Community-Based Multicomponent Nursing Interventions For Improving Health Outcomes in Older Adults with Hypertension: A Systematic Review

المؤلفون

  • Asep Iskandar Faculty of Nursing, Universitas Jendral Soedirman, Central Java, Indonesia
  • Endang Triyanto Faculty of Nursing, Universitas Jendral Soedirman, Central Java, Indonesia https://orcid.org/0000-0002-1161-3705

الكلمات المفتاحية:

Hypertension، Older adults، Multicomponent nursing intervention، Quality of life، Self-management;

الملخص

Background: Hypertension is one of the most prevalent chronic conditions among older adults and is associated with substantial morbidity and reduced quality of life. Multicomponent nursing interventions have been increasingly implemented to improve hypertension management and support patients’ overall well-being. Objective: To generate current evidence regarding the effectiveness of community-based multicomponent nursing interventions in improving health outcomes, including quality of life, blood pressure control, medication adherence, and self-management among older adults with hypertension. Methods: A systematic review was conducted following PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, ScienceDirect, CINAHL, and Google Scholar for studies published between 2020 and 2026. Eligible studies involved older adults (≥60 years) with hypertension receiving nurse-led multicomponent interventions. Study quality was assessed using the Joanna Briggs Institute (JBI) appraisal tools. Results: Eight studies met the inclusion criteria. The findings consistently showed that multicomponent nursing interventions improved medication adherence, blood pressure control, self-care behaviors, and quality of life among older adults with hypertension. Conclusions: Multicomponent nursing interventions appear to be effective in improving hypertension management and quality of life among older adults. Integrating comprehensive nurse-led programs into community and primary healthcare settings may support chronic disease management and promote healthy aging.

التنزيلات

بيانات التنزيل غير متوفرة بعد.

المراجع

Burnier M. Physician and patient adherence in hypertension trials: a point of view on an important issue to resolve. Expert Rev Pharmacoecon Outcomes Res. 2024;24:749–758. doi: 10.1080/14737167.2024.2363401.

Farrar J, Frieden T. WHO global report on hypertension 2025. Lancet. 2025;406:2318–2319. doi: 10.1016/S0140-6736(25)02208-1.

Parati G, Torlasco C, Omboni S, Pellegrini D. Smartphone applications for hypertension management: A potential game-changer that needs more control. Curr Hypertens Rep. 2017;19(6):48. doi: 10.1007/s11906-017-0743-0.

Vallée A, Gabet A, Grave C, Sorbets E, Blacher J, Olié V. Patterns of hypertension management in France in 2015: The ESTEBAN survey. J Clin Hypertens (Greenwich). 2020;22(4):663-672. doi: 10.1111/jch.13834.

Kappes M, Espinoza P, Jara V, Hall A. Nurse-led telehealth intervention effectiveness on reducing hypertension: a systematic review. BMC Nurs. 2023;22(1):19. doi: 10.1186/s12912-022-01170-z.

Miao JH, Wang HS, Liu N. The evaluation of a nurse-led hypertension management model in an urban community healthcare: A randomized controlled trial. Medicine (Baltimore). 2020;99(27):e20967. doi: 10.1097/MD.0000000000020967.

Darvishpour A, Mansour-Ghanaei R, Mansouri F. The relationship between health literacy, self-efficacy, and self-care behaviors in older adults With hypertension in the North of Iran. Health Lit Res Pract. 2022;6:e262–e269. doi: 10.3928/24748307-20221013-01.

Salmanpour N, Salehi A, Nemati S, Rahmanian M, Zakeri A, Drissi HB, et al. The effect of self-care, self-efficacy, and health literacy on health-related quality of life in patients with hypertension: a cross-sectional study. BMC Public Health. 2025;25(1):2630. doi: 10.1186/s12889-025-23914-7.

Kolcu M, Ergun A. Effect of a nurse-led hypertension management program on quality of life, medication adherence and hypertension management in older adults: A randomized controlled trial. Geriatr Gerontol Int. 2020;20(12):1182-1189. doi: 10.1111/ggi.14068.

