Key result
Personalized hypertension care reduces systolic blood pressure by ~18 mmHg vs. standard care in older adults.
Why the study?
Hypertension is highly prevalent among older adults in rural populations and contributes to poor health outcomes and reduced quality of life, with a need to evaluate individualized nonpharmacological strategies.
Does a personalized hypertension care program reduce blood pressure and improve quality of life in rural older adults with hypertension compared to standard care?
Does a personalized hypertension care program reduce blood pressure and improve quality of life in rural older adults with hypertension compared to standard care?
Mean Difference: -17.884 (95% CI -19.165–-16.603)
Absolute Event Rate: 138.2% vs 154.5%
p-value: p=<0.001
An individualized, family-engaged care approach significantly improved blood pressure control and quality of life in rural older adults with hypertension compared to routine care.
May support personalized care in rural elderly hypertension; hypothesis-generating and requires RCTs before practice change.
Introduction and aim. Hypertension is highly prevalent among older adults and contributes significantly to poor health outcomes and a reduced quality of life, especially in rural populations. Although pharmacological treatment is essential, individualized nonpharmacological strategies are increasingly recognized for their role in optimizing chronic disease management. The present study investigated the effects of an individualized hypertension care strategy on blood pressure control and the quality of life of older patients who reside in rural areas. Material and methods. A quasiexperimental pre-post-test study with control group design was conducted involving 112 elderly participants with hypertension in Central Java, Indonesia. The intervention group (n=56) received a personalized care approach that included customized nursing education, self-care support, and family involvement over a one-month period. The control group (n=56) received standard care. The measured were systolic and diastolic blood pressure (using a digital sphygmomanometer) and quality of life (using the OPQOL-Brief questionnaire). Data were analyzed using paired and independent t-tests. Results. After the intervention, the intervention group showed significant reductions in systolic blood pressure (from 157.6±11.9 to 138.2±10.4 mmHg, p<0.001) and diastolic blood pressure (from 94.5±8.7 to 83.3±7.9 mmHg, p<0.001). Quality of life scores also improved significantly in all domains, including physical health, psychological well-being, and social relationships (p<0.001). In contrast, the control group showed no significant changes in either outcome. Conclusion. The personalized approach to hypertension care was effective in lowering blood pressure and improving quality of life among older adults with hypertension. These findings suggest that individualized, low-cost strategies can enhance chronic disease management, particularly in rural or resource-limited settings.
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Yuda et al. (2026) studied Hypertension (n=112). Personalized hypertension care program vs. Standard care was evaluated on Adjusted mean difference in systolic blood pressure at 1 month (MD -17.88, 95% CI -19.165 to -16.603, p=<0.001). A personalized hypertension care program significantly reduced systolic blood pressure by an adjusted mean of 17.9 mmHg compared to standard care in rural older adults over one month.
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