Effect of Self-Management Empowering Model on the Quality of Life in the Elderly Patients With Hypertension

oleh: Roghieh Khezri, Maryam Ravanipour, Niloofar Motamed, Hakime Vahedparast

Format: Article
Diterbitkan: University of Social Welfare & Rehabilitation Sciences 2016-01-01

Deskripsi

Objectives: Lifestyle and quality of life are closely associated with the prevalence of hypertension, which&nbsp;its lack of control can cause disability and low quality of life. This study aimed to study the impact of selfmanagement&nbsp;empowering model on the quality of life in patients with hypertension. Methods & Materials: This study was a clinical trial, conducted on elderly patients with hypertension&nbsp;in Bushehr City, Iran. They were selected by purposeful method and randomly divided into case and&nbsp;control groups. Intervention was done in 5 steps, based on the self-management empowering model&nbsp;(self-awareness of the performance level and self-expectations of the client, optimal goal setting by the&nbsp;client, planning, correcting the structure, and evaluation). Then, the data were collected by demographic&nbsp;data and SF36 questionnaires and analyzed using SPSS 18 with significance level set at &le;0.05. Results: By using the empowering program for elders, the mean quality of life level and its dimensions&nbsp;in the case group showed significant differences (P<0.05) after the intervention. Except for the activity&nbsp;restrictions, which showed increase in the score after the intervention, but it was not statistically significant.&nbsp;The scores of quality of life and its different aspects in the control group showed no statistically&nbsp;significant changes after the intervention (P>0.05). Difference between the total score of quality of life&nbsp;before and after the intervention in the case group compared to that difference in the control group&nbsp;showed a significant difference (P<0.05). Conclusion: Implementing the principles of self-management empowering model with emphasis on the&nbsp;elderly patients with hypertension could lead to a better quality of life among them. As a result, this&nbsp;model can be an appropriate approach in the health care programs and improve the quality of life in&nbsp;old age.