Towfighi A, Cheng EM, Ayala-Rivera M, Barry F, McCreath H, Ganz DA, et al. Effect of a coordinated vommunity and chronic care model team intervention vs usual care on systolic blood pressure in patients with stroke or transient ischemic attack: The SUCCEED randomized Clinical trial. JAMA Netw Open. 2021;4(2):e2036227. doi: 10.1001/jamanetworkopen.2020.36227.

Stergiou GS, Parati G, Kollias A, Schutte AE, Asayama K, Asmar R, et al. Requirements for design and function of blood pressure measuring devices used for the management of hypertension: Consensus Statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability and STRIDE BP. J Hypertens. 2023;41(12):2088-2094. doi: 10.1097/HJH.0000000000003482.

Bulto LN, Roseleur J, Noonan S, Pinero de Plaza MA, Champion S, et al. Effectiveness of nurse-led interventions versus usual care to manage hypertension and lifestyle behaviour: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2024;23(1):21-32. doi: 10.1093/eurjcn/zvad040.

Adamu K, Feleke A, Muche A, Yasin T, Mekonen AM, Chane MG, et al. Health related quality of life among adult hypertensive patients on treatment in Dessie City, Northeast Ethiopia. PLoS One. 2022;17(9):e0268150. doi: 10.1371/journal.pone.0268150.

Stephen C, Halcomb E, Fernandez R, McInnes S, Batterham M, Zwar N. Nurse-led interventions to manage hypertension in general practice: A systematic review and meta-analysis. J Adv Nurs. 2022;78(5):1281-1293. doi: 10.1111/jan.15159.

Choi WS, Kim NS, Kim AY, Woo HS. Nurse-coordinated blood pressure telemonitoring for urban hypertensive patients: A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18(13):6892. doi: 10.3390/ijerph18136892.

Nomura A, Tanigawa T, Kario K, Igarashi A. Cost-effectiveness of digital therapeutics for essential hypertension. Hypertens Res. 2022;45(10):1538-1548. doi: 10.1038/s41440-022-00952-x.

Pellegrini D, Torlasco C, Ochoa JE, Parati G. Contribution of telemedicine and information technology to hypertension control. Hypertens Res. 2020;43(7):621-628. doi: 10.1038/s41440-020-0422-4.

Dehmer SP, Maciosek MV, Trower NK, Asche SE, Bergdall AR, Nyboer RA, et al. Economic evaluation of the home blood pressure telemonitoring and pharmacist case management to control hypertension (Hyperlink) trial. J Am Coll Clin Pharm. 2018;1(1):21-30. doi: 10.1002/jac5.1001.

Parati G, Dolan E, McManus RJ, Omboni S. Home blood pressure telemonitoring in the 21st century. J Clin Hypertens (Greenwich). 2018;20(7):1128-1132. doi: 10.1111/jch.13305.

Omboni S, McManus RJ, Bosworth HB, Chappell LC, Green BB, Kario K, et al. Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: An international expert position paper. Hypertension. 2020;76(5):1368-1383. doi: 10.1161/HYPERTENSIONAHA.120.15873.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71.

Beran M, Asche SE, Bergdall AR, Crabtree B, Green BB, Groen SE, et al. Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists. J Am Pharm Assoc (2003). 2018;58(6):614-621. doi: 10.1016/j.japh.2018.07.001.

Longenecker CT, Jones KA, Hileman CO, Okeke NL, Gripshover BM, Aifah A, et al. Nurse-led strategy to improve blood pressure and cholesterol level among people with HIV: A randomized clinical trial. JAMA Netw Open. 2024;7(3):e2356445. doi: 10.1001/jamanetworkopen.2023.56445.

Guo X, Ouyang N, Sun G, Zhang N, Li Z, Zhang X, et al. Multifaceted intensive blood pressure control model in older and younger individuals with hypertension: A randomized clinical trial. JAMA Cardiol. 2024;9(9):781-790. doi: 10.1001/jamacardio.2024.1449.

