Self-care of hypertension of older adults during COVID-19 lockdown period: a randomized controlled trial

Clinical Hypertension 2022³â 28±Ç 1È£ p.21 ~ p.21

(Alsaqer Khitam) - Cyprus International University Public Health Nursing
(Bebis Hatice) - Eastern Mediterranean University Public Health Nursing

Abstract

Background: COVID-19 pandemic has aggravated chronic diseases and health disparities especially hypertension because it is more common among vulnerable populations such as older adults.

Objective: This study aimed to examine the effects of a public health nursing intervention plus m-Health applications for hypertension management on enhancing the self-care, systolic and diastolic of blood pressure, and quality of life in older adults during the lockdown period in Jordan.

Methods: A randomized, controlled trial design was performed in Jordan. A total of 120 participants were randomly allocated to three groups (n?=?40); interventional group (public health nursing interventions plus m.Health applications) and two control groups (m.Health applications alone group and standard care group).

Results: After 3?months, the interventional group show significantly decreased in systolic blood pressure???14 (F?=?16.74, P?=?0.001), greater improvement in self-care maintenance, monitoring, and confidence (+?30, +?17.75, +?40.27; P?
Conclusions: This study supports the adoption of technology with nursing intervention as a method of supporting continuity of self-management of chronic illness during the pandemic, and its potential implications for future delivery of health care, not just in Jordan, but across the world.

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COVID-19, Hypertension, Self-care, Telemedicine, Aged
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This study findings indicate that the combination of technical and nursing interventions may be effective for the promotion of QoL and HTN self-care, resulting in a statistically and a clinically significant decrease in BP among older adults with HTN, compared to using technology alone or receiving standard care.
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