Development and evaluation of a nurse-led hypertension management model in a community: A pilot randomized controlled trial

Xuejiao Zhu, Kam Yuet Wong, Lai Har Wu

Research output: Journal article publicationJournal articleAcademic researchpeer-review

17 Citations (Scopus)


This study aims to develop a nurse-led hypertension management model in the community setting and pilot it to an experimental trial. A total of 73 recruited participants were randomly allocated into two groups. The study group received a home visit and 2-4 telephone follow-ups from the trained community nurses assisted by nursing student volunteers. The control group received doctor-led hypertension management. Data was collected at recruitment and immediately after the 8-week program. Outcome measures included blood pressure readings, self-care adherence, self-efficacy, quality of life, and patient satisfaction. Participants from the study group led by nurses had significant improvement in self-care adherence, patient satisfaction post-intervention than those from the control group led by doctors. However, there were no statistical significant differences in blood pressure read­ings, quality of life and self-efficacy between the two groups. The findings show that the nurse-led hypertension management appears to be a promising way to manage hypertensive patients at the community level, particularly when the healthcare system is better integrated.
Original languageEnglish
Pages (from-to)4369-4377
Number of pages9
JournalInternational Journal of Clinical and Experimental Medicine
Issue number11
Publication statusPublished - 30 Nov 2014


  • Community
  • Hypertension management
  • Nurse-led
  • Pilot study
  • Randomized controlled trial

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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