Main Article Content
Background: Hypertension is one of the major health problems and very essential part in research due to its high prevalence and being major risk factor for developing cardiovascular diseases and other complications even death. Hypertensive patients need to be aware of various aspects of hypertension and its effective management (selfcare management). The aim of the study was to evaluate the effectiveness of nurse led intervention on knowledge and Practice on self-care management among hypertensive patients in selected PHCs Puducherry, with the objectives of to assess the Pretest and posttest level of knowledge and Practice on self-care management among hypertensive patients in experimental and control group, to evaluate the effectiveness of nurse led intervention on self-care management among hypertensive patients in experimental group and compare with the control group and to associate the posttest level of knowledge and practice on self-care management among hypertensive patients with their selected demographic variables in experimental group.
Methodology: For this work, a quantitative approach was employed in conjunction with a quasi-experimental pretest and posttest with control group design. The study was carried out at two designated PHCs in Puducherry (Thavalakuppam and lawspet). The purposive sampling technique was used to choose the sample size, which was 10 in the experimental group and 10 in the control group. Pretesting was carried out using a structured questionnaire and interview schedule in the experimental and control groups. While the control group's patients simply received regular hospital care, the experimental group received video-assisted teaching and a booklet. On the seventh day, both groups underwent a posttest using the same instrument.
Results: The study results revealed that the post level of knowledge on self-care management, 90% of subjects are having adequate knowledge and 100% of subjects are having good Practice on self-care management in experimental group. Whereas in the control group post-test illustrated that the level of knowledge on self-care management, 80% of subjects are having inadequate knowledge and 100% of subjects are having moderate practice on self-care management.
Conclusion: The study found that, when compared to the control group, a particular nurse-led intervention was beneficial in increasing knowledge and practise of self-care management among diabetic patients in the experimental group.
World Health Organization (WHO), hypertension report. Geneva; 13 April 2021.
World Health Organization (WHO), hypertension report. Geneva; 2022.
World Health Organization (WHO), Hypertension Report on India; 2022.
Spies LA, Bader SG, Opollo JG, Gray J. Nurse‐Led interventions for hypertension: A scoping review with implications for Evidence‐Based practice. Worldviews on Evidence‐Based Nursing. 2018;15(4):247-256.
Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: Effects on professional practice andhealth care outcomes. Cochrane Database Syst Rev. 2015;9:CD002098.
[DOI: 10.1002/14651858.CD002098.pub2] [Medline: 26343551]
Du S, Zhou Y. Fu C, Wang Y, Du X, Xie R. Health literacy and health outcomes in hypertension: An integrative review. International Journal of Nursing Sciences. 2018;5(3):301-309.
Wolever RQ, Simmons LA, Sforzo GA, Dill D, Kaye M, Bechard EM, et al. A systematic review of the literature on health and wellness coaching: Defining a Key Behavioral intervention in healthcare. Global Advances in Health and Medicine. 2013;2(4):38-57.
Carey RM, Muntner P, Bosworth HB, Whelton PK. Reprint of: Prevention and Control of Hypertension: JACC Health Promotion Series. Journal of the American College of Cardiology (JACC). 2018;72(23): 2996–3011.
Tamilselvi S, Hemalatha V. Effectiveness of nurse led intervention on management of hypertension among hypertensive clients, International Journal of Advance Research in Community Health Nursing. 2020;2(2):95- 97
Rose Clarke Nanyonga. Effectiveness of nurse-led group interventions on hypertension lifestyle management. Journal of Nursing Scholarship; 07 November 2021.
Jian-Hong Miao, Hai-Shan Wang, Na Liu. Evaluation of a nurse-led hypertension management model in an urban community healthcare, National Library of Medicine; 2020 Jul 2.