Detail Cantuman

ABSTRACT
Introduction: Uncontrolled blood pressure of people with hypertension
remains a major public health issue. The purpose of this research was to
evaluate the effectiveness of a Nurse-led Team-based Hypertension
Management Program (NTHMP) among people with uncontrolled
hypertension.
Methods: This quasi-experimental one-group pre-posttest design research
was done to evaluate the effectiveness of a NTHMP in a community hospital in
Thailand. The sample was thirty people with uncontrolled hypertension who
received outpatient care in a community hospital in Thailand. They
participated in three months NTHMP which included 1) team-approached
health education, 2) medication administration support, 3) motivation
interviewing on behavioral adjustment and 4) home blood pressure
monitoring for three months. Outcomes of the program; systolic blood
pressure, diastolic blood pressure, hospital admissions with signs of
hypertensive urgency were analyzed by using frequency, percentage, mean,
standard deviation, and repeated measured ANOVA.
Results: The results indicated that people with uncontrolled HT had lower
systolic blood pressures and diastolic blood pressure compared with baseline
levels (p<0.001), and no hospital admissions.
Conclusion: This program provided evidence for nurses to manage blood
pressure control in people with hypertension within a collaboration with
multidisciplinary team members in the community hospital