Effects of educative-supportive program using line application on cardiovascular prevention in patients with hypertension

Abstract

The purpose of this quasi-experimental study was to examine the effects of an Educative–Supportive Program using the Line Application on cardiovascular disease prevention among patients with hypertension. The sample consisted of 54 patients with hypertension who received treatment at the medical outpatient department, tertiary hospital. They were matching assigned into two groups experimental and control with 27 patients in each. The experimental group received Educative-Supportive Nursing Program, which was developed based on Orem’s Self-Care Deficit Nursing Theory, using Line Application. The control group received usual nursing care. The research instruments included a self-care behaviors questionnaire and blood pressure measurement. The data were analyzed using descriptive statistics, including comparison statistic such as paired t-test or Wilcoxon signed-rank test, McNemar test, Chi-square and ANCOVA.

The results showed that after the intervention, the experimental group demonstrated significantly higher total and domain-specific self-care behavior scores than both their baseline and the control group (p < 0.001), Within-group effect sizes were large to very large (Cohen’s d = 3.61–7.18; r = 0.85–0.88), except for medication and appointment compliance which did not differ significantly. The proportion of participants with controlled blood pressure did not differ from baseline and did not differ from the control group (p ≥ 0.05).  

This study sugestes that the program should be use as a guideline of nursing practice in patients with hypertension to promote self-care behaviors to control them blood pressure levels, and to prevent cardiovascular disease. Continuous follow-up is recommended to assess long-term physiological blood pressure outcomes.