Key result
Continuous care reduces SBP by ~11 mmHg and improves quality of life in hypertension.
Why the study?
Patients with hypertension have lower quality of life than healthy individuals, highlighting the need to evaluate targeted follow-up care strategies.
Does a continuous care model improve blood pressure control and quality of life in patients with hypertension?
RCT (n=66)
Single-blind
Random allocation method
No
Does a continuous care model improve blood pressure control and quality of life in patients with hypertension?
Absolute Event Rate: 134.39% vs 145.76%
p-value: p=0.006
Implementation of a continuous care model significantly improves blood pressure control and quality of life in patients with hypertension.
Supports integrating continuous care models into hypertension practice; extends RCT evidence for BP and QoL gains.
Introduction: Hypertension is one of the most common diseases in all populations. Since people with hypertension have a lower quality of life (QoL) compared to healthy people, it is necessary to follow up these patients according to their conditions. This study aimed to investigate the impact of a continuous care model on blood pressure and QoL in hypertensive patients. Methods: Using a random sampling method, this randomized clinical trial (RCT) included 66 patients with hypertension referring to the clinic of Shahid Madani hospital in Tabriz, Iran in 2019. Data collection tools in this research were demographic information questionnaire, sphygmomanometer control device and stethoscope and Quality of Life questionnaire (The Short Form Health Survey-12, SF-12). The patients were randomly assigned into two groups of control and experimental. After the pre-test, the patients’ needs in the experimental group were assessed and the problems were resolved. Then, the post-test was performed one month and two months after the intervention. Data analysis was performed using SPSS software version 13. Results: After the intervention, there was a significant difference in the QoL score and blood pressure in the experimental group. However, this difference was not significant in the control group. Conclusion: Results indicated that using a follow-up care model had a positive effect on the blood pressure and QoL of patients with hypertension. It is recommended that further studies examine the impact of the integrated care model on QoL in other chronic diseases.
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Sadeghi et al. (2022) conducted an RCT in Hypertension (n=66). Continuous care model vs. Control group (usual care/educational booklets) was evaluated on Systolic blood pressure at two months (p=0.006). The continuous care model significantly reduced systolic blood pressure (134.39 vs 145.76 mmHg) and improved quality of life scores at two months in patients with hypertension.
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