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Zhu X, Wong FK, Wu LH. Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial. Int J Clin Exp Med. 2014;7(11):4369-77
Zhu, X., Wong, F. K., & Wu, L. H. (2014). Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial. International journal of clinical and experimental medicine, 7(11), 4369-77.
Zhu, Xuejiao, et al. "Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial." International journal of clinical and experimental medicine vol. 7,11 (2014): 4369-77.
Zhu X, Wong FK, Wu LH. Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial. Int J Clin Exp Med. 2014 Nov 15;7(11):4369-77. eCollection 2014. PMID: 25550956; PMCID: PMC4276214.
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Int J Clin Exp Med. 2014 Nov 15;7(11):4369-77. eCollection 2014.

Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial.

International journal of clinical and experimental medicine

Xuejiao Zhu, Frances Kam Yuet Wong, Lai Har Wu

Affiliations

  1. School of Nursing, The Hong Kong Polytechnic University Hong Kong Special Administrative Region, P. R. China ; Hangzhou Normal University Hangzhou 310018, Zhejiang, P. R. China.
  2. School of Nursing, The Hong Kong Polytechnic University Hong Kong Special Administrative Region, P. R. China.

PMID: 25550956 PMCID: PMC4276214

Abstract

This study aims to develop a nurse-led hypertension management model in the community setting and pilot it to an experimental trial. A total of 73 recruited participants were randomly allocated into two groups. The study group received a home visit and 2-4 telephone follow-ups from the trained community nurses assisted by nursing student volunteers. The control group received doctor-led hypertension management. Data was collected at recruitment and immediately after the 8-week program. Outcome measures included blood pressure readings, self-care adherence, self-efficacy, quality of life, and patient satisfaction. Participants from the study group led by nurses had significant improvement in self-care adherence, patient satisfaction post-intervention than those from the control group led by doctors. However, there were no statistical significant differences in blood pressure readings, quality of life and self-efficacy between the two groups. The findings show that the nurse-led hypertension management appears to be a promising way to manage hypertensive patients at the community level, particularly when the healthcare system is better integrated.

Keywords: Community; hypertension management; nurse-led; pilot study; randomized controlled trial

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