Types of Empowerments on Improving Hypertension among Elderly: A Systematic Review

Authors

  • Tri Nurhidayati Faculty of Nursing, Airlangga University, Surabaya, PQJM+528, Mulyorejo, Surabaya, East Java 60115, Indonesia ; Faculty of Nursing and Health Sciences, Muhammadiyah University Semarang, Central Java 50273, Indonesia
  • Ah Yusuf Faculty of Nursing, Airlangga University, Surabaya, PQJM+528, Mulyorejo, Surabaya, East Java 60115, Indonesia
  • Retno Indarwati Faculty of Nursing, Airlangga University, Surabaya, PQJM+528, Mulyorejo, Surabaya, East Java 60115, Indonesia

DOI:

https://doi.org/10.31674/mjn.2024.v16i01.029

Abstract

Introduction: Hypertension is a cardiovascular disease, often referred to as the silent killer disease, that mostly affects the elderly. Changes in body condition and unhealthy lifestyles cause hypertension in the elderly. Hypertension is basically a cause of high mortality and impacts expensive care for the elderly. The caregiver's lack of ability is one of the triggers for the severity of hypertension. The caregiver plays a crucial role in helping elderly people with hypertension become independent. Research on the empowerment of caregivers of elderly hypertensives is very diverse, but research on the most effective empowerment for caregivers is limited. Objective: This study aims to investigate the type of empowerment that improves hypertension in the elderly. Methods: The online databases include Science Direct, ProQuest, PubMed, Sage, Ebscohost, and Google Scholar. Articles were reviewed from 2018 to 2022. Protocol and evaluation of literature review using the PRISMA checklist and the Joanna Briggs Institute Guidelines. Results: A total of 15 articles define the types of empowerments, comprising 6 types of such as family empowerment (4 articles), social support (4 articles), adaptation (2 articles), education (3 articles), dyadic partnership (1 article), and multidisciplinary (1 article). The development of a caregiver empowerment model is expected to increase the ability to care for the elderly and have an impact on the self-management of hypertension. Conclusions: Empowering caregivers for elderly people with hypertension is an important step in ensuring that elderly people receive optimal care and are able to better manage their hypertension condition. The most common were family empowerment and social support.

Keywords:

Empowerment, Elderly, Hypertension

Downloads

Download data is not yet available.

References

Benetos, A., Petrovic, M., & Strandberg, T. (2019). Hypertension management in older and frail older patients. Circulation Research, 124(7), 1045-1060. https://doi.org/10.1161/CIRCRESAHA.118.313236

Boonyathee, S., Seangpraw, K., Ong-Artborirak, P., Auttama, N., Tonchoy, P., Kantow, S., ... & Dokpuang, D. (2021). Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community. PLoS One, 16(11), e0259697. https://doi.org/10.1371/journal.pone.0259697

Bulto, L. N., Roseleur, J., Noonan, S., Pinero de Plaza, M. A., Champion, S., Dafny, H. A., ... & Hendriks, J. M. (2024). Effectiveness of nurse-led interventions versus usual care to manage hypertension and lifestyle behaviour: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 23(1), 21-32. https://doi.org/10.1093/eurjcn/zvad040

Callaway, M. V., Connor, S. R., & Foley, K. M. (2018). World Health Organization public health model: a roadmap for palliative care development. Journal of Pain and Symptom Management, 55(2), S6-S13. https://doi.org/10.1016/j.jpainsymman.2017.03.030

Chi, Y. C., Wu, C. L., & Liu, H. T. (2021). Effect of a multi-disciplinary active aging intervention among community elders. Medicine, 100(51), e28314. https://doi.org/10.1097/MD.0000000000028314

Correia, R. R., Veras, A. S. C., Tebar, W. R., Rufino, J. C., Batista, V. R. G., & Teixeira, G. R. (2023). Strength training for arterial hypertension treatment: a systematic review and meta-analysis of randomized clinical trials. Scientific Reports, 13(1), 201. https://doi.org/10.1038/s41598-022-26583-3

Dharma, K. K., Damhudi, D., Yardes, N., & Haeriyanto, S. (2018). Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model. International Journal of Nursing Sciences, 5(4), 357-364. https://doi.org/10.1016/j.ijnss.2018.09.002

Durán-Vega, L. A., Santana-Mancilla, P. C., Buenrostro-Mariscal, R., Contreras-Castillo, J., Anido-Rifón, L. E., García-Ruiz, M. A., ... & Estrada-González, F. (2019). An IoT system for remote health monitoring in elderly adults through a wearable device and mobile application. Geriatrics, 4(2), 34. https://doi.org/10.3390/geriatrics4020034

Duygu Kes, R. N. (2019). Predictors of blood pressure control and medication adherence among primary hypertensive patients. International Journal of Caring Sciences, 12(1), 483-491. https://www.internationaljournalofcaringsciences.org/docs/54_kes_12_1_1.pdf

