Document Type : Original Article

Author

Abstract

Introduction: Noncommunicable diseases are recognized as the major cause of old
people’s death. One of the models concerning the family health level is the family‑centered
empowerment model (FCEM) which has been designed with the aim of promoting the health
level and self‑esteem of the patients and their family members. Purpose: This study was
carried out to investigate about the effect of implementation of FCEM on the self‑esteem of old
people with high blood pressure. Settings and Design: This was a clinical trial study which
focused on 62 old adults with high blood pressure in 1392. After cluster sampling, samples
were divided randomly into test group and control group. Methods: FCEM was used for
the test group; whereas, for the control group, common health cares and one educational
session were performed. Study materials were checklist of demographic information, and
a researcher‑made questioner to evaluate the level of self‑esteem. Posttest was given
1‑weak after the intervention and was followed‑up 1½ months later. Statistical Tests: T‑test,
analysis of variance, and SPSS 20 were used to analyze the date. Finding: Before the
intervention, the mean scores of self‑esteem in both the test group and the control group
were the same (t = 0.55) (P > 0.05). However, 1‑week after the intervention (t = 6.38) and
1½ months later, meaningful differences were observed in the test group (P < 0.001).
Conclusion: Implementation of FCEM has a positive effect on the high self‑esteem of the
old people with high blood pressure.

Keywords

1. Koochaki G, Hojjati H, Sanagoo A. The Relationship Between
Loneliness And Life Satisfaction Of The Elderly In Gorgan And
Gonbad Cities. Journal Of Research Development In Nursing and
Midwifery 2012;9:61‑8.
2. Rejeh N, Heravikarimooi M, Montazeri A, Foroughan M.
Psychometric Properties Of The Iranian Version Of The Facts On
Aging Quiz (Faqi). Payesh 2012;11:245‑51
3. Moeini B, Barati M, Jalilian F. Factors Associated with the
Functional Independence Level in Older Adults Med Hormozgan J
2012;15:318‑26.
4. Nanbakhsh F, Mohaddesi H, Amirai A, Shafiha MH, Broomand F,
Bahadori F, et al. The Effect Of Health Education On Elderly Women
Life Quality. Journal Of Payavard Salamat 2011;5:47‑57.
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. Kamali M, Hesabi MA, Ahangari M. The Study Of Quality Of Life In
The Elderly With Hypertension Who Are Member Of Tehran Senile
Culture House Clubs. Iranian Journal of Ageing 2008;3:26‑32.
7. Meraci M, Feizei A, Nejad MB. Investigating The Prevalence Of High Blood
Pressure, Type 2 Diabetes Mellitus And Related Risk Factors According To
A Large General Study In Isfahan‑ Using Multivariate Logistic Regression
Model, Journal of Health System Research, 2012;8:193‑203.
8. Gholizade A, Shirani A. The Relationship Between Social
Support, Health And Satisfaction Among – The Elderly In Isfahan.
Journal Of Applied Sociology The University Of Isfahan 2010;
21 (1):82‑96.
9. Ghavami H, Ahmadi F, Entezami H, Meamarian R. The Effect Of
Continuous Care Model On Diabetic Patients’ Blood Pressure. Iran
J Med Educ 2006;6:87‑94.
10. De Lyra Júnior DP, Marcellini PS, Pelá IR. Effect Of Pharmaceutical
Care Intervention On Blood Pressure Of Elderly Outpatients With
Hypertension. Braz J Pharm Sci 2008;44.451‑7.
11. Alavi S, Jannatifard F. Relationships Between Perceived Social
Support And Self‑Esteem In The Carpet Knitter Of Naeen’s Villages.
Iran Occup Health 2012;9 (1):1‑8
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. Shakeri Nia 1. Effect Of Social Assists And Hopefulness In Elderly
Health Status With Chronic Pain. Iranian Journal Of Ageing. 2012;
7 (1):7‑15.
14. Karademas CE. Self‑Efficacy, Social Support And Well‑Being: The
Mediating Role Of Optimism. Pers Individ Dif 2006;40:1281‑90.
15. Masoudi R, Alhani F, Moghadassi J, Ghorbani M.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. Available from: http://journal.bums.ac.ir/browse.
php?a_code=A-10-1-357&slc_lang=en&sid=1, [Last accessed on
2010 Sep 15].
16. Wook LL. Bg3, Chronic Disease And Nursing; 2005;1‑7.
17. Alhani F. Design And Evaluation Of The Family‑Oriented Prevention
Of Iron Deficiency Anemia. (Phd Thesis). Tehran: Tarbiyat Modarres
University; 2003.
18. 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;457‑64.
19. Figar S, Galarza C, Petrlik E, Hornstein L, Rodríguez Loria G,
Waisman G, et al. Effect Of Education On Blood Pressure Control In
Elderly Persons: A Randomized Controlled Trial; Am J Hypertens.
2006;19(7):737‑43.
20. Kaakinen JR, Gedaly‑Duffm V, Coehlo DP, Hanson SH. Family
Health Care Nursing: Theory, Practice, And Research. 4th Edf. A.
Davis Company, 1915 Arch Street, Philadelphia, PA 19103, Www.
Fadavis.Com 2010. P. 216.
21. Teymori F, Alhani F, Kazemnejad A. The Effect Of Family‑Centered
Empowerment Model On The Quality Of Life Of School‑Age Asthma
Children. Nurs Res J 2011;6:52‑63.
22. Vahedian‑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.
23. 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.
24. Sung KW, Kim MH. Self‑Care Behaviors And Depressive Symptoms
Of Low‑Income Elderly Women With Hypertension. J Korean Acad
Nurs 2008;38:593‑602.
25. Biabangard E. Methods Of Reinforcing Self Esteem In Child and
Adolescent. Tehran: Olia Va Morabian; 2006. P. 77.
26. Rostami R, Shahmohamadi KH, Ghaedi GH, Besharat MA,
Akbari‑Zardkhane S, Nosratabadi M. The Survey Relationship
Between Self‑Efficacy With Emotional Intelligence And Perceived
Social Support In Students Of Tehran University. Journal Of
Advances In Medical Education And Practice 2010;16:46‑54.
27. Shahbazzadegan B, Farmanbar R, Ghanbari A, Atrkarroshan Z,
Adib M. Investigation Of The Correlation Between Economical‑Social
Factors And Self‑Esteem Of Elderly Residents In Rasht Nursing
Homes. Q J Nurs Midwifery Gilan Prov 2009;19:21‑7.