Evaluation of ‘partnership care model’ in the control of hypertension

Abstract

One of the shared common goals of World Hypertension League (WHL) and World Health Organization (WHO) is the control of hypertension. Despite many local and international interventions, the goal has not been achieved. This study evaluated an intervention based on the partnership care model to control hypertension in a rural population in the north of Iran. The results showed that the intervention was effective in decreasing systolic and diastolic blood pressure and in increasing the rate of controlled hypertensives (based on criteria of WHO/WHL). The intervention also had positive effects on health-related quality of life, body mass index, anxiety, high density lipoprotein level and compliance score. Based on these results, the partnership care model is effective in hypertension control and is recommended as a model to replace previous approaches in hypertension control.

Understanding Healing Relationships in Primary Care

“…Hope, trust, and being known are outcomes of healing relationships that are important to patients and should be important to doctors as well. Second, ample evidence shows that certain aspects of relationships in general, and of clinician-patient relationships in particular, are related to morbidity, 17 mortality, 18 treatment adherence, 19 health status, 20 and clinical outcomes, such as for diabetes. 21 Belief and expectancy, which we have included under the broader heading of hope, are strongly connected to response to treatment.…”

Intervenções de enfermagem relacionadas à promoção da saúde em portadores de hipertensão

“…Consequently, health education and empowerment were the main nursing interventions used to promote health in patients with arterial hypertension within the Catalyzing Change domain, which focuses on enabling changes and empowering individuals and communities to improve health (4)(5) . (10)(11)(13)(14)(15)(16)(17)(18)(19) -Health education (8)(9)(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)18) -Nurse-patient relationship (18) -Patient-centered treatment (10,15) -Emotional support (18) -Sexual counseling (17) -Activities designed to promote health (16) 2. Leadership -No specific interventions were described for this domain.…”

“…Assessment of Needs -Identification of health threats (12,15,19) -Evaluation of lifestyle (14)(15) -Evaluation of the psychosocial context (12,15) -Management of clinical cases (9) 4. Planning -Health care team planning for health promotion (16,(18)(19) -Use of theoretical concepts in care planning (8,20) -Use of nursing taxonomies in care planning (18) 5. Implementation -Coordination of services to maximize independence (18) -Teamwork (16) 6.…”

“…Advocacy -Patient advocacy (9) 8. Partnerships -Partnerships between health professionals and patient (18)(19) -References to other health professionals and/or institutions (9,14) -Multidisciplinary team (14,16) Acta Paul Enferm. 2012;25(1):151-156.…”

“…Nursing interventions within the Assessment of Needs domain identify and analyze cultural, social and environmental behaviors and are directly associated with the Planning domain, which aims to develop targets based on the assessment of needs and to identify strategies based on knowledge derived from theories, evidence and practice (4)(5) . Studies show that evaluating sociodemographic data, physical and mental health history, lifestyle and psychosocial context (10,12,(14)(15) is important to health promotion planning (16,(18)(19) . It is worth mentioning the importance of using nursing taxonomies in the coordinated planning of care, including home care, to achieve the goals of the prescribed treatment (18) .…”