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

Park, Yeon Hwan; Chang, Hee Kyung; Kim, JinShil; Kwak, Jin Sang

doi:10.1111/j.1365-2702.2012.04236.x

Cited by 29 publications

(46 citation statements)

References 47 publications

(115 reference statements)

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“…The settings in which the studies took place varied. The majority of the studies used group-based activities in community or faith based centers; two used a home-based intervention [11] [40] and one a nursing home [32]. One large interventional study utilized multiple locations for self-management programs over 17 states [41].…”

Section: Population Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Use of Social Cognitive Theory to Assess Salient Clinical Research in Chronic Disease Self-Management for Older Adults: An Integrative Review

Sell¹,

Amella²,

Mueller³

et al. 2016

OJN

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The purpose of this integrative review is to evaluate research pertaining to self-management programs for older adults with chronic diseases using Albert Bandura's Social Cognitive Theory (SCT) for behavior change. The focus is application of the SCT domains to self-management programs. The exploration of the current chronic disease self-management research provides an understanding of the Social Cognitive Theory concepts studied in interventional self-management research. The integrative review explicated two areas related to the theory in need of further research. First, social support has not been thoroughly explored as a mechanism for enhancing self-management interventions. Second, moral disengagement was not identified as a focus within chronic disease research raising the question about the impact of moral disengagement on longterm adherence and behavior change.

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Section: Population Characteristicsmentioning

confidence: 99%

“…Bandura linked role modeling to encouraging behavior change [24] [25]. Two studies focused either upon personal interactions in the home setting or did not use a group format [11] [40], one used individualized training in a nursing home [32]; the remaining studies used a variation of group observational learning.…”

Section: Outcome Measuresmentioning

confidence: 99%

Use of Social Cognitive Theory to Assess Salient Clinical Research in Chronic Disease Self-Management for Older Adults: An Integrative Review

Sell¹,

Amella²,

Mueller³

et al. 2016

OJN

View full text Add to dashboard Cite

show abstract

“…Also, Park et al [35] illustrated that their study did not show any relationship between stress and high triglyceride levels.…”

Section: 4mentioning

confidence: 99%

“…This may be due to providing emotional support to the patient through continuing social interaction with the researcher, encouraging the patient to cope with his illness through education, an learning relaxation techniques and assertiveness training.These results are in line with Theodorou et al, [27] who found significant improvement in all dimensions of the QOL in follow-up measurements. Moreover, Park et al [35] found that health education and individual counseling was significantly effective in improving blood pressure, self-care behaviors, exercise self-efficacy, and medication compliance of hypertensive residents at a nursing home. Also, Mersal et al [36] reported that self-efficacy was significantly improved among a study group after implementation of lifestyle guidelines than control group.…”

Section: 5mentioning

confidence: 99%

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

Ebrahem

Gahsh

Abd-Elalem

2017

CNS

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Objective: Hypertension and dyslipidemia are widely recognized a major risk factors for cardiovascular disease (CVD). The aim of this study was to evaluate the effectiveness of the nursing intervention on cholesterol level and quality of life (QOL) among hypertensive patients with dyslipidemia. Methods: Design: A quasi -experimental pre-post-test design was used to achieve the aim of the study. The study was conducted in the University Hospital at Shebin El-kom District, Menoufia Governorate, Egypt. Purposeful sample of 100 hypertensive patients with dyslipidemia on treatment from the previous mentioned setting. Instruments: (1) structured interview questionnaire to assess socio-demographic data, risk factors of hypertension and dyslipidemia and patient's knowledge about hypertension and dyslipidemia; (2) Physiological measurement to assess blood pressure, weight and cholesterol level; (3) QOL scale to assess healthful lifestyle. Results: The main findings of the study there was statistically significant improvement of total knowledge related to hypertension and dyslipidemia, and there was statistically significant reduction in blood pressure and cholesterol level post-intervention than pre-intervention. Conclusions: The nursing intervention has a positive effect on blood pressure, cholesterol level and QOL of hypertensive patients with dyslipidemia. Recommendations: The nursing intervention that includes of adherence to diet regimen, prescribed medication and performing physical exercise, stress management, assertiveness training should be integrated into medical outpatient clinic to assist patients diagnosed with hypertension to cope with their illness and improve the QOL of hypertensive patients.

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“…Most studies examining the efficiency of hypertension self-care activities have concentrated on medication adherence, physical exercise, and a generally-appropriate diet (Warren-Findlow & Seymour, 2011;Park et al, 2012); few have focused on reducing salt intake. Medication use without diet change, including salt reduction, cannot control hypertension (DeSimone & Crowe, 2009).…”

Section: Introductionmentioning

confidence: 99%

Development of the salt‐reduction and efficacy‐maintenance program in Indonesia

Irwan

Kato

Kitaoka

et al. 2016

Nursing & Health Sciences

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We conducted a randomized, controlled trial to examine the effects of a salt-reduction and efficacy-maintenance program on the improvement and maintenance of self-care and self-efficacy in reducing the salt intake of older people with high blood pressure. A total of 51 participants with hypertension/prehypertension in Indonesia were randomly assigned to a control group or one of two intervention groups: salt-reduction training or salt-reduction and efficacy-maintenance. The salt-reduction and efficacy-maintenance group received educational training and a maintenance meeting; the participants' knowledge, attitudes, self-care practices, and self-efficacy significantly improved after training and were maintained after the maintenance meeting. Participants in the salt-reduction training group showed significant effects for the same variables; however, their food salt concentrations rebounded after the maintenance meeting. No significant improvement was found in the control group. The salt-reduction and efficacy-maintenance group participants reported positive effects of salt reduction and different practices based on who prepared their meals. The salt-reduction and efficacy-maintenance group program was effective in improving and maintaining knowledge, attitudes, and self-efficacy of salt-reduction practices and could be applied with community-dwelling older people with high blood pressure.

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

Abstract: 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.

Cited by 29 publications

References 47 publications

Use of Social Cognitive Theory to Assess Salient Clinical Research in Chronic Disease Self-Management for Older Adults: An Integrative Review

Use of Social Cognitive Theory to Assess Salient Clinical Research in Chronic Disease Self-Management for Older Adults: An Integrative Review

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

Development of the salt‐reduction and efficacy‐maintenance program in Indonesia

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