Nurse-led interventions to manage hypertension in general practice: A systematic review protocol

Chowdhury, Sudipta Dhar; Stephen, Catherine; McInnes, Susan; Halcomb, Elizabeth

doi:10.1016/j.colegn.2019.10.004

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…A nurse-led program is a service program that nurses can carry out to maximize the nursing care provided. This program is an intervention carried out by nurses to manage the patient's illness [18]. Some of the advantages of providing this program are reducing the burden of treatment, improving integrated chronic disease management [19], [20] and improving self-care skills [21].…”

Section: Discussionmentioning

confidence: 99%

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Afik

Nursalam

Sufyanti

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Coronary Heart Diseases (CHD) is one of the leading causes of death worldwide. Proper management for CHD patients is needed to reduce mortality. Nurses have a very important role in making CHD patients can carry out optimal health behaviors. AIM: This review study aims to identify the effect of the nurse-led program on CHD patients. METHODS: This systematic review was based on four electronic databases (Scopus, Science Direct, ProQuest, SAGE Journals) and published between 2011 and 2020. This review used the Joanna Briggs Institute and Prisma guidelines. The study’s eligibility was assessed from the title, abstract, research methodology, and full text. The review results were presented in tabulated data and narrative form. RESULTS: Nine articles showed that the nurse-led program significantly improved health behavior, health-related quality of life, clinical outcome, and illness perception in CHD patients. CONCLUSIONS: It is expected that the improvement of management in CHD patients will improve patients’ quality of life. Hence, it could reduce the number of morbidities and mortality.

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Section: Discussionmentioning

confidence: 99%

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Afik

Nursalam

Sufyanti

et al. 2022

Open Access Maced J Med Sci

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“…The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) were used to direct the conduct and reporting of the review (Page et al, 2021). The systematic review protocol was registered on the PROSPERO database (registration no CRD42020139932) (Chowdhury et al, 2020).…”

Section: The Reviewmentioning

confidence: 99%

“…The systematic review protocol was registered on the PROSPERO database (registration no CRD42020139932) (Chowdhury et al, 2020).…”

Section: Designmentioning

confidence: 99%

Nurse‐led interventions to manage hypertension in general practice: A systematic review and meta‐analysis

Stephen

Halcomb

Fernandez

et al. 2022

Journal of Advanced Nursing

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To evaluate the impact of general practice nurse-led interventions for blood pressure control and cardiovascular disease risk factor reduction in patients with hypertension. Systematic review and meta-analysis of randomized control trials. CINAHL, Medline and Scopus databases were searched to identify peer-reviewed studies published between 2000 and 2021. A systematic review of randomized control trials was conducted using a structured search strategy. The Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used to appraise study quality. Meta-analysis and narrative synthesis were performed to determine the effectiveness of the included interventions. Eleven trials comprising of 4454 participants were included in the review. Meta-analysis showed significant reductions in both systolic and diastolic blood pressure in trials with 6 months or less follow-up. Improvements were also demonstrated in reducing blood lipids, physical activity, general lifestyle measures and medication adherence. Evidence for dietary improvements and reduction in alcohol and smoking rates was inconclusive. Nurse-led interventions for patients with hypertension are heterogeneous in terms of the nature of the intervention and outcomes measured. However, nurse-led interventions in general practice demonstrate significant potential to improve blood pressure and support cardiovascular disease risk factor reduction. Future research should be directed towards elucidating the successful elements of these interventions, evaluating cost-effectiveness and exploring translation into usual care. This review provides evidence that nurses in general practice could enhance current hypertension management through nurse-led interventions.

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“…At present, the existing hypertension management in China mainly includes continuous nursing, home follow-up nursing, path-based comprehensive nursing, and file management intervention mode [ 8 ]. The management mode is relatively simple, mainly in tertiary hospitals.…”

Section: Introductionmentioning

confidence: 99%

Influence of “Hospital-Community-Family” Integrated Management on Blood Pressure, Quality of Life, Anxiety and Depression in Hypertensive Patients

Shi

Liu

2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the Influence of “hospital-community-family” integrated management on blood pressure, quality of life, anxiety and depression in hypertensive patients. Methods. A total of 60 patients with hypertension were treated in our hospital from July 2019 to July 2021. The patients were randomly divided into control group (n =30) and study group (n =30). The former accepts routine management, while the latter accepts “hospital-community-family” integrated management. Nursing satisfaction, blood pressure, disease awareness rate, anxiety and depression scores, disease control ability and quality of life scores were compared. Results. First of all, we compared the nursing satisfaction: the study group was very satisfied in 25 cases, satisfactory in 4 cases, general in 1 case, the satisfaction rate was 100.00%, while in the control group, 10 cases were very satisfied, 8 cases were satisfied, 7 cases were general, and 5 cases were dissatisfied, the satisfaction rate was 83.33%; The nursing satisfaction of the study group was higher than that of the control group (P <0.05). Secondly, we compared the level of blood pressure. There was no significant difference before management (P >0.05) but the blood pressure decreased after treatment. In the control group, the level of blood pressure in the study group was lower than that in the control group (P <0.05). In terms of disease awareness rate the scores of hypertension related knowledge hypertension harmfulness community management methods regular reexamination and blood pressure monitoring in the study group were significantly higher than those in the control group (P <0.05). There was no significant difference in anxiety and depression scores before treatment (P >0.05), but decreased after treatment. Compared with the control group, the anxiety and depression scores of the study group were lower (P <0.05). In terms of disease control ability, the total scores of diet management, medication management, behavior management and information management in the study group were higher compared to the control group (P <0.05). Finally, we compared the scores of qualities of life. Before management, there exhibited no significant difference (P >0.05). After management, the scores of quality of life decreased. Compared to the control group, the scores of physiological function, psychological function, social function and health self-cognition in the study group were lower than those in control group (P <0.05). Conclusion. The application of integrated “hospital, community and family” management can vertically integrate medical resources and establish a truly effective hierarchical treatment model. Integrated “hospital-community-family” management can improve patient compliance with treatment, enhance patients’ self-management ability and confidence, and improve the management efficiency of medical staff.

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Nurse-led interventions to manage hypertension in general practice: A systematic review protocol

Cited by 3 publications

References 23 publications

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Nurse‐led interventions to manage hypertension in general practice: A systematic review and meta‐analysis

Influence of “Hospital-Community-Family” Integrated Management on Blood Pressure, Quality of Life, Anxiety and Depression in Hypertensive Patients

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