Zhang N, Li Q, Chen S, Wu Y, Xin B, Wan Q, et al. Effectiveness of nurse-led electronic health interventions on illness management in patients with chronic heart failure: A systematic review and meta-analysis. Int J Nurs Stud. 2024;150:104630. doi: 10.1016/j.ijnurstu.2023.104630.

Tanna S, Doshi G, Godad A. siRNA as potential therapeutic strategy for hypertension. Eur J Pharmacol. 2024. doi: 10.1016/j.ejphar.2024.176467.

Abdulrahman H, van Dalen JW, den Brok M, Latimer CS, Larson EB, Richard E. Hypertension and Alzheimer's disease pathology at autopsy: A systematic review. Alzheimers Dement. 2022;18(11):2308-2326. doi: 10.1002/alz.12707.

Margolis KL, Crain AL, Bergdall AR, Beran M, Anderson JP, Solberg LI, et al. Design of a pragmatic cluster-randomized trial comparing telehealth care and best practice clinic-based care for uncontrolled high blood pressure. Contemp Clin Trials. 2020;92:105939. doi: 10.1016/j.cct.2020.105939.

Margolis KL, Bergdall AR, Crain AL, JaKa MM, Anderson JP, Solberg LI, et al. Comparing pharmacist-led telehealth care and clinic-based care for uncontrolled high blood pressure: The hyperlink 3 pragmatic cluster-randomized trial. Hypertension. 2022;79(12):2708-2720. doi: 10.1161/HYPERTENSIONAHA.122.19816.

Parati G, Lombardi C, Pengo M, Bilo G, Ochoa JE. Current challenges for hypertension management: From better hypertension diagnosis to improved patients' adherence and blood pressure control. Int J Cardiol. 2021;331:262-269. doi: 10.1016/j.ijcard.2021.01.070.

Villar R, Sánchez RA, Boggia J, Peñaherrera E, Lopez J, Barroso WS, et al. Recommendations for home blood pressure monitoring in Latin American countries: A Latin American Society of Hypertension position paper. J Clin Hypertens (Greenwich). 2020;22(4):544-554. doi: 10.1111/jch.13815.

Di Giacomo D, Ranieri J, Guerra F, Cilli E, Sciarra L, Romano S. Cardiovascular risk and biopsychosocial interplay: Association among hypertension, anxiety, and emotional dysregulation-observational study in primary care setting for efficient self-care. Clin Cardiol. 2024;47(1):e24152. doi: 10.1002/clc.24152.

Durukan BN, Sener YZ, Erkoc A, Calik-Kutukcu E, Guven AT. Reliability and validity of the Turkish version of the Self-care of Hypertension Inventory Version 3.0 in adults with hypertension. J Vasc Nurs. 2024;42(2):131-137. doi: 10.1016/j.jvn.2024.02.006.

Sibbritt D, Davidson P, Peng WB, Adams J, Hickman L. Hypertension: What are the self-care and health-care-seeking behaviours in women over time? J Hum Hypertens. 2016;30(12):783-787. doi: 10.1038/jhh.2016.20.

Siegel D. Review: In hypertension,BPself-monitoring interventions improveBPlevels andBP control at 12 months. Ann Intern Med. 2018;168:JC16. doi: 10.7326/ACPJC-2018-168-4-016.

Sheppard JP, Tucker KL, Davison WJ, Stevens R, Aekplakorn W, Bosworth HB, et al. Self-monitoring of blood pressure in patients with hypertension-related multi-morbidity: Systematic review and individual patient data meta-analysis. Am J Hypertens. 2020;33(3):243-251. doi: 10.1093/ajh/hpz182.

