title: Patient-tailored self-management intervention for older adults with hypertension in a nursing home.
abstract: OBJECTIVE
  This study was to evaluate the effects of a patient-tailored self-management intervention on (1) blood pressure control and (2) self-care behaviour, exercise self-efficacy and medication adherence among Korean older hypertensive patients in a nursing home.
  
  
  BACKGROUND
  Little is known about whether a patient-tailored self-management for nursing home residents with hypertension is likely to advance the care of this growing population worldwide.
  
  
  METHODS
  A non-equivalent comparison group design.
  
  
  METHODS
  Forty-seven patients (23 and 24 in the intervention and comparison groups, respectively) participated in the study. No one withdrew during the eight-week study period. Hypertensive patients in the intervention group received health education and tailored individual counselling for eight weeks to enhance the self-management.
  
  
  RESULTS
  The mean age of patients was 77·4 years. Patients were on hypertensive medications for 11·8 years; only 36 of them took medications without assistance. The baseline comparisons of the patients with and without 8-week intervention did not differ for clinical and demographic variables and outcome measures. Blood pressure decreased when comparing the baseline to eight weeks later from baseline; moreover, blood pressure was significantly reduced only in patients who received the intervention. Self-care behaviour and exercise self-efficacy significantly increased over time only in those who were in the intervention group. However, no significant difference was observed in medication adherence between the two groups.
  
  
  CONCLUSIONS
  Patient-tailored self-management intervention was a practical approach for decreasing blood pressure and increasing self-care behaviour in older hypertensive patients in a nursing home. Further studies are needed to validate these findings using a larger sample with long-term follow-up.
  
  
  CONCLUSIONS
  A patient-tailored intervention is feasible not only to empower nursing home residents with hypertension for their care, but also to offer a qualified training and guidelines to nursing home staffs, expanding their professional competence in clinical practice.
authors.affiliation: College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul.
authors.forename: Yeon-Hwan
authors.initials: YH
authors.lastname: Park
authors.forename: HeeKyung
authors.initials: H
authors.lastname: Chang
authors.forename: JinShil
authors.initials: J
authors.lastname: Kim
authors.forename: Jin Sang
authors.initials: JS
authors.lastname: Kwak
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure; D016022:Case-Control Studies; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D008019:Life Style; D008875:Middle Aged; D009735:Nursing Homes; D010358:Patient Participation; D012648:Self Care
chemical_list: D000959:Antihypertensive Agents