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IRCT20190806044449N2 IRCT 2023-07-23 Esfahan University of Medical Sciences Investigating the effect of implementing the family health nurse model on Hypertension self-management Investigating the effect of the implementation of the family health nurse model on self-management of high blood pressure in the elderly 2023-08-08 anticipated 76 Complete https://irct.ir/trial/71269 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Randomization will be done in two stages. At first, referring to Isfahan Health Network 1, a center will be selected as the intervention group by lottery, and then, for the control group to be homogeneous with the subjects of the intervention center in terms of social and economic conditions, one center will be selected as the control group by lottery among the comprehensive health service centers that are located in the vicinity of the center of the intervention group. In the second stage, in the centers selected by the researcher, through the Sib system, the head of the center will prepare a list of all the people who meet the entry criteria and systematically select the subjects, in such a way that the total number of the research population is divided by the required number of subjects to get the K number. Then randomly, the first number below ten is obtained, which is called n. Then the numbers N+K, N+2K, N+3K,... will be selected until the last subject. N/A hypertension. Intervention 1: Intervention group: Intervention group: For this group, the steps of the localized family health nurse model, which was developed by Keshvari et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan City: Designing a suitable model for providing family health care" It has been designed and will be implemented. This model will include three stages (before intervention, intervention, and evaluation). The pre-intervention stage included two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures were taken to meet the people with high blood pressure, and in the first meeting with the samples, after completing the relevant questionnaires, an initial assessment was carried out. They will be done at the center and the home visit time will be coordinated with them. In the intervention stage, which includes (home visits, implementation in the center and provision of a localized family health model service package, formation of self-help groups, and follow-up for 3 months), at least during two home visit sessions and the selection of a family health ambassador, with Use the relevant forms to assess the educational needs of the family with the help of family members, and after identifying the identified problems of the patient, based on nursing diagnoses, nursing care for the affected person is planned with the help of the family and a localized model package that includes individual counseling. , educational booklets and holding training sessions, referral to a doctor, follow-up of internal referrals made by a doctor to a psychiatrist, nutritionist, or specialist doctor, and follow-up of external referrals will be provided according to the needs and problems of each patient. Then, for 3 months, in the form of holding self-help group meetings and conducting monthly care and blood pressure control, he will follow up with the affected people. The evaluation stage of this model will also be done during 3 stages (during the intervention, immediately after the intervention, and 3 months after the intervention) by means of the Stafford Chronic Disease Self-Management Questionnaire and blood pressure measurement. Intervention 2: Control group: In this study, the control group after being called to the center, performing initial assessment, measuring blood pressure, and completing relevant questionnaires referred to health care providers and receive routine care at the center for 3 months, and after 3 months they complete the questionnaires and Their blood pressure will be measured again. Yes - There is a plan to make this available What will be shared: Results from demographic data, questionnaires and blood tests can be shared anonymously. The study protocol will be announced. When: Start access period after printing results To whom: According to the research title, all interested people will have access to the results. Conditions: The results will be published in scientific journals and in addition ; the researchers' emails will be available Where to obtain: he way to communicate is emails: shahshahani@nm.mui.ac.ir zohreh.noorollahi@gmail.com How to obtain: It will be answered at least 1 week after request. Comments: Only the results and study protocol will be presented.
public Zohreh Noorollahi
Department of Community Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezar Jerib Street, Azadi Square, Isfahan, Iran
Esfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 7153 Zohreh.noorollahi@gmail.com Esfahan University of Medical Sciences scientific Maryam Sadat Shahshahani
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, Iran
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 7153 shahshahani@nm.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Elderly aged 60-74 years Willingness to participate in the study Patients with high blood pressure above 140/90 Living in Isfahan city Diagnosis of high blood pressure for at least 6 months Not suffering from mental disorders Farsi speaking participants Doing daily activities independently The presence of an active person in the elderly home (family health ambassador based on ambassador criteria) 60 years 74 years Both Having chronic diabetes that leads to cardiovascular disorders. Having untreated hypothyroidism I10 Essential (primary) hypertension Treatment - Other Treatment - Other Intervention group: Intervention group: For this group, the steps of the localized family health nurse model, which was developed by Keshvari et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan City: Designing a suitable model for providing family health care" It has been designed and will be implemented. This model will include three stages (before intervention, intervention, and evaluation). The pre-intervention stage included two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures were taken to meet the people with high blood pressure, and in the first meeting with the samples, after completing the relevant questionnaires, an initial assessment was carried out. They will be done at the center and the home visit time will be coordinated with them. In the intervention stage, which includes (home visits, implementation in the center and provision of a localized family health model service package, formation of self-help groups, and follow-up for 3 months), at least during two home visit sessions and the selection of a family health ambassador, with Use the relevant forms to assess the educational needs of the family with the help of family members, and after identifying the identified problems of the patient, based on nursing diagnoses, nursing care for the affected person is planned with the help of the family and a localized model package that includes individual counseling. , educational booklets and holding training sessions, referral to a doctor, follow-up of internal referrals made by a doctor to a psychiatrist, nutritionist, or specialist doctor, and follow-up of external referrals will be provided according to the needs and problems of each patient. Then, for 3 months, in the form of holding self-help group meetings and conducting monthly care and blood pressure control, he will follow up with the affected people. The evaluation stage of this model will also be done during 3 stages (during the intervention, immediately after the intervention, and 3 months after the intervention) by means of the Stafford Chronic Disease Self-Management Questionnaire and blood pressure measurement. Control group: In this study, the control group after being called to the center, performing initial assessment, measuring blood pressure, and completing relevant questionnaires referred to health care providers and receive routine care at the center for 3 months, and after 3 months they complete the questionnaires and Their blood pressure will be measured again. High blood pressure self-management score in the Stanford Self-Management Questionnaire. Timepoint: Before, immediately and 3 months after the intervention. Method of measurement: Stanford chronic disease self-management questionnaire. Hypertension. Timepoint: Before, immediately and 3 months after the intervention. Method of measurement: Mercury sphygmomanometer. Esfahan University of Medical Sciences Approved 2023-07-08 Ethical Committee of Isfahan University of Medical Sciences School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezar Jerib Ave., Azadi Square Esfahan Isfehan Iran (Islamic Republic of)