Schoenthaler AM, Lancaster KJ, Chaplin W, Butler M, Forsyth J, Ogedegbe G. Cluster randomized clinical trial of FAITH (Faith-Based Approaches in the Treatment of Hypertension) in blacks. Circ Cardiovasc Qual Outcomes. 2018;11(10):e004691. doi: 10.1161/CIRCOUTCOMES.118.004691.

Warren-Findlow J, Coffman MJ, Thomas EV, Krinner LM. ECHO: A pilot health literacy intervention to improve hypertension self-care. Health Lit Res Pract. 2019;3(4):e259-e267. doi: 10.3928/24748307-20191028-01.

Anggreini SN, Said FM, Ayudytha Ezdha AU, Filri DE, Wahyuni F, Ovari I. The impact of hypertension education on self-care management in hypertensive patients in Senderak village health centre. J Pak Med Assoc. 2024;74(5 (Supple-5)):S27-S30. doi: 10.47391/JPMA.Ind-RInC-08.

Nagarjuna P, Kumar V, Faujdar DS, Yadav AK. Role of health literacy and primary health-care access in self-care management of hypertension. Indian J Public Health. 2023;67(3):442-447. doi: 10.4103/ijph.ijph_1704_22.

Jones LM, Moss KO, Mitchell J, Still C, Hawkins J, Tang E, et al. Challenges to dietary hypertension self-management as described by a sample of African American older adults. Worldviews Evid Based Nurs. 2022;19(1):64-72. doi: 10.1111/wvn.12555.

Rani S, Nisa QU, Shahzadi I, Tahira Y. Effectiveness of nurse-led interventions in managing hypertension among older adults. Pak J Intens Care Med. 2025;5:210–210. doi: 10.54112/pjicm.v5i02.210.

Kario K, Nomura A, Kato A, Harada N, Tanigawa T, So R, et al. Digital therapeutics for essential hypertension using a smartphone application: A randomized, open-label, multicenter pilot study. J Clin Hypertens (Greenwich). 2021;23(5):923-934. doi: 10.1111/jch.14191.

Kario K, Nomura A, Harada N, Tanigawa T, So R, Nakagawa K, et al. A multicenter clinical trial to assess the efficacy of the digital therapeutics for essential hypertension: Rationale and design of the HERB-DH1 trial. J Clin Hypertens (Greenwich). 2020;22(9):1713-1722. doi: 10.1111/jch.13993.

Doogue R, Hayes P, Tucker K, Fahey T, Sheikhi A, Koshiaris C, et al. Self-monitoring for improving control of blood pressure in patients with hypertension: a Cochrane intervention review. Rural Remote Health. 2023;23(1):8170. doi: 10.22605/RRH8170.

Zhang XN, Qiu C, Zheng YZ, Zang XY, Zhao Y. Self-management among elderly patients with hypertension and its association with individual and social environmental factors in China. J Cardiovasc Nurs. 2020;35(1):45-53. doi: 10.1097/JCN.0000000000000608.

Meng WW, Bai YY, Yan L, Zheng W, Zeng Q, Zheng YS, et al. Effect of home blood pressure telemonitoring plus additional support on blood pressure control: A randomized clinical trial. Biomed Environ Sci. 2023;36(6):517-526. doi: 10.3967/bes2023.063.

Lane D, Lawson A, Burns A, Azizi M, Burnier M, Jones DJL, et al. Nonadherence in hypertension: How to develop and implement chemical adherence testing. Hypertension. 2022;79(1):12-23. doi: 10.1161/HYPERTENSIONAHA.121.17596.

Burnier M, Azizi M, Magne J, Prejbisz A, Cunha V, Gupta P, et al. Patient perceptions, motivations and barriers to treatment adherence in hypertension: results of a questionnaire-based survey in five European countries. Blood Press. 2025;34(1):2513434. doi: 10.1080/08037051.2025.2513434.

Burnier M, Prejbisz A, Weber T, Azizi M, Cunha V, Versmissen J, et al. Hypertension healthcare professional beliefs and behaviour regarding patient medication adherence: a survey conducted among European Society of Hypertension Centres of Excellence. Blood Press. 2021;30(5):282-290. doi: 10.1080/08037051.2021.1963209.

