The Effect of Training Given to With Hypertension

The Effect of Training Given According to the Roy Adaptation Model on the Sleep and Quality of Life of Individuals With Hypertension

The study was conducted to examine the effects of the training given according to the Roy Adaptation Model on the sleep and quality of life of individuals with hypertension.

Study Overview

• Status: Completed
• Conditions: Hypertension; Train Sickness
• Intervention / Treatment: Other: Patient Education

Detailed Description

Nurses have responsibilities in the treatment of hypertension, especially in controlling blood pressure and risk factors. Patient evaluation, diagnosis, follow-up, medication management, patient training, counseling, and clinical management of patients are among the responsibilities of nurses. It has been reported in previous studies that insufficient sleep duration and sleep apnea cause hypertension. Hypertension patients have been reported to have lower sleep quality scores when compared to individuals with normal blood pressure.

Training given by nurses on issues such as the importance of sleep, providing the necessary sleep time, and resting the individual can turn hypertension into a controllable disease. Previous studies reported that hypertension reduces the quality of life of individuals. Quality of life of hypertension patients is affected by factors such as age, gender, educational status, genetics, and the negative consequences of the disease. These negative consequences can be organ damage, side effects of drugs used, other diseases, obesity, and sexual dysfunctions. The negative psychological state of patients can affect blood pressure, quality of life, and sleep patterns negatively.

Nurses come to the forefront especially with their educational roles in preventive healthcare services, ensuring adaptation to disease and rehabilitation services. One of the most common models used to guide nursing practice and training is the Roy Adaptation Model (RAM) in nursing. Since RAM is functional in compliance with treatment and coping with chronic diseases, it is used as a conceptual model to construct and test nursing theories.

In a study that was conducted by Seah and Tham using RAM, it was reported that individuals adapted better to their disease in a changing environment in the treatment of bulimia nervosa. In the study of Afrasiabifar, Karimi, and Hassani, it was reported that patient training based on RAM strengthened the adjustment in the physiological state and self-concept areas of patients. It was found in another study that patients who received RAM training used effective coping mechanisms to adapt to various symptoms and responded more positively to treatment. In a study conducted by Lok et al., it was found that Cognitive Stimulation Therapy significantly increased the quality of life. Also, in another study that was conducted according to RAM, it was reported that web-based training increased the quality of life significantly in the physiological field.

There may be problems in compliance with the disease, symptoms, disease management, and treatment in hypertension patients. Patient training given by nurses is important in ensuring compliance with the disease, treatment, and care of hypertension patients. It is considered that the training based on RAM will be beneficial in the training to be given by nurses. Studies conducted in Turkey show that it is necessary to increase social awareness about hypertension and use model-based training by nurses who provide care. Because patient compliance is mainly focused on in patient training in the treatment process of hypertension and it is considered the most important variable in the treatment process. The present study was conducted to determine the effects of the training given according to RAM on sleep and quality of life in patients diagnosed with hypertension.

• Study Type: Interventional
• Enrollment (Actual): 110
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Yakutiye
    • Erzurum, Yakutiye, Turkey, 25100
      • Turkey

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being diagnosed with hypertension for at least 6 months
• Having applied to clinics for follow-ups
• Knowing the diagnosis and being able to express it verbally
• Not having a communication problem
• Being literate

Exclusion Criteria:

• Incomplete data form
• Leaving the study at any stage

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control Group; Routine nursing care was given to the patients in this group without any training.
Experimental: Patient Education; The RAM-Based Training and Hypertension Training Manual were given to the intervention group for 8 weeks, once a week, for 2 hours each session. The patients in the intervention group were called during the 1st and 3rd weeks of the study, and telephone counseling was provided. Reminders were made for important points in RAM-based hypertension training in these meetings.	Other: Patient Education; The intervention group was given 120 minutes of training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pittsburg Sleep Quality Index (PSQI)	The index was developed by Buysse et al. in 1989 to evaluate the sleep duration and intensity of individuals. The scale has 11 items and 7 sub-dimensions. These items are scored between 0-3. The scores that can be obtained from the scale range from "0" to "21" points. The Turkish validity and reliability of the scale was conducted by Ağargün et al. in 1996. A high total scale score indicates poor sleep quality. A reliable, valid, and standard measurement of sleep quality is made with PSQI. The Cronbach Alpha Internal Consistency Coefficient of the scale is 0.80.	up to eight weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
SF-36 Quality of Life Scale	The scale, which is widely used in health-related quality-of-life studies, was developed by Ware and Sherbourne. A high score on the scale indicates a good quality of life. The scores that can be obtained from the sub-dimensions and the sum of the scale vary between 0-100. A score approaching zero indicates poor health and 100 indicates good health. The Turkish validity and reliability of the scale was conducted by Pınar in 1995.	up to eight weeks

Collaborators and Investigators

• Sponsor: Kader ÖZTÜRK

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2021
• Primary Completion (Actual): December 1, 2022
• Study Completion (Actual): December 26, 2022

Study Registration Dates

• First Submitted: June 26, 2024
• First Submitted That Met QC Criteria: July 24, 2024
• First Posted (Actual): July 25, 2024

Study Record Updates

• Last Update Posted (Actual): July 25, 2024
• Last Update Submitted That Met QC Criteria: July 24, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: Quality of Life; Hypertension; Nursing; Sleep Quality; Roy Adaptation Model
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Hypertension
• Other Study ID Numbers: Kader

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No