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Assessment of hypertensive patients self-care agency after counseling training of nurses
Lund University, Sweden.
University of Gothenburg, Sweden.
Lund University, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. University of Gothenburg, Sweden.ORCID iD: 0000-0002-2764-3095
2015 (English)In: Journal of the American Association of Nurse Practitioners, ISSN 2327-6886, E-ISSN 2327-6924, Vol. 27, no 11, 624-630 p.Article in journal (Refereed) Published
Abstract [en]

PurposeThe aim of the study was to assess hypertensive patients self-care agency and any correlation with the patients lifestyle changes and the nurses degree of patient centeredness after counseling training. Data sourcesNurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers were trained in patient centeredness (motivational interviewing) and the stages of change model and included 137 patients. Nurses in the control group (CG; n = 14) included 51 patients. The Exercise of Self-Care Agency (ESCA) instrument was used. There was a significant difference from baseline to the 2-year follow-up in the ESCA score (IG, p = .0001). An increase in ESCA score was correlated with an increased level of physical activity after 2 years (IG, p = .0001; CG, p = .040). ConclusionsThe counseling training gave an increase in the patients self-care agency scores, which was significantly correlated with increased physical activity. Implications for practiceIn clinical practice it is important for nurses to be patient centered in their counseling to affect patients self-care agency in a positive direction.

Place, publisher, year, edition, pages
WILEY-BLACKWELL , 2015. Vol. 27, no 11, 624-630 p.
Keyword [en]
Counseling; hypertension; self-care; patient-centered care; advanced practice nursing; international; Sweden
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-123068DOI: 10.1002/2327-6924.12222ISI: 000363926700006PubMedID: 25731140OAI: oai:DiVA.org:liu-123068DiVA: diva2:876586
Available from: 2015-12-04 Created: 2015-12-03 Last updated: 2017-12-01

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