26), the effect of cognitive-behavioral therapy on life quality, selfesteem, and psychological situation (27), and the effect of psychosocial intervention on depressed HF patients (28). The results of these studies indicate the point that the efficacy of cognitive-behavioral training is greater than the efficacy of conventional education programs (25)(26)(27)(28). However, some other studies have observed contradictory results in regard to the effect of cognitive therapy (15,29).…”

Section: Introductionmentioning

confidence: 91%

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A Comparative Study of the Impact of Cognitive-Behavioral Education and Conventional Training on Self-Care in Depressed Patients with Heart Failure: A Clinical Trial

et al. 2019

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Background: Promoting adherence to self-care behaviors is crucial in people with heart failure (HF) who also suffer from psychological problems like depression. The purpose of this study was to disclose the effect of cognitive-behavioral education, compared to conventional training, on self-care behaviors in depressed HF patients. Methods: This randomized clinical trial was performed on 80 individuals (40 in the behavioral-cognitive education group and 40 in the conventional education group) with heart failure and depression who had been admitted to the Cardiology Ward of Ali-ibn-Abitaleb and Khatam-al-Anbiya hospitals of Zahedan in 2018. Data were collected using the Beck depression inventory (BDI) and the self-care heart failure index version 6.2 (SCHFI V. 6.2) before and eight weeks after the end of educational interventions. Patients in the control group received the routine educational materials in four sessions, whereas those in the treatment group received the related educational content through cognitive-behavioral therapy technique in five sessions. Data were analyzed in SPSS V. 21 using independent and paired t-tests, chi-square, and covariance analysis. Results: Although the mean score of self-care behaviors in the cognitive-behavioral group and the conventional education group was not significantly different before the intervention, it was significantly higher in the treatment group (65.14 ± 7.01) than in the control group (36.59 ± 8.25) after the intervention. Conclusions: Given the dramatic impact of cognitive-behavioral education on the improvement of self-care behaviors, it is suggested that the principles of this therapy be integrated into common educational programs for depressed patients with heart failure.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 91%

A Comparative Study of the Impact of Cognitive-Behavioral Education and Conventional Training on Self-Care in Depressed Patients with Heart Failure: A Clinical Trial

et al. 2019

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“…The global demographic shift towards ageing, rapid urbanization, and adoption of unhealthy lifestyle behaviors is significantly affecting trends in human health, generally, 1 and in the emergence of non-communicable diseases including hypertension, specifically. 2 Hypertension, a complex and universal health issue, is pervasive within the adult population, bringing an array of associated health issues that may result in a major burden for hypertensive individuals.…”

Section: Introductionmentioning

confidence: 99%

“…Approximately five billion patients are afflicted with hypertension globally. 1 In the United States of America, with a 24% growth rate and $3.2 trillion of the total spending on healthcare, 40% of hypertensive individuals (50 million people) remain untreated. 3 Likewise, in the Mediterranean region, 26% of the total population is affected by hypertension.…”

Section: Introductionmentioning

confidence: 99%

Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan

Ajani¹,

Gowani²,

Gul³

et al. 2021

IJGM

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Background Globally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan. Methods This study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban cosmopolitan setting within Karachi Pakistan. Four hundred and two patients were screened using the H-SCALE questionnaire, while socio-demographic predictors of self-care and level of knowledge of hypertension were identified using a study-specific checklist. Self-care was assessed against six clinical domains including medication adherence, diet, weight management, physical activity, and abstinence from alcohol. Results Participants were recruited from the two largest tertiary care hospitals in Karachi. Good knowledge about hypertension, including its causes, management, and complications was reported by 4.47% of the participants. Highest levels of self-care adherence were found for abstinence from alcohol (100%), smoking cessation (83.33%), and medication compliance (71.89%), whereas lowest levels were found for diet (27.11%), and physical activity (24.88%). In terms of predictors for self-care, age, male gender, and self-checking of blood pressure at home, followed by the level of education were the most common predictors for each self-care behavior in the given population. Conclusion Overall knowledge of self-care for hypertension is sub-optimal among hypertensive patients in Pakistan which is reflected in their behaviors. There is a need to introduce healthcare educational programs in Pakistan which can improve self-care behaviors of hypertensive individuals and potentially reduce the prevalence of associated cardiovascular diseases and its complications.

