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http://dx.doi.org/10.5932/JKPHN.2017.31.2.284

Hypertension Management of Non-Elderly and Elderly  

Kim, Jin Hak (Korea Human Resources Development Institute for Health & Welfare)
Jung, Eun Sook (Department of Nursing, Pyeongtaek University)
Shim, Moon Sook (College of Nursing, Konyang University)
Publication Information
Journal of Korean Public Health Nursing / v.31, no.2, 2017 , pp. 284-295 More about this Journal
Abstract
Purpose: This study was conducted to compare the hypertension management between a non-elderly group and elderly group of hypertension patients in Community residents. The study also sought to generate strategies for increasing the hypertension management of residents using Community health center. Methods: Data on the general characteristics and hypertension management from 381 hypertension patients between non-elderly and elderly, living in P city, Gyeonggi Province and C city, Chungnam Province. South Korea, were collected based on a structured questionnaire, The data were analyzed using the SPSS 20.0 statistics program. Results: The use of a Community health center in the non-elderly and elderly groups showed a statistically significant difference in facility excellence and cheaper cost. Hypertension management was measured every day, The daily blood pressure and physician counseling was performed according to the changes in blood pressure. The management of hypertension medication in a community health center provided for hypertensive patients can be evaluated as an efficient service. Conclusion: The self-management ability of hypertension needs to be improved. In particular, especially, the elderly managed by the Community health center have good accessibility and a good alternative for the treatment cost. Therefore, it is necessary to provide support and measures to make hypertension management safer.
Keywords
Hypertension; Management; Elderly;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Murray, M. D., Morrow, D. G., Weiner, M., Clark, D. O., Tu, W., Deer, M. M., et al. (2004). A conceptual framework to study medication adherence inolder adults. American Journal of Geriatric Pharmacotherapy, 2(1), 36-43.   DOI
2 Park, J. S., & Oh, Y. J. (2010). The effect of case management for clients with hypertension DM registered in customized home visiting health care services. Journal of Korean Public Health Nursing, 24(1), 135-150.
3 Parving, H. H., Brenner, B. M., McMurray, J. J., Zeeuw, D., Haffner, S. M., Solomon, S. D., et al. (2012). Cardiorenal end points in a trial of aliskiren for type 2 diabetes. The New England Journal of Medicine, 367, 2204-2213.   DOI
4 Reboldi, G., Gentile, G., Angeli, F., Ambrosio, G., Mancia, G., & Verdecchia, P. (2011). Effects of intensive blood pressure reduction on myocardial infarction and stroke in diabetes: a meta analysis in 73,913 patients. Journal of Hypertension, 29, 1253-1269.   DOI
5 Shen, Q., Karr, M., Ko, A., Chan, D. K., Khan, R., & Duvall, D. (2006). Evaluation of a medication education program for elderly hospital in-patients. Geriatric Nursing, 27(3), 184-192. http://dx.doi.org/10.1016/j.gerinurse.2006.03.015   DOI
6 Suh, S. R., & Lee, E. H. (2011). A path model predicting medication adherence and self -care of low-income older adults with hypertension. Korean Journal of Adult Nursing, 23(4), 374-385.
7 Bergman-Evans, B. (2006). AIDES to improving medication adherence in older adults. Geriatric Nursing, 27(3), 174-182. http://dx.doi.org/10.1016/j.gerinurse.2006.03.003   DOI
8 Bobrie, G., Frank, M., Azizi, M., Peyrard, S., Boutouyrie, P., Chatellier, G., et al. (2012). Sequential nephron blockade versus sequential renin-angiotensin system blockade in resistant hypertension: A prospective, randomized, open blinded endpoint study. Journal of Hypertension, 30(1), 1656-1664.   DOI
9 Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. Journal of American Medical Association, 288, 2469-2475. http://dx.doi.org/10.1001/jama.288.19. 2469   DOI
10 Cantor, J. C., Morisky, D. E., Green, L. W., Levine, D. M., & Salkever, D. S. (1985). Cost-effectiveness of educational interventions to improve patient outcomes in blood pressure control. Preventive Medicine, 14, 782-800. http://dx.doi.org/10.1016/0091-7435(85)90071-4   DOI
11 Cornelissen, V. A., Fagard, R.H., Coeckelberghs, E., & Vanhees, L. (2011). Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension, 58, 950-958.   DOI
12 DiMatteo, M. R., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002). Patient adherence and medical treatment outcomes: A meta-analysis. Medical Care, 40(9), 794-811. http://dx.doi.org/10.1097/01.mlr.0000024612.61915.2d   DOI
13 Aguiar, P. M., Balisa-Rocha, B. J., Brito, G. C., & Lyra, D. P. Jr. (2012). Pharmaceutical care program for elderly patients with uncontrolled hypertension. Journal of the American Pharmacists Association, 52(4), 515-518. http://dx.doi.org/10.1331/JAPhA.2012.11015   DOI
14 Ahn, Y. H., Lim, Y. M., Kim, K. Y., Kim, K. K., & Song, H. Y.(2016). Influencing factors from the transtheoretical model on the execution of self-management behaviors among community-Residing older adults with hypertension. Journal of Korean Public Health Nursing, 30(1), 105-121. http://dx.doi.org/10.5932/JKPHN.2016.30.1.105   DOI
15 World Health Organization. (2003). Prevention and management of hypertension: report of a WHO scientific group. Geneva: World Health Organization.