Tu Q, Xiao LD, Ullah S, Fuller J, Du H. A transitional care intervention for hypertension control for older people with diabetes: A cluster randomized controlled trial. J Adv Nurs. 2020;76(10):2696-2708. doi: 10.1111/jan.14466.

Yang C, Lee DTF, Wang X, Chair SY. Effects of a nurse-led medication self-management intervention on medication adherence and health outcomes in older people with multimorbidity: A randomised controlled trial. Int J Nurs Stud. 2022;134:104314. doi: 10.1016/j.ijnurstu.2022.104314.

Hernández-Ascanio J, Perula-de Torres LÁ, Rich-Ruiz M, González-Santos J, Mielgo-Ayuso J, González-Bernal J, et al. Effectiveness of a multicomponent intervention to reduce social isolation and loneliness in community-dwelling elders: A randomized clinical trial. Nurs Open. 2023;10(1):48-60. doi: 10.1002/nop2.1277.

Parasuraman A, Rajendran SS, Venkatachalam GP, Periyakaruppan GM, Ramachandran M, Dhakshnamoorthy M, et al. Nurse-led interventions for self-care and restitutive behaviors in hypertension: A quasi-experimental study. Bioinformation. 2025;21(8):2653-2656. doi: 10.6026/973206300212653.

Noorollahi Z, Shahshahani MS, Farajzadegan Z, Keshvari M. Investigating the effects of implementing the family health nurse model on the self-management of elderly individuals with hypertension: a randomized controlled trial. BMC Prim Care. 2025;26(1):380. doi: 10.1186/s12875-025-03097-1.

Tan PPS, Sandhu RS, Zain SM, Hall D, Tan NC, Lim HM, et al. Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community. PLoS One. 2022;17(12):e0278761. doi: 10.1371/journal.pone.0278761.

Yuningsih A, Marpatmawati I, Suprapti B, Rismawan W. A holistic nursing approach to elderly hypertensive patients: Integrating physical, psychological, social, and spiritual dimensions. Int J Holistic Spirit Care. 2025;1:50–59. doi: 10.56359/ijhsc.v1i1.622.

Margolis KL, Dehmer SP, Sperl-Hillen J, O'Connor PJ, Asche SE, Bergdall AR, et al. Cardiovascular events and costs with home blood pressure telemonitoring and pharmacist management for uncontrolled hypertension. Hypertension. 2020;76(4):1097-1103. doi: 10.1161/HYPERTENSIONAHA.120.15492.

Margolis KL, Asche SE, Dehmer SP, Bergdall AR, Green BB, Sperl-Hillen JM, et al. Long-term outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension: Follow-up of a Cluster randomized clinical trial. JAMA Netw Open. 2018 Sep 7;1(5):e181617. doi: 10.1001/jamanetworkopen.2018.1617.

Tan FCJH, Oka P, Dambha-Miller H, Tan NC. The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Fam Pract. 2021;22(1):44. doi: 10.1186/s12875-021-01391-2.

Pahria T, Nugroho C, Yani DI. Factors Influencing self-care behaviors in hypertension patients with complications. Vasc Health Risk Manag. 2022;18:463–471. doi: 10.2147/VHRM.S366811.

Dickson VV, Fletcher J, Riegel B. Psychometric testing of the self-care of hypertension inventory version 3.0. J Cardiovasc Nurs. 2021;36(5):411-419. doi: 10.1097/JCN.0000000000000827.

Ea EE, Colbert A, Turk M, Dickson VV. Self-care among Filipinos in the United States who have hypertension. Appl Nurs Res. 2018;39:71-76. doi: 10.1016/j.apnr.2017.11.002.

