Document Type : Original Article
Authors
1 Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan
2 Department of Nursing, School of Medicine, Tarbiat‑Modarres University, Tehran, Iran
Abstract
Background: Noncommunicable diseases such as Hypertension are among the
important factors of mortality and morbidity of the elderly people. The family‑centered
empowerment model (FCEM) has not been performed for elderly people with hypertension.
Settings and Design: This clinical trial study was carried out on 62 elderly people with
hypertension under the coverage of the Lenjan Health Network in 2013. After performing the
sampling by using the cluster‑randomized method, the samples were divided randomly into
the experimental and control groups. Methods: For the experimental group, the (FCEM) was
implemented based on the four steps. For the control group, it was only implemented the
usual care and one training session. Research tools included questionnaires of demographic
data, empowerment assessment and a blood pressure‑measuring device. The post‑test was
performed 1 week later. The blood pressure was recorded, and it was followed 1.5 month later
again. Statistical Tests: Statistical tests for data analysis included χ2
‑test, independent t‑test,
Mann–Whitney, analysis of variance, and SPSS 20. Results: 1 week later and 1.5 month after
the intervention, the mean blood pressure was significant in both groups (P < 0.001). also, the
difference in the mean score of empowerment dimensions was significant in the experimental
group 1 week later and 1.5 month after the intervention (P < 0.001). Conclusion: Implementation
of the FCEM for elderly people with hypertension has been possible from a practical point of
view, and it has been associated with controlling and improving the blood pressure.
Keywords
Bahadori F, et al. The Effect of Health Education on Elderly Weomen
Life Quality. Payavard 2011;5:47‑57.
2. Rejeh N, Heravi Karimooi M, Montazeri A, Foroughan M.
psychometric properties of the iranian version of the facts on aging
quiz (FAQI). Payesh 2012;11:245‑2513.
3. Habibi A, Nemadi‑Vosoughi M, Habibi S, Mohammadi M. Quality
of life and prevalence of chronic illnesses among elderly people:
A cross‑sectional survey. Ardabil, Iran: Journal Of Health; 2012.
p. 58‑66.
4. Noncommunicable diseases. Available from: http://www.webda.
behdasht.gov.ir/index.aspx ?siteid=326andpageid=32628 and
newsview=60111andpro=nobak [Last accessed on 2012 Apr 7].
5. Chinnakali P, Mohan B, Upadhyay RP, Singh AK, Srivastava R,
Yadav K. Hypertension in the elderly: Prevalence and health seeking
behavior. N Am J Med Sci 2012;4:558‑62.
6. Ebersol P, Hess P, Touhy TA, Jett K, Schmidt Luggen A. Toward
healthy aging: Human needs and nursing response. 7th ed. Florida:
Mosby/Elsevier‑ Medical. p. 228‑9.
7. JNC7 Express. The seventh report of the joint national committee.
2003.
8. Kaplan NM. Clinical hypertension. 9th edn. Philadelphia,
United States: Lippincott Williams and Wilking; 2006. p. 11.
9. Kamali M, Arjmand Hesabi M, Ahangari M. The study of quality
of life in the elderly with hypertension who are member of tehran
senile culture house clubs. Salmand 2008;3:26‑32.
10. Ghavami H, Ahmadi F, Entezami H, Meamarian R. The effect of
continuous care model on diabetic patients’ blood pressure. Iran J
Med Edu 2006;6:87‑94.
11. De Lyra DP Junior, Sergio Marcellini P, Rosemir Pela I. Effect of
pharmaceutical care intervention on blood pressure of elderly
outpatients with hypertension. Braz J Pharm Sci 2008;44:3.
12. Heydari S, Salahshourian‑Fard A, Rafiee F, Correlation of perceived
social support from different supportive sources and the size of
social network with quality of life in Cancer Patients. Iran J Nurs
2009;22:71‑82.
13. Allahyari I, Alhani F, Kazemnezhad A, Izadyar M. The effect of family
empowerment model‑based on the quality of life of school‑age
children with thalassemia. Iran J Pediatr 2006;16:455‑61.
14. Masoudi R, Alhani F, Moghadassi J. The effect of family‑centered
empowerment model on skill, attitude, and knowledge of multiple
sclerosis caregivers. J Birjand Univ Med Sci 2010;17:87‑97.
15. Ezzati E, Anoosheh M, Mohammadi E. A study of the effects of
group discussion with male high school students on their parents’
hypertension control. J Res Health 2011;1:64‑72.
16. Hejazi SH, Sahbaiee F, Fesharaki M, Abdollahi A. The effect of
education about health‑promoting behaviors on the knowledge of
the elderly in the geriatric nursing residences in Tehran. J Birjand
Univ Med Sci 2012;19:114‑21.
17. Azimi A, Alhani F, Ahmadi F. Effect of family‑oriented empowerment
model on the life style of myocardial infarction patients. Iran J Crit
Care Nurs 2010;2:127‑32.
18. Alhani F. Design and evaluation of the family‑oriented prevention
of iron deficiency anemia. Tehran: Tarbiyat Modarres University;
2003.
19. Masoudi R, Soleimani MR, Qorbani M, Hasheminia AM,
Pour Dehkordi AH, Bahrami N. The effect of family‑centered
empowerment model on the quality of life of in elderly people.
J Qazvin Univ Med Sci 2010;14:57‑64.
20. Teymori F, Alhani F, Kazemnejad A. The effect of family‑centered
empowerment model on the quality of life of school‑age asthma
children. Iranian J Nurs Res 2011;6:52‑63.
21. Lee L W, Bg3. Chronic Disease and Nursing. Available from: http://
www. 2.Cna Aiic. Ca/CNA/Documents/Pdf/Publications. [Last
accessed on 2005 Oct].
22. Wannaprapan B, Pansila W, Tansakul C, Shelp F. Tertiary
prevention of Hypertention throught empowerment health
behaviore of ambulatory patients at selected primary care units of
nakhonratchasima province, Thailand. Pak J Soc Sci 2012;9:63‑8.
23. Abudagga A, Resnick HE, Alwan M. Impact of Blood pressure
telemonitoring on hypertension outcomes: Telemedicine and
E‑Health. Vol. 16, No. 7. United States: Mary Ann Liebert, Inc.; 2010.
p. 830‑8.
24. FigarS, GalarzaC, PetrlikE, HornsteinL, Rodríguez LoriaG, WaismanG,
et al., Effect of education on blood pressure control in elderly persons:
A randomized controlled trial. Am J Hypertens 2006;19:737‑43.
Available from: http://www.Sciencedirect. Com/Science/Article/Pii/
S089570610501201x.[Last accessed on 2009 Jun 28].
25. Carr GF. Empowerment: A Framework to develop advocacy
in African American Grandmothers providing care for their
grandchildren, ISRN Nurs 2011;2011:531717. 26. Hodges V. Family‑centered practice: The basics. Available from:
http://www.ssw.unc.edu/mch/default.asp [Last accessed on 2009
Oct 07].
27. Tang TS, Funnell MM, Brown MB, Kurlander JE. Self‑Management
Support in “Real‑World” Settings: An Empowerment‑Based
Intervention. Patient Educ Couns 2010;79:178‑84.
28. Resenick B, Luisi D, Vogel A. Testing the Senior Exercise
Self‑efficacy Project (SESEP) for use with urban dwelling minority
older adults. Public Health Nurs 2008;25:221‑34.
29. Santo SS, Barlem EL, Tarouco Da Silva B. Health promotion for the
Elderly: Gerontogeriatric nursing commitment. Acta Paul Enferm
2008;21:649‑53.
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