Online based nursing intervention and family psychoeducation for reduce anxiety and improve adherence on hypertension clients

Abstract

Hypertension is one of the most chronic diseases that require long-term treatment. Problems that are often experienced by hypertension clients include blood pressure, anxiety and medication adherence. The purpose of this study was to analyze the effectiveness of Indonesian nursing intervention standards (NI) and Family Psychoeducation (FPE) on blood pressure, anxiety and medication adherence levels in hypertension clients by online administration. This study used a pre-experimental with a pretest-posttest on 37 hypertension clients who were recruited using purposive sampling. Respondents were given 6 sessions of online NI and FPE for 2 weeks. Each session is about 45-60 minutes. Data were collected using the HAM-A and MMAS-8. The data was analyzed using the dependent T-Test. The results showed decreased blood pressure (P-value: 0,002), and change in anxiety level with a decrease of mean value from 20.35 to 18.5 after the treatment (P-value: 0,000) and an increase in medication adherence with the increase of mean value from 3.59 to 4.68 after given NI and FPE (P-value: 0,000). Online NI and FPE affected on the blood pressure, anxiety level and medication adherence in hypertension clients without to meet face-to-face.