Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye
Abstract Background Hypertension remains poorly controlled in Türkiye despite advances in pharmacological treatments. Telenursing may help patients improve self-care and blood pressure control. Methods This quasi-experimental pretest-posttest controlled study enrolled 151 adults with chronic hyperte...
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2025-08-01
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| Online Access: | https://doi.org/10.1186/s12982-025-00886-y |
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| author | Dursun Alper Yilmaz Birhat Yakut |
| author_facet | Dursun Alper Yilmaz Birhat Yakut |
| author_sort | Dursun Alper Yilmaz |
| collection | DOAJ |
| description | Abstract Background Hypertension remains poorly controlled in Türkiye despite advances in pharmacological treatments. Telenursing may help patients improve self-care and blood pressure control. Methods This quasi-experimental pretest-posttest controlled study enrolled 151 adults with chronic hypertension at Ağrı Training and Research Hospital between March 2024 and March 2025. Participants were allocated to an intervention group (n = 76) receiving eight weeks of structured telenursing sessions or a control group (n = 75) receiving usual care. The intervention targeted medication adherence, nutrition, physical activity, stress management, and self-monitoring. Primary outcomes were blood pressure indices and hypertension self-care profile (HTN-SCP) scores. Results After the intervention, the intervention group exhibited greater reductions in systolic blood pressure (mean Δ = −8.6 mmHg, p = 0.001), pulse pressure (p = 0.001), and mean arterial pressure (p = 0.003) compared to controls. HTN-SCP self-efficacy scores increased significantly (from 52.4 to 56.1, p < 0.001, r = 0.53). While participants adopting a combined approach of medication, diet, and exercise scored higher than those using medication alone (p = 0.015), this finding should be interpreted cautiously due to the very small subgroup size. This study provides novel evidence supporting the feasibility and effectiveness of structured telenursing in enhancing self-care and blood pressure control in resource-limited settings. Conclusion Telenursing is a feasible and effective digital health strategy to improve self-care and blood pressure control, supporting sustainable hypertension management in low-resource contexts. |
| format | Article |
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| institution | Kabale University |
| issn | 3005-0774 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Springer |
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| spelling | doaj-art-e7614a5b083c4aa28b461fd0a35da9be2025-08-20T03:47:12ZengSpringerDiscover Public Health3005-07742025-08-012211810.1186/s12982-025-00886-yEffectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in TürkiyeDursun Alper Yilmaz0Birhat Yakut1Department of Nursing, Faculty of Health Sciences, Agri Ibrahim Cecen UniversityDepartment of Nursing, Faculty of Health Sciences, Agri Ibrahim Cecen UniversityAbstract Background Hypertension remains poorly controlled in Türkiye despite advances in pharmacological treatments. Telenursing may help patients improve self-care and blood pressure control. Methods This quasi-experimental pretest-posttest controlled study enrolled 151 adults with chronic hypertension at Ağrı Training and Research Hospital between March 2024 and March 2025. Participants were allocated to an intervention group (n = 76) receiving eight weeks of structured telenursing sessions or a control group (n = 75) receiving usual care. The intervention targeted medication adherence, nutrition, physical activity, stress management, and self-monitoring. Primary outcomes were blood pressure indices and hypertension self-care profile (HTN-SCP) scores. Results After the intervention, the intervention group exhibited greater reductions in systolic blood pressure (mean Δ = −8.6 mmHg, p = 0.001), pulse pressure (p = 0.001), and mean arterial pressure (p = 0.003) compared to controls. HTN-SCP self-efficacy scores increased significantly (from 52.4 to 56.1, p < 0.001, r = 0.53). While participants adopting a combined approach of medication, diet, and exercise scored higher than those using medication alone (p = 0.015), this finding should be interpreted cautiously due to the very small subgroup size. This study provides novel evidence supporting the feasibility and effectiveness of structured telenursing in enhancing self-care and blood pressure control in resource-limited settings. Conclusion Telenursing is a feasible and effective digital health strategy to improve self-care and blood pressure control, supporting sustainable hypertension management in low-resource contexts.https://doi.org/10.1186/s12982-025-00886-yDigital healthHypertension managementBlood pressureSelf-careTelenursing |
| spellingShingle | Dursun Alper Yilmaz Birhat Yakut Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye Discover Public Health Digital health Hypertension management Blood pressure Self-care Telenursing |
| title | Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye |
| title_full | Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye |
| title_fullStr | Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye |
| title_full_unstemmed | Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye |
| title_short | Effectiveness of telenursing in improving self-care and blood pressure control among adults with chronic hypertension: a quasi-experimental study in Türkiye |
| title_sort | effectiveness of telenursing in improving self care and blood pressure control among adults with chronic hypertension a quasi experimental study in turkiye |
| topic | Digital health Hypertension management Blood pressure Self-care Telenursing |
| url | https://doi.org/10.1186/s12982-025-00886-y |
| work_keys_str_mv | AT dursunalperyilmaz effectivenessoftelenursinginimprovingselfcareandbloodpressurecontrolamongadultswithchronichypertensionaquasiexperimentalstudyinturkiye AT birhatyakut effectivenessoftelenursinginimprovingselfcareandbloodpressurecontrolamongadultswithchronichypertensionaquasiexperimentalstudyinturkiye |