Elvira, M. (2018). Influence of yoga on the blood pressure of elderly with hypertension. Malaysian Journal of Medical Research (MJMR), 2(3), 30-35. https://doi.org/10.31674/mjmr.2018.v02i03.004

Hamedani, M. A., Salar, A., & Kermansaravi, F. (2021). Effect of family-centered empowerment model on quality of life of patients with hypertension. Medical-Surgical Nursing Journal, 10(1), e117259. https://doi.org/10.5812/msnj.117259

Hidayat, A. A. A. (2020). The Increasing Obedience and Changes in Blood Pressure Through Family Empowerment Model in Elderly People with Hypertension. Indian Journal of Public Health Research & Development., 11(3). 1061–1064. https://doi.org/10.37506/ijphrd.v11i3.1533

Ifeagwazi, C. M., Egberi, H. E., & Chukwuorji, J. C. (2018). Emotional reactivity and blood pressure elevations: anxiety as a mediator. Psychology, Health & Medicine, 23(5), 585-592. https://doi.org/10.1080/13548506.2017.1400670

Irwan, A. M., Potempa, K., Abikusno, N., & Syahrul, S. (2022). Self-Care Management for Hypertension in Southeast Asia: A Scoping Review. Journal of Multidisciplinary Healthcare, 15, 2015–2032. https://doi.org/10.2147/JMDH.S367638

Kabia, F. M., El Fakiri, F., Heus, M., & Fassaert, T. (2022). Taking care of older caregivers who lose control: The association between mastery and psychopathology. Archives of Gerontology and Geriatrics, 101, 104687. https://doi.org/10.1016/j.archger.2022.104687

Kemenkes, R. I. (2018). Manajemen Program Pencegahan dan Pengendalian Hipertensi dan Perhitungan Pencapaian SPM Hipertensi. Subdit Penyakit Jantung Dan Pembuluh Darah Direktorat P2PTM Ditjen Pencegahan Dan Pengendalian Penyakit, April, 11, 17-20. [Ministry of Health. (2018). Management of Hypertension Prevention and Control Program and Calculation of Achievement of Hypertension SPM. Hypertension Prevention and Control Workshop, April,11,17-20.] http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/05/Manajemen_Program_Hipertensi_2018_Subdit_PJPD_Ditjen_P2PTM.pdf

Liu, L., Gou, Z., & Zuo, J. (2016). Social support mediates loneliness and depression in elderly people. Journal of Health Psychology, 21(5), 750-758. https://doi.org/10.1177/1359105314536941

Meng, F., Jiang, Y., Yu, P., Song, Y., Zhou, L., Xu, Y., & Zhou, Y. (2023). Effect of health coaching on blood pressure control and behavioral modification among patients with hypertension: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 138, 104406. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2022.104406

Ministry of Health, R. I. (2018). Hypertension Prevention and Control Program Management and Hypertension SPM Achievement Calculation. Cardiac and Vascular Diseases Subdit Directorate of P2PTM Directorate General of Disease Prevention and Control, April, 11, 17-20. http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/05/Manajemen_Program_Hipertensi_2018_Subdit_PJPD_Ditjen_P2PTM.pdf

Perez-Sousa, M. A., Olivares, P. R., Gonzalez-Guerrero, J. L., & Gusi, N. (2020). Effects of an exercise program linked to primary care on depression in elderly: fitness as mediator of the improvement. Quality of Life Research, 29(5), 1239-1246. https://doi.org/10.1007/s11136-019-02406-3

Pirkle, C. M., Ylli, A., Burazeri, G., & Sentell, T. L. (2018). Social and community factors associated with hypertension awareness and control among older adults in Tirana, Albania. European Journal of Public Health, 28(6), 1163-1168. https://doi.org/10.1093/eurpub/cky036

Raei, M., Ghasemi, M., Hushmandi, K., Shirmohammadi-Khoram, N., Omolbanin Seyedrezaei, S., Rostami, H., & Vahedian-Azimi, A. (2022). Effectiveness of family-centered empowerment model on psychological improvement of patients with myocardial infarction: A Bayesian multivariate approach. Frontiers in Public Health, 10, 878259. https://doi.org/10.3389/fpubh.2022.878259

Riskesdas Kemenkes, R. I. (2018). Laporan Nasional Riset Kesehatan Dasar. Kementrian Kesehatan RI, 1--582. [Riskesdas Ministry of Health, R. I. (2018). National Report on Basic Health Research. Indonesian Ministry of Health, 1—582]. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf

Rosdiana, I., & Cahyati, Y. (2019). Effect of progressive muscle relaxation (PMR) on blood pressure among patients with hypertension. International Journal of Advancement in Life Sciences Research, 28-35. https://doi.org/10.31632/ijalsr.2019v02i01.005