Dwairej L, Ahmad M. Hypertension and mobile application for self-care, self-efficacy and related knowledge. Health Educ Res. 2022;37:199–212. doi: 10.1093/her/cyac012.

de Santana Silva JP, Cruz HRA, Silva GAG, Gualdi LP, Lima ÍNDF. Illness perception and self-care in hypertension treatment: a scoping review of current literature. BMC Health Serv Res. 2024;24(1):1529. doi: 10.1186/s12913-024-12001-z.

Gholamnejad H, Kakhki AD, Ahmadi F, Rohani C. Development and psychometric evaluation of the elderly hypertension self-care index. J Nurs Meas. 2019;27(3):418-432. doi: 10.1891/1061-3749.27.3.418.

Pourmand G, Doshmangir L, Ahmadi A, Noori M, Rezaeifar A, Mashhadi R, et al. An application of the theory of planned behavior to self-care in patients with hypertension. BMC Public Health. 2020;20(1):1290. doi: 10.1186/s12889-020-09385-y.

Suwanno J, Phonphet C, Mayurapak C, Ninla-Aesong P, Thaimwong L. Exploring factors associated with hypertension self-care in primary care: The role of nurse education levels and patient-related factors. Int J Nurs Pract. 2024;30(5):e13208. doi: 10.1111/ijn.13208.

Haung Z, Hong SA, Tejativaddhana P, et al. Multiple self-care behaviors and associated factors in community-dwelling patients with hypertension in Myanmar. Nagoya J Med Sci. 2020;82:363–376. doi: 10.18999/nagjms.82.2.363.

Warren-Findlow J, Krinner LM, Vinoski Thomas E, Coffman MJ, Gordon B, Howden R. Relative and cumulative effects of hypertension self-care behaviors on blood pressure. West J Nurs Res. 2020;42(3):157-164. doi: 10.1177/0193945919851111.

Abdisa L, Balis B, Shiferaw K, Debella A, Bekele H, Girma S, et al. Self-care practices and associated factors among hypertension patients in public hospitals in Harari regional state and Dire Dawa City administration, Eastern Ethiopia: A multi-center cross-sectional study. Front Public Health. 2022;10:911593. doi: 10.3389/fpubh.2022.911593.

Bravo-Ramirez MRH, Castillo-Esquivel DY. Health literacy: Key to self-care in diabetes & hypertension. Acta Medica (Hradec Kralove). 2025;68(4):160-166. doi: 10.14712/18059694.2026.7.

Treadwell JR, Rouse B, Reston J, Fontanarosa J, Patel N, Mull NK. Consumer devices for patient-generated health data using blood pressure monitors for managing hypertension: Systematic review. JMIR Mhealth Uhealth. 2022;10(5):e33261. doi: 10.2196/33261.

Breil B, Salewski C, Apolinário-Hagen J. Comparing the acceptance of mobile hypertension Apps for disease management among patients versus clinical use among physicians: Cross-sectional survey. JMIR Cardio. 2022;6(1):e31617. doi: 10.2196/31617.

Zhao Q, Guo Y, Gu L, Yang L. Comparison of two instruments for hypertension self-care assessments among older adults from China. Nurs Open. 2023;10(3):1672-1683. doi: 10.1002/nop2.1422.

Alen J, Forehand J, Miller B. Piloting a faith-based hypertension self-care program in a church setting. J Christ Nurs. 2022;39(4):E74-E79. doi: 10.1097/CNJ.0000000000001008.

Silveira LCJ, De Maria M, Dickson VV, Avila CW, Rabelo-Silva ER, Vellone E. Validity and reliability of the self-care of hypertension inventory (SC-HI) in a Brazilian population. Heart Lung. 2020;49(5):518-523. doi: 10.1016/j.hrtlng.2020.02.048.

Han HR, Benjasirisan C, Metlock FE, Tesfai Y, Commodore-Mensah Y. Use of the hypertension self-care profile: A scoping review. Int J Environ Res Public Health. 2025;22(8):1244. doi: 10.3390/ijerph22081244.

