Integrative Nursing Based Multimodal Interventions for Uncontrolled Hypertensives
Condition: Uncontrolled Hypertension; Treatment Compliance; Behavior, Health; Nurse's Role
MeSH terms: Hypertension
Study type: Interventional

Summary: 
      Purpose: The aim of this study is to evaluate the effect of multimodal interventions based on
      Integrative Nursing (IN) principles on blood pressure, stress, and hypertensive treatment
      compliance levels in individuals living in the community and with uncontrolled hypertension.

      Design: This is a single-center, 1:1 randomized, single-blind, parallel, active comparator
      trial.

      Method: Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement
      2013 checklist is used in this study. In the study, the group in which Integrative Nursing
      Principles-Based Multimodal Interventions were applied (UHTINuM) was taken as the
      experimental (n: 24), the group in which health recommendations were given as the active
      comparator group (n: 24). The sample size calculated according to the reference study data is
      62. However, this target number could not be reached due to the COVID-19 pandemic conditions.
      This study was carried out with adult individuals aged 50-65 in Hayat Park, which is located
      within the borders of Konyaaltı District of Antalya province. Multimodal interventions
      including 12-week meditation and breathing techniques, yoga, hypertension treatment
      compliance training, and home blood pressure measurement training were applied to the UHTINuM
      group. The control group was directed to a specialist doctor as an intervention, information
      notes for hypertensive individuals and standard brochures prepared by the Ministry of Health
      were given. The primary results of the study were measured using an aneroid and automatic
      blood pressure device (blood pressure measurement), Hill Bone Hypertension Treatment
      Adherence Scale, Perceived Stress Scale (PSS).

      This will be the first study to evaluate the effect of multimodal interventions based on
      integrative nursing principles in uncontrolled hypertensives. If the hypotheses of the study
      are reached, it is expected that the planned intervention protocol will be used by other
      researchers and thus become widespread in the literature. Also, the results will help
      contribute to the provision of care in terms of IN.
    


Intervention name(s): Integrative Nursing based Multimodal Interventions for Uncontrolled Hypertensives; Ongoing treatment
Intervention type(s): Other; Other
Intervention description(s): In this study, multimodal interventions including yoga, meditation, and breathing techniques, compliance training for hypertension treatment, and home blood pressure measurement training will be applied to the experimental group.; The ongoing health service of the control group will continue. In addition, the control group will be directed to a specialist doctor and standard brochures prepared by the Ministry of Health for hypertensive individuals will be given.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Uncontrolled Hypertension; Treatment Adherence and Compliance; Integrative Medicine; Holistic Nursing; Yoga; Meditation; Breathing Exercises; Blood Pressure; Blood Pressure Monitoring, Home; Blood Pressure Monitoring, Self