Effects of 5A Model-based Intervention on Self-care and Quality of Life in Elderly People With Hypertension

Khoshkhoo, Matineh; Sajjadi, Moosa; Mansoorian, Mohammad Reza; Ajamzibad, Hosein

doi:10.32598/sija.2021.16.3.657.1

Volume 16, Issue 3 (Autumn 2021) Salmand: Iranian Journal of Ageing 2021, 16(3): 348-361 | Back to browse issues page

‎ 10.32598/sija.2021.16.3.657.1

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Khoshkhoo M, Sajjadi M, Mansoorian M R, Ajamzibad H. Effects of 5A Model-based Intervention on Self-care and Quality of Life in Elderly People With Hypertension. Salmand: Iranian Journal of Ageing 2021; 16 (3) :348-361
URL: http://salmandj.uswr.ac.ir/article-1-2163-en.html

Effects of 5A Model-based Intervention on Self-care and Quality of Life in Elderly People With Hypertension

Matineh Khoshkhoo¹

, Moosa Sajjadi²

, Mohammad Reza Mansoorian³

, Hosein Ajamzibad

⁴

1- Department of Geriatric Nursing, Social Development and Health Promotion Research Center, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
2- Department of Internal Surgery Nursing, Social Development and Health Promotion Research Center, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
3- Department of Community Health Nursing and Nursing Management, Social Development and Health Promotion Research Center, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
4- Department of Nursing and Elderly Health, Nursing Research Center, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran. , ajam.h@gmu.ac.ir

Abstract: (4798 Views)

Objectives: Hypertension is one of the most common chronic diseases in old age. The self-care and quality of life of older people can improved by appropriate interventions. This study aims to assess the effects of an intervention based on 5A model on self-care and quality of life in the elderly with hypertension.
Methods & Materials: This quasi-experimental study was conducted on 80 older people with hypertension. They were randomly assigned into two groups of intervention and control. The intervention group received the 5A model-based treatment for two months, while the control group received only the routine care from community health centers. Before and after the intervention, data were collected using a demographic form, behavior subscale of the Hypertension Self-Care Profile questionnaire, and the Control, Autonomy, Self-Realization and Pleasure (CASP-19) questionnaire. The collected data were analyzed using independent t-test, paired t-test, Mann-Whitney U test, Chi-square test, and Fisher’s exact test in SPSS v. 20 software.
Results: The Mean±SD self-care scores of the intervention group significantly increased (P<0.001) after the intervention (50.95±4.77) compared to pre-intervention score (46.67±5.83) and compared to the control group (40.92±4.86). The Mean±SD quality of life scores of the intervention group also significantly increased (P<0.001) after the intervention (39.02±6.76) compared to pre-intervention score (33.65±8.03) and compared to the control group (24.97±7.19).
Conclusion: The intervention based on 5A model can improve self-care and quality of life of the elderly. This intervention, as a fast, accessible and easy method can be used in the health system to improve the health of the elderly.

Keywords: Elderly, 5A model, Self-care, Quality of Life, Hypertension

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Type of Study: Research | Subject: Geriatric
Received: 2021/01/10 | Accepted: 2021/04/24 | Published: 2021/10/11

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