Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention
type: CreativeWork
description: ABSTRACT IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A SUPPORTIVE EDUCATIVE NURSING INTERVENTION by ZORICA KAURIC-KLEIN May 2011 Advisor: Dr. Nancy T. Artinian Major: Nursing Degree: Doctor of Philosophy Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions which incorporate a combination of self-regulation components (self-monitoring, goal-setting and reinforcement) appear to have the most impact on adherence to BP self-care behaviors in the HD patient. Purpose: The major purpose of this study is to determine if a supportive educative nursing intervention incorporating self-regulation components will improve BP control in a chronic HD population. Theoretical Framework: ‗Theory of Improving BP Control in Hypertensive HD patients` deduced from Orem`s Self-Care Deficit Nursing Theory and Self Regulation Theory. Design: A randomized experimental design. Sample: 118 participants recruited from 6 HD units in the Detroit Metro area. Method: The intervention consisted of : 1) BP education sessions, 2) 12 week intervention and 3) 30 day post intervention follow-up period. The participants in the treatment group received an Omron 207 HEM-780 BP monitor and were asked monitor and record home BP twice daily. They were also asked to monitor and record their 24 hr fluid intake and salt intake on a weekly basis. BP, fluid and salt logs were reviewed weekly to determine if goals were met or not met. Reinforcement was given for goals met and problem solving offered when goals were not met. The control group received standard ca…
abstract: ABSTRACT IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A SUPPORTIVE EDUCATIVE NURSING INTERVENTION by ZORICA KAURIC-KLEIN May 2011 Advisor: Dr. Nancy T. Artinian Major: Nursing Degree: Doctor of Philosophy Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions which incorporate a combination of self-regulation components (self-monitoring, goal-setting and reinforcement) appear to have the most impact on adherence to BP self-care behaviors in the HD patient. Purpose: The major purpose of this study is to determine if a supportive educative nursing intervention incorporating self-regulation components will improve BP control in a chronic HD population. Theoretical Framework: ‗Theory of Improving BP Control in Hypertensive HD patients` deduced from Orem`s Self-Care Deficit Nursing Theory and Self Regulation Theory. Design: A randomized experimental design. Sample: 118 participants recruited from 6 HD units in the Detroit Metro area. Method: The intervention consisted of : 1) BP education sessions, 2) 12 week intervention and 3) 30 day post intervention follow-up period. The participants in the treatment group received an Omron 207 HEM-780 BP monitor and were asked monitor and record home BP twice daily. They were also asked to monitor and record their 24 hr fluid intake and salt intake on a weekly basis. BP, fluid and salt logs were reviewed weekly to determine if goals were met or not met. Reinforcement was given for goals met and problem solving offered when goals were not met. The control group received standard ca…
author: Kauric-Klein, Zorica
keywords: goal setting, hemodialysis, hypertension, monitoring, nursing, reinforcement, Behavioral Disciplines and Activities, Social and Behavioral Sciences
date published: 2011-01-01T08:00:00Z
date modified: 2026-07-24T05:58:49Z
provider: Wayne State University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Wayne State University