Key result
Roy adaptation model nursing boosts BP control compliance ~32% vs routine care in elderly patients.
Why the study?
The effect of nursing based on the Roy adaptation model on self-management behavior of elderly hypertensive patients was explored to address hypertension management challenges.
Does nursing based on the Roy adaptation model improve self-management behavior, medication compliance, quality of life, and blood pressure control in elderly hypertensive patients?
RCT (n=120)
odd and even numbers of the admission order
Does nursing based on the Roy adaptation model improve self-management behavior, medication compliance, quality of life, and blood pressure control in elderly hypertensive patients?
Absolute Event Rate: 85.4% vs 64.6%
p-value: p=<0.05
Nursing interventions based on the Roy adaptation model significantly improve medication compliance, self-management, quality of life, and blood pressure control in elderly hypertensive patients.
RAM-based nursing improved self-management and BP control in elderly hypertension; leaves open routine adoption pending larger confirmatory trials.
BACKGROUND: Hypertension is a chronic disease affecting middle-aged and elderly patients worldwide. Self-management behavior plays a critical role in maintaining blood pressure. Roy adaptation model (RAM), which was proposed by Roy in 1970, has been used to guide hypertension nursing to improve self-management behavior of elderly patients. In the study, to explore the effect of nursing based on the RAM on the self-management behavior of elderly hypertensive patients. METHODS: A total of 120 elderly hypertensive patients admitted from June 2020 to March 2021 were selected and randomly divided into a control group and observation group based on odd and even numbers of the admission order, with 60 cases in each group. The control group received routine nursing measures while the observation group was given nursing based on the RAM. The self-management behavior, medication compliance, quality of life, and blood pressure control effect were compared between the two groups. RESULTS: The scores of the self-efficacy and self-management behaviors of the observation group and the total score of the scale were higher than those of the control group (P<0.05); the observation group patients' medication compliance score was 6.57±1.47, which was higher than that of the control group (4.90±2.16) (P<0.01); physiological function, physical pain, energy, social function, emotional function, mental health scores, and total scores of the SF-36 scale in the observation group were all higher than those of the control group (P<0.05), while comparison of the general health status dimension scores showed no statistically significant difference; the systolic blood pressure and diastolic blood pressure of the observation group were respectively lower than those of the control group (P<0.05); The blood pressure control compliance rate of the observation group was 85.4%, which was higher than that of the control group 64.6% (P<0.05). CONCLUSIONS: Nursing intervention based on Roy's adaptation model can better enhance the self-efficacy and self-management ability of elderly hypertensive patients, have a positive effect on promoting healthy behavior changes and improving the quality of life, improve medication compliance, and achieve better blood pressure control effects. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100052466.
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Zhang et al. (2021) conducted an RCT in Hypertension (n=120). Nursing based on the Roy adaptation model (RAM) vs. Routine nursing measures was evaluated on Blood pressure control compliance rate (p=<0.05). Nursing based on the Roy adaptation model improved the blood pressure control compliance rate compared to routine nursing (85.4% vs 64.6%, P<0.05) in elderly hypertensive patients.
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