The Effect of Non-Pharmacological Intervention on Psychological Determinants and Blood Pressure among Hypertensive Patients

Document Type : Original Article

Authors

1 Assistant Professor of Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt

2 Professor of Community Medicine, National Liver Institute, Menoufia University, Egypt.

3 Lecturer of Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt

4 Assistant Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

Abstract

Background: New evidence highlights the impact of psychological determinants in
somatic diseases. Poorly controlled hypertension was a significant public health concern all
over the world. Aim: This study aimed to evaluate the effect of non-pharmacological
intervention on psychological determinants and blood pressure among hypertensive patients.
Design: A quasi- experimental pre-test–post-test control group design has been implemented.
Sample: A purposive sample has been used to select 202 subjects from the Internal Medicine
out-patient clinic in El-Shohadaa Central Hospital at El-Shohadaa town, Menoufia
governorate, Egypt. Tools: Four tools were used to collect the data; 1) Interviewing
questionnaire to assess socio-demographic and clinical data of the patients. 2) Bio-
physiological measurements to measure the body mass index and systolic and diastolic blood
pressure. 3) Health promotion lifestyle profile to assess readiness to change diet and exercise.
4) Beck depression inventory-II and perceived stress scale to assess psychological health
determinants. Results: The study findings revealed a highly statistically significant reduction
in a mean score of depression and, stress post-intervention among the study group compared
to the baseline where P3 = 0.000. Also, there was a highly statistically significant
improvement in a mean score of readiness to change exercise and, diet post- intervention
among the study group compared to the baseline where (P3 = 0.000, P3 = 0.01) respectively.
Conclusion: It was concluded that non-pharmacological intervention has a positive effect on
blood pressure, patients' readiness to change diet, exercise and, psychological health
determinants among hypertensive patients. Recommendations: Non-pharmacological
intervention should be provided to hypertensive patients and other patients who suffer from
chronic disease

Keywords

Egyptian Journal of Health Care
Volume 12, Issue 3
September 2021
Pages 438-455

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