Document Type : Original Quantitative and Qualitative Research Paper
Authors
1
Department of Nursing,Faculty of Medical sSciences,Tarbiat Modares uUniversity,Tehran, Iran.
2
MSc student in Nursing, Department of Community Health Nursing, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ebcj.2026.91783.3203
Abstract
Background: Hypertension is highly prevalent and a major contributor to cardiovascular diseases, imposing significant economic and social burdens. Effective interventions are essential to improve treatment outcomes.
Aim: This study aimed to investigate the effect of family-centered empowerment model on social support, medication adherence, and blood pressure control in patients with hypertension.
Methods: A randomized controlled clinical trial was conducted on 80 patients with hypertension and their family caregivers from a comprehensive health center in Mashhad, Iran. Participants were randomly assigned to intervention and control groups using block randomization (blocks of four) with concealed allocation via sealed opaque envelopes. The intervention group participated in six weekly sessions grounded in the family-centered empowerment model, while the control group received standard verbal education and pamphlets. Data collection tools included a demographic questionnaire, Sherbourne–Stewart Social Support Questionnaire, Morisky Medication Adherence Scale, and a calibrated mercury sphygmomanometer. Measurements occurred before and two months post-intervention. Statistical analyses were conducted using independent t-test, Mann–Whitney, and Wilcoxon tests via SPSS version 25.
Results: At baseline, there was no significant difference between the two groups in social support, medication adherence, or systolic and diastolic blood pressure (P>0.05). After the intervention, the intervention group showed significantly higher levels of social support and medication adherence, as well as significantly lower systolic and diastolic blood pressure compared to the control group (P<0.001).
Implications for practice: Family-centered empowerment-model education can improve social support, adherence, and blood pressure control in hypertensive patients and is recommended for patient and family education.
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