Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2020

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Quiping Pearl Zhou, PhD., RN; Mary-Michael Brown, DNP, RN, CENP

Abstract

Background: Hypertension (HTN) is a major risk factor for life threatening events. Although evidence supports using faith-based settings to provide health education to better manage chronic conditions and prevent complications, HTN education is underutilized in this setting.

Aims/Objectives: This project aimed to assess the effectiveness of HTN education on knowledge, self-reported lifestyle behaviors and blood pressure (BP) management among parishioners in a suburban church.

Method: A pre-post educational intervention was used in this evidence-based project. BP screening identified 56 eligible adults and a convenience sample of 44 parishioners with HTN were enrolled. Participants received two 45-minutes educational sessions. Pre- and postintervention HTN knowledge scores and lifestyle behavior were compared using paired t-test. The differences in pre-, post-, and 2-week post-intervention systolic blood pressure (SBP) and diastolic blood pressure (DBP) were compared using a repeated measure ANOVA.

Results: 36 participants completed the study. There was an increase in HTN knowledge scores (9.31 to 13.6, p<0.001), increase in number of minutes participants exercised (123.23 minutes to 167.1 minutes, p=0.023), increase in number of participants watching their salt/sodium intake (57.6% to 84.8%, p=0.012), and decrease in SBP (139.11 mmHG to 132.4 mmHG, p=0.016). BP changes sustained to 2-weeks post intervention.

Conclusion: Providing HTN education in a faith-based setting is effective to favorably impact disease risk factors in the short term, fosters an environment of sustained support to engage parishioners, and can serve as a catalyst for spread into the community. Further study is recommended to evaluate longer term impact on disease management.

Open Access

1

Available for download on Friday, April 30, 2021

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