Roy, S., Roy, J. G., & Ghosh, J. R. (2023). The Effect of Substance Abuse Associated with Nutritional Status and Blood Pressure in Santal Women. International Journal of Advancement in Life Sciences Research, 06(02), 15–24. https://doi.org/10.31632/ijalsr.2023.v06i02.002

Sanclemente-Boli, T., Ponce-Ruiz, S., Álvarez-Lorenzo, C., Zuriguel-Pérez, E., Tapia-Melenchon, R., Ramentol-Sintas, M., ... & Mestre-Torres, J. (2019). Effectiveness of a multidisciplinary educational intervention in patients with hip fracture: Sweet Home Study. Medicina Clínica (English Edition), 153(12), 446-453. https://doi.org/10.1016/j.medcli.2019.02.026

Seangpraw, K., & Ong-Artborirak, P. (2020). Knowledge and behaviors toward health care for elderly patients with hypertension, and quality of life among informal caregivers in Northern Thailand. Journal of Multidisciplinary Healthcare, 1771-1780. https://doi.org/10.2147/JMDH.S284886

Shepperd, S., Gonçalves-Bradley, D. C., Straus, S. E., & Wee, B. (2021). Hospital at home: home-based end-of-life care. The Cochrane Database of Systematic Reviews, 3(3), CD009231. https://doi.org/10.1002/14651858.CD009231.pub3

Silva, R., Bobrowicz-Campos, E., Santos-Costa, P., Gil, I., Neves, H., & Apóstolo, J. (2021). The Quality of Carer–Patient relationship scale: adaptation and validation into Portuguese. International Journal of Environmental Research and Public Health, 18(3), 1264. https://doi.org/10.3390/ijerph18031264

Someia, N. M., Atri, S. B., Areshtanab, H. N., Salehi-Pourmehr, H., & Farshbaf-Khalili, A. (2020). Effectiveness of education based on family-centered empowerment model on health-promoting behaviors and some metabolic biomarkers in elderly women: a stratified randomized clinical trial. Journal of Education and Health Promotion, 9 (1), 331. https://doi.org/10.4103/jehp.jehp_520_20

Stepanian, N., Larsen, M. H., Mendelsohn, J. B., Mariussen, K. L., & Heggdal, K. (2023). Empowerment interventions designed for persons living with chronic disease-a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes. BMC Health Services Research, 23(1), 911. https://doi.org/10.1186/s12913-023-09895-6

Thuy, L. Q., Thanh, N. H., Trung, L. H., Tan, P. H., Nam, H. T. P., Diep, P. T., ... & Van Toan, N. (2021). Blood pressure control and associations with social support among hypertensive outpatients in a developing country. BioMed Research International, 2021(1), 7420985. https://doi.org/10.1155/2021/7420985

Wasmani, A., Rahnama, M., Abdollahimohammad, A., Badakhsh, M., & Hashemi, Z. (2022). The effect of family-centered education on the Care Burden of Family caregivers of the Elderly with Cancer: a quasi-experimental study. Asian Pacific Journal of Cancer Prevention: APJCP, 23(3), 1077. https://doi.org/10.31557/APJCP.2022.23.3.1077

Wijaya, E., & Nurhidayati, T. (2020). Penerapan Terapi Relaksasi Otot Progresif Dalam Menurunkan Skala Nyeri Sendi Lansia. Ners Muda, 1(2), 88. [Wijaya, E., & Nurhidayati, T. (2020). Application of Progressive Muscle Relaxation Therapy in Lowering the Scale of Joint Pain in the Elderly. Young Nurse, 1(2), 88.] https://doi.org/10.26714/nm.v1i2.5643

Ye, J., Sanuade, O. A., Hirschhorn, L. R., Walunas, T. L., Smith, J. D., Birkett, M. A., ... & Huffman, M. D. (2024). Interventions and contextual factors to improve retention in care for patients with hypertension in primary care: Hermeneutic systematic review. Preventive Medicine, 180,107880. https://doi.org/https://doi.org/10.1016/j.ypmed.2024.107880

Zeng, D., Yang, C., & Chien, W. T. (2021). Effects of a family dyadic partnership program for people with hypertension in a rural community: A pilot randomised controlled trial. Australian Journal of Rural Health, 29(3), 435-448. https://doi.org/10.1111/ajr.12712

Zhang, X., Zheng, Y., Qiu, C., Zhao, Y., & Zang, X. (2020). Well-being mediates the effects of social support and family function on self-management in elderly patients with hypertension. Psychology, Health and Medicine, 25(5), 559–571. https://doi.org/10.1080/13548506.2019.1687919

Published

25-07-2024

How to Cite

Nurhidayati , T. ., Yusuf , A. ., & Indarwati, R. . (2024). Types of Empowerments on Improving Hypertension among Elderly: A Systematic Review. The Malaysian Journal of Nursing (MJN), 16(1), 286-295. https://doi.org/10.31674/mjn.2024.v16i01.029

Metrics