The effect of nurse‐led telephone support on adherence to blood pressure control and drug treatment in individuals with primary hypertension: A randomized controlled study

Abstract

Aim The aim of this study was to evaluate the effect of telephone monitoring, in combination with texts, on medication adherence and blood pressure (BP) control in primary hypertension. Method Data were collected from August to December 2016. Seventy‐seven adults were randomized to the intervention and control groups. A 12‐week intervention consisted of regular text messages and phone calls. The control group received usual hypertension care. The outcomes were evaluated with blood pressure measurement and medication adherence self‐efficacy scale short form. Results Medication adherence in Week 12 was found to be significantly higher in the intervention group than in the control group. Mean systolic and diastolic BP levels in Weeks 4, 8 and 12 were statistically significantly lower in the intervention group than in the control group (p < 0.05). Conclusion Using text messaging and nurse‐led telephone monitoring improved adherence and BP control in adults with hypertensive in primary care.

Nurse-led Telehealth Intervention for Rehabilitation (Telerehabilitation) Among Community-Dwelling Patients With Chronic Diseases: Systematic Review and Meta-analysis

“…There were 2 studies framed by problem-solving theory, which supported chronic disease rehabilitation by developing behavioral plans and providing positive reinforcement during nurse-led phone counseling [ 13 , 28 ]. Another 2 studies used noninteractive information SMS texts and/or interactive SMS texts with nurses to provide education on chronic disease management and support on disease monitoring [ 14 , 41 ].…”

“…Of these, 5105 received telerehabilitation and 4572 received conventional face-to-face consultations; 6 studies were 3-armed randomized controlled trials [11][12][13][14][15][16], and the remaining studies were 2-armed studies. Among the 38 included studies, 9 targeted patients with cardiac disease [15][16][17][18][19][20][21][22][23], 9 targeted chronic patients with respiratory disease [24][25][26][27][28][29][30][31][32], 9 targeted patients with diabetes [11,12,[33][34][35][36][37][38][39], 4 targeted patients with hypertension [14,[40][41][42], 4 targeted patients with cancer [43][44][45][46], and 3 targeted patients with stroke [13,47,48].…”

“…A total of 32 studies conducted telerehabilitation programs through telephone (n=26) [11][12][13]15,17,[19][20][21][22][24][25][26][27][28]33,35,[37][38][39][40][41][42][43][46][47][48], videoconferencing (n=4) [21,30,32,34], SMS text messaging (n=2) [14,41], or WhatsApp (n=1) [45] (Multimedia Appendix 3). Nurse-led counseling was mostly implemented weekly (n=4), monthly (n=5), or a combination of both (n=7).…”

Hipertansiyon Hastalarına Verilen Eğitim ve Telefon Danışmanlığının İlaç Tedavisi Uyumuna ve Akılcı İlaç Kullanımına Etkisi: Tek Kör Randomize Kontrollü Çalışma İçin Çalışma Protokolü

“…(36.37) Additionally, sample size was calculated using the effect size in the study by Kes (2017) for drug medication adherence. (38) Calculations according to the double-sided independent samples t test taking the effect size as 0.80, error share (α=0.05) and 80% power calculated the sample number as 52. (36.37) Noting the calculations according to the rational drug use scale with higher sample numbers for the sample size calculated according to the two measurement tools in the research, the study was planned with a total of 84 people.…”

“…Patient description form: This form was prepared in line with the literature by the researcher . (38,(41)(42)(43)(44)(45)(46)(47) The form includes sociodemographic characteristics of patients and features related to disease. (2012).…”