{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:33:19Z","timestamp":1771075999525,"version":"3.50.1"},"reference-count":56,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T00:00:00Z","timestamp":1640304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The objective of this analytical and interventional prospective quantitative study was to assess the effect of an educational intervention performed by nurses for mental adjustment to chronic disease in patients with hypertension. A convenience sample was studied, composed of 329 participants with chronic hypertension, followed in a primary healthcare unit in the Central Region of Portugal. Data collection was carried out by applying the Mental Adjustment to Disease Scale (MADS) before and 1 month after the educational nursing intervention between September 2017 and February 2018. Prior to the application of the educational intervention, 43.5% of the participants were classified as \u201cunadjusted\u201d in at least one of the subscales of MADS. After the educational intervention, 21.3% of the participants classified as \u201cunadjusted\u201d became \u201cadjusted\u201d in all MADS subscales. The success rate of the intervention varied from 26.9% (in the fatalism subscale) to 44.6% (for the anxious concern subscale). Participants were more likely to be mentally \u201cunadjusted\u201d to hypertension if they lived with other family members, had an active professional situation before the diagnosis of hypertension, still had an active professional situation now, were under 65 years old, had a shorter time to diagnosis (1\u20132 years), and measured blood pressure less regularly. The educational intervention performed by nurses is relevant for the mental adjustment of hypertensive patients, contributing to increased knowledge, as well as improvement in preventive and self-care practices, facilitating the experience of the health\/disease transition process.<\/jats:p>","DOI":"10.3390\/ijerph19010170","type":"journal-article","created":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T08:38:46Z","timestamp":1640335126000},"page":"170","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study"],"prefix":"10.3390","volume":"19","author":[{"given":"Ana Margarida","family":"Alves","sequence":"first","affiliation":[{"name":"Inpatient Service of Surgical Specialties, Centro Hospitalar do Baixo Vouga E.P.E., 3810-164 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8408-769X","authenticated-orcid":false,"given":"Alexandre","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Centre for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3004-531 Coimbra, Portugal"},{"name":"Center for Health Studies and Research, University of Coimbra, 3004-531 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5673-8683","authenticated-orcid":false,"given":"Pedro","family":"Sa-Couto","sequence":"additional","affiliation":[{"name":"Centre for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4989-2252","authenticated-orcid":false,"given":"Jo\u00e3o Lindo","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Institute of Biomedicine (iBiMED), University of Aveiro, 3810-193 Aveiro, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,24]]},"reference":[{"key":"ref_1","unstructured":"(2021, December 20). 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