Elham Khoshraftar Roudi - MSc in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Hamidreza Behnam Voshani - Evidence Base Caring Research Center, Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Amir Emami Zeydi - PhD Candidate in Nursing, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Zahra Askari Hoseini - MSc in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Background: Considering the global rise in the elderly population and the common complications of this group (especially chronic diseases), significant attention is being paid to improving their quality of life (QOL). Aim: This study aimed to compare the effectiveness of a healthy lifestyle education program, implemented by peers and community health nurses in improving QOL among elderly patients with hypertension, who were referred to healthcare centers of Mashhad, Iran in 2014. Method: This experimental study was conducted on 60 elderly patients with hypertension, referring to healthcare centers of Mashhad, Iran in 2014. The subjects were selected via random cluster sampling. The control group does not receive any intervention at all, while the two other intervention groups received healthy lifestyle education by their peers or community health nurses for one month; the subjects were followed-up for one month after the intervention. Data were collected by the 36-item short-form health survey (SF-36) questionnaire and analyzed, using SPSS version 16.0. Results: No significant difference was observed between three groups in overall QOL score and its domains before the intervention (P=.91). After intervention, a statistically significant difference was observed in the overall QOL score between three groups (P<.05). The results of one- way ANOVA revealed significant differences among groups in terms of role limitations due to physical health (p=04), physical functioning (p<.001), bodily pain (p<.03), role limitations due to emotional problems (p=.01), and emotional well-being (p<.04) after intervention. Post-hoc test showed that there was no significant difference between the nurse and peer groups (p=1.00), but the difference between the nurse and control groups (p=.04) and peer and control groups (p=.04) was statistically significant. Implications for Practice: Based on the findings, education by peers and healthcare workers plays an important role in the adaptation of elderly patients to a healthy lifestyle. Therefore, it seems that using these two strategies can improve the overall health status as well as QOL for older adults. 

Healthy lifestyle education, Peer, Community health nurse, Elderly, Quality of life