The effect of self-management program with tele-nursing based on the Roper-Logan-Tierney model on self-care of hypertensive patients: a randomized controlled trial

(2025) 24:313 Erden et al. BMC Nursing https://doi.org/10.1186/s12912-025-02854-y BMC Nursing Open Access RESEARCH The effect of self-management program with tele-nursing based on the Roper-LoganTierney model on self-care of hypertensive patients: a randomized controlled trial Yasemin Erden1 , Güzel Nur Yıldız2 , Bahar Çiftçi3* , Gülçin Avşar3 , Sümeyra Özek3, Emrah Özbek4 and Arzu Sarıalioğlu5 Abstract Objective To examine the effect of tele-nursing and self-management programs based on the Roper-Logan-Tierney Model on the self-care of hypertension patients. Material and method The population of this randomized controlled interventional study consisted of hypertension patients who applied to the cardiology outpatient clinics of Van Regional Training and Research Hospital between September and December 2022. The sample consisted of 60 hypertensive patients over 18 who met the study criteria and agreed to participate. Data were collected with the "Patient Information Form" and "SelfCare Management in Chronic Diseases Scale". Patients were randomized and divided into groups. Pre-test data for both groups were collected face-to-face. The intervention group received blood pressure measurement training with the "Hypertension Education Booklet" and self-management support with tele-nursing two times a week for 12 weeks. The control group did not receive any intervention. At the end of 6 weeks, interim tests were completed online, and after 12 weeks, post-tests were completed face-to-face. Data evaluation was performed with the blinding method. Results It was determined that the differences between the mean scores of the intervention and control groups on the "Self-Care Management Scale in Chronic Diseases" midterm and posttest were statistically significant (p < 0.05). Conclusion It was concluded that self-management support affects the self-care management of hypertension patients. Trial Registration This research is a randomized controlled study. Therefore, a registration number was applied for at ClinicalTrials.gov. The registration number was obtained with the number "NCT05316454". (First Posted 2022–04-07). Keywords Nursing, Hypertension, Self-management support, Tele-nursing, Self-care management *Correspondence: Bahar Çiftçi Full list of author information is available at the end of the article © The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. Erden et al. BMC Nursing (2025) 24:313 Introduction Hypertension (HT) is a chronic disease that affects 1.39 billion people worldwide, and its prevalence increases with age [1]. The Turkish Heart Disease and Risk Factors in Adults study, the most comprehensive study conducted in our country, reported that its prevalence was high (33.7%) and 1 out of every three individuals had HT [2]. For a healthy society, individuals must make efforts to protect their health. The individual should have the necessary knowledge and skills to maintain self-care. Patients who need to be adequately informed Show adequate compliance and adverse health outcomes. With effective self-care management, hypertension control will be achieved, hospital admissions will decrease, side effects will be limited, quality of life will increase, and health expenditures will decrease [3]. Nurses who spend more time with patients than other healthcare professionals are healthcare team members responsible for continuity of care and patient education [3]. The independent roles of nurses include protecting and improving the health of society, improving the quality of life, coping with the problems arising from the disease, and providing counseling on self-care. Nurses’ essential duties and responsibilities are to monitor individuals with chronic diseases, provide them with education and counseling, and ensure that they develop the necessary care skills [4]. Nursing care in hypertension includes BP control and prevention of complications. Symptoms such as anginal pain, dyspnea, nosebleeds, visual changes, and dizziness should be evaluated. The patient and family should be informed about BP measurement and lifestyle changes (weight control, salt restriction, exercise, stress management, healthy diet, smoking and alcohol cessation) [5]. Nurses have benefited from models and theories that provide a systematic approach to care, improve the nurses’ perspective, and increase the quality of care in their services to individuals, families, and society [6]. One of these models, the Life Model developed by Roper Logan and Tierney, aims to recognize the individual as a whole, to identify and solve the problem, and to provide care to the individual with a holistic and humanistic approach, which is the basic philosophy of nursing [7]. In this model, it is emphasized that health is only possible by performing daily life activities independently. Therefore, nurses will provide a conceptual framework that can increase independence by evaluating patients as a whole with the Life Model. Nurses should ensure that hypertension patients receive effective education to meet their basic needs and that they can be independent, selfsufficient, and integrated with society in their future lives [8]. The use of these technological approaches in studies targeting education and behavior change facilitates the Page 2 of 11 equal delivery of health resources and access to health services to everyone, including groups disadvantaged in accessing health services due to their place of residence or economic reasons [9]. Telehealth is a telehealth method that can effectively provide healthcare services to patients and give an advantage to face-to-face education. Telehealth can be beneficial for people with mobility limitations, living in remote and rural areas, and people with chronic conditions (such as hypertension) [10]. In addition, telehealth can effectively provide medical consultations and shared learning, improve access to health services, reduce health inequalities, and ultimately lower health costs [7]. Self-c (...truncated)