KMID : 1812120220280010021
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Clinical Hypertension 2022 Volume.28 No. 1 p.21 ~ p.21
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Self-care of hypertension of older adults during COVID-19 lockdown period: a randomized controlled trial
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Alsaqer Khitam
Bebis Hatice
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Abstract
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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?0.01, respectively) compared to the two control groups. Greater improvement in role limitations due to physical health and due to emotional problems, pain, energy/fatigue, emotional well-being, and social functioning of quality of life (P?0.05) compared to the standard care group. No statistical significant difference was found in diastolic blood pressure (F?=?3.91, P?=?0.141), physical functioning (P?=?0.613), and general quality of life (P?=?0.060).
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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KEYWORD
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COVID-19, Hypertension, Self-care, Telemedicine, Aged
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