Effects of the Application of Individualized Nursing on Blood Pressure Levels in the Elderly with Hypertension

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Majidah Suwailem Alsulami Aloufi, Saad Saud Marshad Alharbi, Khalid Owaidh M Alharbi, Hamad Hamdi Hamad Al Amri, Amani Makimi Mays Al-Dhafiri, Antsar Nayef Kridi Al-Dhafiri, Amina Makimi Mays Al-Dhafiri, Fatma Banyan Taha Alanzi

Abstract

Hypertension is a potentially serious issue in old people, so the proper treatment of indicated conditions is very important. The purpose of the present work was to assess the effectiveness of personal nursing interventions in lowering blood pressure and improving other health indicators in elderly hypertensive patients. In this study, a cross-sectional study design with records review was employed among one hundred elderly hypertensive patients who attended a PHC in a period of March 2022 to March 2023. Patients were divided into two groups: For the control group, consisting of 50 patients, standard nursing care was given, and for the observation group, which also counted 50 patients, individualized nursing interventions. These are; blood pressure, medication adherence, self-management capacity, endoluminal vascular endothelial function, psychological status, quality of life and cardiovascular event rates. The outcomes observed by the members of the observation group were much improved compared to those of the members of the control group. There were significant differences on diastolic and systolic blood pressure, Morisky scores and hypertension self-management ability scores compared with basal data, (P < 0.05). The observation groups had increased level of Nitric oxide (NO) and reduced level of endothelin-1 (ET-1 P<0.05). Concerning the psychological parameter, realistic dimensions slightly reduced, whereas anxiety and depression scores decreased (P < 0.05). Psychologically, physically, socially and materially_, the observation group obtained higher overall quality of life scores than the comparator group (P < 0.05) . Also an observational study revealed that the frequency of cardiovascular events was significantly lesser in the observation arm (P < 0.05). Nurse-prescribed and delivered interventions are effective for older hypertensive patients to improve blood pressure control, self-management of hypertension, psychological well-being, and health-related quality of life, as well as to avoid adverse outcomes. These observations confirm the practice relevance of individualised nursing approaches to this group of patients.

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