16 Estruch, R., Ros, E., Salas-Salvado, J., Covas, MI., Corella, D., Aros, F., et al. (2013). Primary prevention of cardiovascular disease with a Mediterranean diet. The New England Journal of Medicine, 368, 1279-1290.   DOI
17 Grover, S. A., Coupal, L., Kaouache, M., & Lowensteyn, I. (2007). Preventing cardiovascular disease among canadians: What are the potential benefits of treating hypertension or dyslipidemia? Canadian Journal of Cardiology, 23, 467-473. http://dx.doi.org/10.1016/S0828-282X(07)70786-9   DOI
18 Hsu, Y. H., Mao, C. L., & Wey, M. (2010). Antihypertensive medication adherence among elderly Chinese Americans. Journal of Transcultural Nursing, 21(4), 297-305. http://dx.doi.org/10.1177/1043659609360707   DOI
19 Jamerson, K., Weber, M. A., Bakris, G. L., Dahlof, B., Pitt, B., & Shi, V. (2008). Benazepril plus amlodipine or hydrochlorothiazide for hypertension in high-risk patients. The New England Journal of Medicine, 359, 2417-2428.   DOI
20 Taylor R. S., Ashton K. E., Moxham T., Hooper L., & Ebrahim S. (2011). Reduced dietary salt for the prevention of cardiovascular disease: a meta-analysis of randomized controlled trials (Cochrane review). American Journal of Hypertension, 24, 843-853.   DOI
21 Yoo, W. S., Kim, M. H., Kim, Y. M., Kim, E. Y., Kim, C. H., Kim, H. G., et al. (2007). Development of job manual for progressive reorganization in case management program for the insureds of National Health Insurance. Seoul: National Health Insurance Corporation.
22 Lee, J. K. (2011). Factors associated with drug misuse behaviors among polypharmacy elderly. Korean Journal of Adult Nursing, 23(6), 554-563.
23 Yusuf, S., Diener, H. C., Sacco R. L., Cotton D., Ounpuu S., Lawton W. A., et al. (2008). Telmisartan to prevent recurrent stroke and cardiovascular events. New England Journal of Medicine, 359, 1225-1237.   DOI
24 Kampus, P., Serg, M., Kals, J., Zagura, M., Muda, P., Karu, K., et al. (2011). Differential effects of nebivolol and metoprolol on central aortic pressure and left ventricular wall thickness. Hypertension, 57, 1122-1128.   DOI
25 Kim, K. H., Park, S. H., & Lee, H. K. (2005). A study on the factors influencing to the medication compliance of the hypertensive patient in one public health center in Seoul. Korean Journal of Health Promotion and Diseases Prevention, 5(4), 267-274.
26 Ko, I. S., Kim, G. S., Lim, M. H., Lee, K. J., Lee, T. W., Park, H. S., et al. (2007). Effects of health education on the knowledge and self-care of hypertension for visiting nursing clients. Journal of Korean Public Health Nursing, 21(1), 134-145.
27 Kwon, M. S., Yang, S. O., & Jang, J. H. (2015). Health related Lifestyles, Self-efficacy and Health related Quality of life by the Type of hypertension management in community health posts. Journal of Korean Public Health Nursing, 29(3), 565-581. http://dx.doi.org/10.5932/JKPHN2015.29.3.565   DOI
28 Mancia, G., Fagard, R., Narkiewicz, K., Redon, J., Zanchetti, A. & Bohm, M., et al. (2013). 2013 ESH/ESC Guidelines for the management of arterial hypertension: The task force for the management of arterial hypertension of the european society of hypertension (ESH) and of the european society of cardiology (ESC). Journal of Hypertension, 31, 1281-1357.   DOI
29 Ministry of Health & Welfare. (2012). Korea national health and nutrition examination survey (KNHANES V-1). Retrieved April 5, 2012, from http://knhanes.cdc.go.kr/knhanes/index.do