The effectiveness of the family-centered empowerment model towards the quality of life of older adults with hypertension
Abstract
Older adults with hypertension often experience a low quality of life. Family support plays a critical role in maintaining and improving their well-being. This study aimed to analyze the effectiveness of a family-centered empowerment model on the quality of life of hypertensive patients. This quasi-experimental study included 70 participants with hypertension, who were divided into an intervention group and a control group. Participants were selected through a consecutive sampling technique. The study utilized the Family Empowerment Instrument and the European Quality of Life questionnaire (EQ-5D-5L) for data collection. The data analysis was performed using Levene’s, Wilcoxon Signed Rank, and Mann-Whitney U tests. There were no significant differences in the participants’ characteristics between the control and intervention groups (Levene’s test p>0.05). After the familycentered empowerment intervention, the quality of life in the intervention group was significantly higher than that of the control group (Mann-Whitney U test p=0.000<0.05). This suggests that nurses can effectively involve patients with chronic diseases, particularly hypertension, and their families in the treatment process to enhance their quality of life.
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References
- Hajat C, Stein E. The global burden of multiple chronic conditions: A narrative review. Prev Med Rep 2018;12:284–93.
- WHO. World health statistics 2023: monitoring health for the sdgs, sustainable development goals [Internet]. Vol. 27, The Milbank Memorial Fund quarterly. 2023. 136 p. Available from: https://www.who.int/publications/book-orders.
- Himmelfarb C, Commodore-Mensah Y, Hill M. Expanding the role of nurses to improve hypertension careand control globally. Ann Glob Heal 2016;82:243–53.
- Kementerian Kesehatan RI. Hasil utama Riskesdas 2018. Jakarta: Badan Penelitian dan pengembangan Kesehatan Kementrian Kesehatan RI; 2018. 1–220 p.
- Fatima S, Mahmood S. Combatting a silent killer - the importance of self-screening of blood pressure from an early age. EXCLI J [Internet] 2021;20:1326–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34650386%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC8495116
- Samiei FS, Alimoradi Z, Atashi V, et al. Quality of life in different chronic diseases and its related factors. Int J Prev Med 2019;10:1–8.
- Carey R, Muntner P, Bosworth H, Whelton P. Prevention and control of hypertension: JACC health promotion series. J Am Coll Cardiol 2018;72:1278–93.
- Chantakeeree C, Sormunen M, Estola M, et al. Factors Affecting Quality of Life among Older Adults with Hypertension in Urban and Rural Areas in Thailand: A Cross-Sectional Study. Int J Aging Hum Dev 2022;95:222–44.
- Zhang L, Guo X, Zhang J, et al. Health-related quality of life among adults with and without hypertension: A population-based survey using EQ-5D in Shandong, China. Sci Rep 2017;7:14960.
- Yuniartika W, Kartinah, Sudaryanto A. Social Interaction Using Spirituality Therapy to Improve the Quality of Life of the Elderly in the Community. Evid Based Care J 2023;13:65–74.
- Ahmed M, Ahmed A, Al-khawaja M. Hypertension and Health-Related Quality of Life : A Community Based Epidemiological Study in an Egyptian Village. Int J Med Arts 2020;2:232–40.
- Noori R, Alami A, Noghabi AD. Effect of family-centered empowerment model on quality of life in patients with hypertension. J Maz Univ Med Sc 2015;25:100–7.
- Miao Y, Zhang L, Sparring V, et al. Improving health related quality of life among rural hypertensive patients through the integrative strategy of health services delivery: a quasi-experimental trial from Chongqing, China. Int J Equity Heal 2016;15:132.
- Suhat S, Suwandono A, Adi MS, et al. Relationship of Health Belief Model with Medication Adherence and Risk Factor Prevention in Hypertension Patients in Cimahi City, Indonesia. Evid Based Care J 2022;12:51–6.
- Salahi S, Ghahfarokhi J, Hasheminia S, Habibzadeh H. The effect of family–centered empowerment model on quality of life of hemodialysis patients. J Urmia Nurs Midwifery 2012;10.
- Allen D, Scarinci N, Hickson L. The nature of patient- and familycentred care for young adults living with chronic disease and their family members: A systematic review. Int J Integr Care 2018;18:14.
- Farias D, Almedia M, Gomes G, et al. Beliefs, values and practices of families in the care of hospitalized children: subsidies for nursing. Rev Bras Enferm 2020;73:1–8.
- Hamedani MA, Salar A, Kermansaravi F. Effect of Family-centered Empowerment Model on Quality of Life of Patients with Hypertension. J Med Surg Nurs 2021;10.
- Javadi M, Hosseini M, Meybodi FA, Marvasti nia G. The effect of family-centered empowerment program on self-efficacy and perceived stress in patients with acute coronary syndrome in yazd social security hospital. Cardiovasc Biomed J 2023;3:32–41.
- Nasiri S, Heydari N, Rafiee S, Paran M. Effect of family-centered education on patient’s self-care. Sadara Med J 2020;8:311–20.
- Kokorelias K, Gignac M, Naglie G, Cameron J. Towards a universal model of family centered care: a scoping review. BMC Heal Serv Res 2019;19:564.
- Liu L, Qian X, Chen Z, He T. Health literacy and its effect on chronic disease prevention: evidence from China’s data. BMC Public Health 2020;20:690.
- Azar F, Solhi M, Chabaksvar F. Investigation of the quality of life of patients with hypertension in health centers. Educ Heal Promot 2020;9:185.
- Tondok SB, Watu E, Wahyuni W. Validitas instrumen European Qualitiy of Life (EQ-5D-5L) Versi Indonesia untuk menilai kualitas hidup penderita tuberkulosis. Holistik J Kesehat 2021;15:267–73.
- Keshvari M, Hedayati B, Moeini M, Alhani F. A survey on the effect of implementation of a family-centered empowerment model on blood pressure and empowerment dimensions in the elderly people with hypertension. J Educ Health Promot [Internet] 2015;4:94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27462636%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4946264.
- Alhani F, Asghari-Jafarabadi M, Norouzadeh R, et al. The effect of family-centered empowerment model on the quality of life of adults with chronic diseases: An updated systematic review and meta-analysis. J Affect Disord 2022;316:140–7.
- Shayesteh H, Mirzaei A, Sayehmiri K, et al. Effect of Education Intervention on Lifestyle of Patients with Hypertension among the Rural Population of Lorestan Province. J Lifestyle Med 2016;6:58–63.
- Mohalli F, Mahmoudirad GH, Alhani F, et al. The Effect of Family-centered Empowerment Model on the Indicators of the Ability of Patients with Hypertension. Iran J Nurs Res 2018;13:1–6.
- Shields C, Finley M, Chawla N, Meadors W. Couple and family interventions in health problems. J Marital Fam Ther 2012;38:265–80.
- Aghajani M, Mirbagher Ajorpaz N, Kafaei Atrian M, et al. Effect of Self - Care Education on Quality of Life in Patients With Primary Hypertension: Comparing Lecture and Educational Package. Nurs Midwifery Stud 2013;2:71–6.
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