What does this research mean for the field?

A self-management intervention delivered through home visits significantly improves self-care adherence and overall health status in elderly patients with hypertension. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 1, 2021Journal of public health researchOpen Access

Effectiveness of Self-Management on Adherence to Self-Care and on Health Status among Elderly People with Hypertension

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Why the study?

Adherence to self-care is the goal of nursing care for elderly people with hypertension to give them optimal functional health status, but the effectiveness of self-management needed evaluation.

Does a home-visit based self-management intervention improve adherence to self-care and health status in elderly people with hypertension?

Population

134 elderly people living with hypertension in Pekanbaru City

Comparison

Self-management intervention via four home visits with a caregiver vs control

Design

Quasi-experimental pre-post test study with a control group

Authors

SPSilvia Elki PutriUniversitas Muhammadiyah Riau EREtty RekawatiUniversity of Indonesia DWDwi Nurviyandari Kusuma WatiUniversity of Indonesia

Discussion

Member takes

Implication

May support home-visit self-management in elderly hypertension; leaves open confirmation via RCTs.

Structured PICO

Does a home-visit based self-management intervention improve adherence to self-care and health status in elderly people with hypertension?

Population

134 elderly people with hypertension (blood pressure ≥ 140/90 mmHg and clinical symptoms such as headaches and neck pain) living with a family caregiver in Pekanbaru City, Indonesia. 84.3% aged 60-74 years, 67.9% female.

Intervention

Self-management intervention provided through four 55-60 minute home visits over two weeks with a caregiver, covering hypertension education, physical activity, nutrition, relaxation, and risk reduction, plus modules and workbooks, added to standard Health Center care.

Comparator

Standard care from the Health Center (pharmacological therapy or education from nurses) without the researcher-provided self-management intervention.

Outcome

Adherence to self-care (measured by a modified 27-item questionnaire) and health status (measured by the Short Form 12 Health Survey [SF12]).patient reported

A structured, family-involved self-management intervention delivered via home visits significantly improves self-care adherence and health status in elderly patients with hypertension.

Limitations

Intervention was compressed to four sessions in two weeks due to COVID-19 social restrictions, potentially affecting the internalization of self-management by older people and their families.

Cite This Study

Putri et al. (2021) studied this question.

synapsesocial.com/papers/6a1d0a0d74f5ebcc9304cc91 https://doi.org/10.4081/jphr.2021.2406

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Effectiveness of Self-Management on Adherence to Self-Care and on Health Status among Elderly People with Hypertension

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Effectiveness of Self-Management on Adherence to Self-Care and on Health Status among Elderly People with Hypertension

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider