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The effect of an education program with telephone follow-up on the health behaviors of elderly patients with hypertensio

Not Applicable
Conditions
Hypertension.
High blood pressure
Registration Number
IRCT2014031516997N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Background and Aim: Hypertension, with high prevalence in the elderly, is one of the most important and the most common chronic disease that require to self-care behaviors in patients. The purpose of this study was to determine the impact of the empowerment program based on the Telephone Follow-up (Tele-nurses) on Self Care Self efficacy in elderly patients with hypertension.<br /> Materials and Methods: This quasi-experimental study on 88 elderly patients with hypertension was admitted to the outpatient clinic of the Sayyad Shirazi Hospital in Gorgan. The subjects was selected by sequential sampling method and divided to the experimental (n=44) and control (n=44) groups. Data were collected through a questionnaire. All the subjects in the experimental and control groups were participated in the self-care workshops. However, the experimental group received telephone counseling and follow-up intervention for 12 weeks. Data was analyzed using SPSS-16 Software and descriptive and inferential statistical.<br /> Results: The study findings showed that there were no significant differences between the two groups in terms of demographic and disease-related variables. The means and standard deviations on the scores Self - Efficacy in self-care behaviors pre –post intervention were [3.5 (SD=0.4) & 4.1(SD=0.3)] in the experimental and [3.4 (SD=0.3) & 3.6 (SD=0.3)] control groups respectively. There was no significant difference between the groups regarding the mean scores of Self - Efficacy in self-care behaviors on before intervention (P=0.44). Whereas, at post-intervention, the elderly patients with hypertension participating in the empowerment program (workshop and telephone follow up) group showed statistically significant increases in self-efficacy (p= 0.05) compared with the control group.<br /> Conclusion: The findings of the present study showed that empowerment program based on tele-nursing care was effective in promoting the Self - Efficacy in self-care behaviors of elderly patients with hypertension. Thus, the important role of tele-nursing in promoting Self - Efficacy in self-care behaviors in this group of the elderly was emphasized and confirmed. <br /> <br /> Key words: Self -efficacy, Tele-Nursing, Self- care, Older Adults, Hypertension. <br />

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
84
Inclusion Criteria

aged between 65 and 80 years; living in Golestan province; access to telephone at home; having no dementia or cognitive impairments; no hearing or speech problems or mental disorders; no hypothyroidism or diabetes
Exclusion criteria: death; unwillingness to continue participation; discontinued telephone contact for 2 weeks in the first month of intervention; or 3 weeks in the 2nd and 3rd.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Self Efficacy. Timepoint: Before and after the intervention will be measured. Method of measurement: Efficacy Questionnaire in patients with hypertension with appropriate validation.
Secondary Outcome Measures
NameTimeMethod
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