Bahari G, Scafide K, Weinstein AA, Krall J, Han HR. Assessment of hypertension self-care behaviors and self-efficacy among men in Saudi Arabia. J Nurs Meas. 2020;28(2):283-302. doi: 10.1891/JNM-D-18-00112.

Pathak A, Poulter NR, Kavanagh M, Kreutz R, Burnier M. Improving the management of hypertension by tackling awareness, adherence, and clinical inertia: A symposium report. Am J Cardiovasc Drugs. 2022;22(3):251-261. doi: 10.1007/s40256-021-00505-6.

Burnier M. Drug adherence in hypertension. Pharmacol Res. 2017;125(Pt B):142-149. doi: 10.1016/j.phrs.2017.08.015.

Robberechts T, Stoenoiu MS, Burnier M, Persu A. Optimizing drug adherence in hypertension: More than a mind game. Kardiol Pol. 2024;82(3):259-266. doi: 10.33963/v.phj.99493.

Ukoha-Kalu BO, Isah A, Biambo AA, Samaila A, Abubakar MM, Kalu UA, et al. Effectiveness of educational interventions on hypertensive patients' self-management behaviours: an umbrella review protocol. BMJ Open. 2023;13(8):e073682. doi: 10.1136/bmjopen-2023-073682.

Vrijens B, Antoniou S, Burnier M, de la Sierra A, Volpe M. Current situation of medication adherence in hypertension. Front Pharmacol. 2017;8:100. doi: 10.3389/fphar.2017.00100.

Burnier M, Egan BM. Adherence in hypertension. Circ Res. 2019;124(7):1124-1140. doi: 10.1161/CIRCRESAHA.118.313220.

Ma Y, Cheng HY, Sit JWH, Chien WT. Psychometric evaluation of the Chinese version of hypertension self-care profile. J Cardiovasc Nurs. 2021;36(5):420-429. doi: 10.1097/JCN.0000000000000708.

Schwarz M, Gyawali B, Nkonge-Ngumba DM, Anekha SK, Ngure M, Dræbel TA. A cross-sectional study on socio-demographic correlates of self-reported self-care practices for hypertension and type 2 diabetes among adults living in rural Kenya. BMC Health Serv Res. 2024;24(1):1624. doi: 10.1186/s12913-024-12088-4.

Du M, Kong H, Ran L, Ran Y, Bai L, Du Y, et al. Associations among health-promoting lifestyle, self-care agency and health-related quality of life in Bai older adults with hypertension in Yunnan China. BMC Geriatr. 2022;22(1):942. doi: 10.1186/s12877-022-03608-0.

Shabani M, Taheri-Kharameh Z, Sheikholeslamikabiri F, Judy M. Translation and evaluation of psychometric properties of the Persian version of the Hypertension Self-Care Activity Level Effects (H-SCALE). BMC Cardiovasc Disord. 2023;23(1):422. doi: 10.1186/s12872-023-03460-z.

Or CK, Liu K, So MKP, Cheung B, Yam LYC, Tiwari A, et al. Improving self-care in patients with coexisting type 2 diabetes and hypertension by technological surrogate nursing: Randomized controlled trial. J Med Internet Res. 2020;22(3):e16769. doi: 10.2196/16769.

Hermansson-Borrebaeck R, Fors A, Bengtsson U, Kjellgren K, Calling S, Midlöv P. Self-efficacy in hypertension management using e-health technology: A randomized controlled trial in primary care. J Clin Hypertens (Greenwich). 2025;27(1):e14981. doi: 10.1111/jch.14981.

M Yatim H, Wong YY, Neoh CF, Lim SH, Hassali MA, Hong YH. Factors influencing patients' hypertension self-management and sustainable self-care practices: a qualitative study. Public Health. 2019;173:5-8. doi: 10.1016/j.puhe.2019.04.020.

Świątoniowska-Lonc N, Polański J, Jankowska-Polańska B. Psychometric properties of the polish version of the self-care of hypertension inventory. J Cardiovasc Nurs. 2021;36(5):437-445. doi: 10.1097/JCN.0000000000000776.