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“…Several studies have suggested that theory-based nursing interventions in CHD management had success in decreasing blood lipid concentrations, blood pressure, and re-hospitalization rate, and may enhance medication adherence, better adaptation to diet modifications and physical activity recommendations, and thus improved QoL (Faroughi et al, 2021;Mohammadpour et al, 2015;Turan Kavradim & Canli Ozer, 2020;Yildiz & Kasikci, 2020). (Akbari et al, 2017;Akhlaghi et al, 2021;Javadzade et al, 2018). However, to the best of our knowledge, no systematic review or meta-analysis has examined the effects of theory-based nursing interventions in CHD management, and no firm conclusion on this issue has been made so far.…”

Section: Introductionmentioning

confidence: 99%

Theory‐based nursing interventions in adults with coronary heart disease: A systematic review and meta‐analysis of randomized controlled trials

Metin

İzgü

Eren

et al. 2022

J of Nursing Scholarship

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Purpose This systematic review and meta‐analysis aimed to synthesize the outcomes of theory‐based nursing interventions for coronary heart disease management. Design and Methods Web of Science, Scopus, Science Direct, and PubMed databases were electronically searched from January 2013 to August 2021. The Preferred Reporting Item for Systematic Reviews and Meta‐analyses statement guidelines was followed for this meta‐analysis. Randomized controlled trials on patients with coronary heart disease, using a theory‐based nursing intervention were eligible. Methodological quality was examined by two authors using the Modified Jadad Scale. Based on the heterogeneity test, the results were analyzed using a pool of data with 95% confidence intervals, p‐values, and fixed or random‐effect models (PROSPERO registration number X). Findings A total of 1030 studies were initially retrieved, and 8 randomized controlled trials were eventually included in the meta‐analysis after screening. The big majority (81.3%) of participants were males, and the mean age was 54.8 (SD = 8.7) years. This meta‐analysis found theory‐based nursing interventions had no significant effect on blood lipid profile, blood pressure, and healthy lifestyle. However, these interventions significantly reduced fasting blood glucose, and body mass index and improved the physical and psychological domains of quality of life. Conclusions The evidence from this meta‐analysis reveals that theory‐based nursing interventions have a positive effect on fasting blood glucose, body mass index, and quality of life. However, their effects on blood lipid profile, blood pressure, and a healthy lifestyle are inconclusive. The results of this metanalysis are largely based on a few trials and were limited in terms of the number of outcomes. Conducting well‐designed randomized controlled trials with adequate power is needed to make a firm conclusion on the influence of theory‐based nursing interventions on patient outcomes in the CHD population. Clinical relevance Considering the high mortality and morbidity of coronary heart disease, nurses may play a significant role in coronary heart disease management by providing interventions that are based on a certain theoretical framework. This meta‐analysis provides insights into the implementation of theory‐based nursing interventions in heart attack survivors or those newly diagnosed with coronary heart disease led by nurses and lasting longer than 6 months in coronary heart disease. In addition, future studies should consider enhancing the content of training programs for a healthy lifestyle within the theory‐based nursing interventions and compare the effects of these interventions on acute and chronic coronary syndromes.

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A Theory-Based Self-Care Intervention with the Application of Health Literacy Strategies in Patients with High Blood Pressure and Limited Health Literacy: A Protocol Study

Cited by 5 publications

References 28 publications

A Comparative Study of the Impact of Cognitive-Behavioral Education and Conventional Training on Self-Care in Depressed Patients with Heart Failure: A Clinical Trial

A Comparative Study of the Impact of Cognitive-Behavioral Education and Conventional Training on Self-Care in Depressed Patients with Heart Failure: A Clinical Trial

Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan

Theory‐based nursing interventions in adults with coronary heart disease: A systematic review and meta‐analysis of randomized controlled trials

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