Effects of an proactive nursing program on blood pressure control with hypertensive patients of the community health center, Kalasin Hospital

Abstract

     This quasi-experimental research employed a pre-post test design with two groups. This study aims to investigate the effects of an active nursing program on the behavior of blood pressure control in hypertensive patients at the Kalasin Hospital Community Health Center. Study from patients with poorly controlled blood pressure were between April 2023 and September 2023. Participants were divided into an experimental group and a control group, each consisting of 50 individuals. Three sets of questionnaires were collected to assess patient behaviors. Data were analyzed using frequency distribution, percentage,Mean, and S.D. applying descriptive statistics as well as independent t-tests and paired t-tests to determine differences between the two groups.
     Results : The comparison of health behaviors related to blood pressure control indicated that after receiving the active nursing program alongside standard nursing care, the overall average behavior score improved significantly, reaching This improvement was statistically significant at the 0.05 level. The highest average scores were observed for correct Drug used,  Stress management, Food and Exercise. The experimental group had a Body Mass Index (BMI) of 25.05±3.77 kg/m² (P=0.02), The average systolic blood pressure (SBP) for the experimental group was 140.54±17.89 mmHg (P<0.001), the average diastolic blood pressure (DBP) for the experimental group was 89.26±10.68 mmHg (P<0.001), while the control group had a BMI of 27.03±4.55 kg/m², SBP of 149.65±19.54 mmHg (P< 0.001). Additionally, DBP= 94.44±14.44 mmHg (P < 0.001).