Lee KS, Lee J. The complex relationship between treatment burden of multimorbidity and self-care in multimorbid patients with hypertension. BMC Prim Care. 2025;26(1):219. doi: 10.1186/s12875-025-02916-9.

Gobourne A, Ringel JB, King A, Safford M, Riffin C, Adelman R, et al. Association between caregiver strain and self-care among caregivers with hypertension: Findings from the REGARDS study. J Am Heart Assoc. 2024;13(15):e033477. doi: 10.1161/JAHA.123.033477.

Chen TY, Kao CW, Cheng SM, Liu CY. Factors influencing self-care among patients with primary hypertension: path analysis of mediating roles of self-efficacy and depressive symptoms. Eur J Cardiovasc Nurs. 2023;22(6):620-627. doi: 10.1093/eurjcn/zvad011.

Silveira LCJ, Rabelo-Silva ER, Ávila CW, Beltrami Moreira L, Dickson VV, Riegel B. Cross-cultural adaptation of the self-care of hypertension inventory into Brazilian Portuguese. J Cardiovasc Nurs. 2018;33(3):289-295. doi: 10.1097/JCN.0000000000000442.

Wee YS, Koh YLE, Tan NC. Assessment and stratification of self-care profile of patients with essential hypertension. Singapore Med J. 2024;65(8):459-465. doi: 10.11622/smedj.2021181.

Ketata N, Ben Ayed H, Ben Hmida M, Abdelhedi Z, Ben Jemaa M, Trigui M, et al. Prevalence and predictors of hypertension self-care practice in primary health-care facilities in Southern Tunisia. J Med Vasc. 2021;46(2):72-79. doi: 10.1016/j.jdmv.2021.01.005.

Niriayo YL, Demoz GT, Asgedom SW, Kahsay GG, Gidey K. Effect of self-care activities on blood pressure control among patients with hypertension. Biomed Res Int. 2025;2025:6623871. doi: 10.1155/bmri/6623871.

Lee E, Park E. Self-care behavior and related factors in older patients with uncontrolled hypertension. Contemp Nurse. 2017;53(6):607-621. doi: 10.1080/10376178.2017.1368401.

Dickson VV, Lee C, Yehle KS, Abel WM, Riegel B. Psychometric testing of the self-care of hypertension inventory. J Cardiovasc Nurs. 2017;32(5):431-438. doi: 10.1097/JCN.0000000000000364.

Persell SD, Peprah YA, Lipiszko D, Lee JY, Li JJ, Ciolino JD, et al. Effect of home blood pressure monitoring via a smartphone hypertension coaching application or tracking application on adults with uncontrolled hypertension: A randomized clinical trial. JAMA Netw Open. 2020;3(3):e200255. doi: 10.1001/jamanetworkopen.2020.0255.

Konlan KD, Shin J. Determinants of self-care and home-based management of hypertension: An integrative review. Glob Heart. 2023;18(1):16. doi: 10.5334/gh.1190.

Franssen M, Farmer A, Grant S, Greenfield S, Heneghan C, Hobbs R, et al. Telemonitoring and/or self-monitoring of blood pressure in hypertension (TASMINH4): protocol for a randomised controlled trial. BMC Cardiovasc Disord. 2017;17(1):58. doi: 10.1186/s12872-017-0494-5.

التنزيلات

منشور

2026-08-01

كيفية الاقتباس

Iskandar, A., & Triyanto, E. (2026). Community-Based Multicomponent Nursing Interventions For Improving Health Outcomes in Older Adults with Hypertension: A Systematic Review. Al-Rafidain Journal of Medical Sciences, 11(1), 214–221. استرجع في من https://ajms.iq/index.php/ALRAFIDAIN/article/view/3095

إصدار

القسم

Review article

المؤلفات المشابهة

1 2 3 4 5 6 7 8 9 10 > >> 

يمكنك أيضاً إبدأ بحثاً متقدماً عن المشابهات لهذا المؤلَّف.