Evidence-based Nursing Practice for Health Promotion in Adults With Hypertension: A Literature Review

Hong, Woi-Hyun

doi:10.1016/s1976-1317(11)60007-8

Cited by 15 publications

(14 citation statements)

References 52 publications

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“…More over, Irmak et al [24] noted a significant decrease in the mean systolic and DBP. In the same line, Rigsby [31] and Hong [32] reported improvement of the blood pressure among patients who modified an unhealthy lifestyle.…”

Section: 4mentioning

confidence: 87%

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

Ebrahem

Gahsh

Abd-Elalem

2017

CNS

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Objective: Hypertension and dyslipidemia are widely recognized a major risk factors for cardiovascular disease (CVD). The aim of this study was to evaluate the effectiveness of the nursing intervention on cholesterol level and quality of life (QOL) among hypertensive patients with dyslipidemia. Methods: Design: A quasi -experimental pre-post-test design was used to achieve the aim of the study. The study was conducted in the University Hospital at Shebin El-kom District, Menoufia Governorate, Egypt. Purposeful sample of 100 hypertensive patients with dyslipidemia on treatment from the previous mentioned setting. Instruments: (1) structured interview questionnaire to assess socio-demographic data, risk factors of hypertension and dyslipidemia and patient's knowledge about hypertension and dyslipidemia; (2) Physiological measurement to assess blood pressure, weight and cholesterol level; (3) QOL scale to assess healthful lifestyle. Results: The main findings of the study there was statistically significant improvement of total knowledge related to hypertension and dyslipidemia, and there was statistically significant reduction in blood pressure and cholesterol level post-intervention than pre-intervention. Conclusions: The nursing intervention has a positive effect on blood pressure, cholesterol level and QOL of hypertensive patients with dyslipidemia. Recommendations: The nursing intervention that includes of adherence to diet regimen, prescribed medication and performing physical exercise, stress management, assertiveness training should be integrated into medical outpatient clinic to assist patients diagnosed with hypertension to cope with their illness and improve the QOL of hypertensive patients.

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Section: 4mentioning

confidence: 87%

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

Ebrahem

Gahsh

Abd-Elalem

2017

CNS

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“…13,16 Fundamental nursing care aspects producing successful behavioral change outcomes include consistent patient monitoring, scheduling regular follow-up and healthcare support (eg, education, counseling), control of substance abuse, such as alcohol and smoking, individualized dietary regimen, including fat, salt, fruit, and vegetable intake along with medication regimen monitoring and adjustment to manage BP. [9][10][11][12][13][14][15] Results from Chiu and Wong's randomized control trial further revealed that nurse-run clinics have positive effects on BP control, and adherence to health lifestyle and follow-up telephone call reinforce the coaching efforts of nurse clinical consultations. 15 Another 2014 nursing study targeting adults with AF emphasized the importance of individualized patient education to achieve positive outcome for older adults who had cognitive, as well as functional, limitations.…”

Section: Essential Considerations In Designing and Implementing Nursimentioning

confidence: 99%

“…5 A review of 72 nursing studies targeting adults with hypertension describe how nurses concentrate on 7 major areas: BP management, weight control, alcohol consumption, physical activity, smoking cessation, adherence to medication regimen, and diet considerations (eg, increase fruit and vegetable intake, reduce excess salt intake, etc). 9 For those women with AF, the CHA 2 DS 2 -VASc Calculator (see Table) that determines the ischemic stroke risk in patients with AF should be performed. 10,11 A score of 0 is low risk for stroke, whereas a score of 1 is moderate, and any patient score >1 is considered at high risk.…”

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confidence: 99%

Nursing Best Practices to Prevent Stroke in Women

Miller

2015

Stroke

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e75S troke remains the third leading cause of death in women affecting 3.8 million women compared with 3 million men.1,2 Almost half of the women surviving stroke are anticipated to have residual deficits, including cognitive dysfunction and weakness 6 months later. 3 With the aging population and increased longevity of women in our society, there is an urgent need to concentrate on stroke prevention for women, identify those most at risk, and then take immediate action. Nurses practice in a variety of clinical settings (eg, hospitals, clinics, schools, community outreach programs, etc), thereby having numerous opportunities to empower others to reduce the likelihood of stroke through education and management of personal risk behaviors. The purpose of this article is to summarize best evidence underpinning essential nursing activities targeting stroke prevention in women. Identification of Key Stroke Risk Factors for WomenA variety of risk factors trigger nurses and other healthcare providers (HCPs) to immediately act. The most prominent stroke risk factors for women are the following:• Hypertension: Stage I hypertension with systolic blood pressure (SBP) 140 to 159 or diastolic blood pressure (DBP) of 80 to 90; stage 2 SBP ≥160 or DBP ≥100. 4• Preeclampsia and eclampsia and pregnancy-induced hypertension. High blood pressure during pregnancy is defined as mild (SBP 140-149 mm Hg or DBP 90-99) and moderate (SBP 150-159 mm Hg or DBP 100-109 mm Hg) or severe SBP ≥160 mm Hg or DBP ≥110 mm Hg). 5• Obesity: defined as a body mass index of ≥30 kg/m 2 is associated with increased risk of stroke even after adjustment for other factors, such as age, physical activity, smoking, alcohol consumption, and conditions, such as hypertension and diabetes mellitus. 1,5 • Atrial fibrillation (AF): note if present recognizing that elderly women (ie, ≥75 years)are at higher risk for stroke if AF is present. 5• Oral contraception: may be harmful to women with additional stroke risk factors, such as cigarette smoking, prior thromboembolic events. 5• Hormone replacement therapy: concerns seem similar to cardiovascular disease and should not be used as primary or secondary prevention of stroke in postmenopausal women. 5• Migraine with aura: increased stroke risk occurs in women who also smoke and have the aura. 5Most research studies indicate no sex differences in treatment seeking time when a stroke is suspected, a few others suggest some women, especially from minority groups, tend to wait longer than men. 6,7 When assessing women, HCPs should always emphasize the importance of seeking immediate treatment (<3 hours) when a stroke or transient ischemic attack is suspected and to review signs and symptoms of stroke or transient ischemic attack during every teachable moment. Ongoing monitoring of these risk factors must occur and women need to understand the significance of assuming responsibility for their own self-care management and adherence to the prescribed evidence-based treatment regimen.Advance practice nurses must refer to the ...

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“…The latest recommendations for management of HBP have considerably emphasized individual's promoting health through the modification of their lifestyle in community settings [7,20]. Although lifelong diseases such as HBP usually cannot be cured, in most cases they can be prevented and controlled toward higher level of health with healthy lifestyle modifications [5,[8][9][10][11]19]. Among the strategies used to promote health knowledge, behavior, and status, nursing practice interventions in primary health care appears to offer a promising avenue to better meet the needs of vulnerable populations with HBP [10].…”

Section: Introductionmentioning

confidence: 99%

“…Although lifelong diseases such as HBP usually cannot be cured, in most cases they can be prevented and controlled toward higher level of health with healthy lifestyle modifications [5,[8][9][10][11]19]. Among the strategies used to promote health knowledge, behavior, and status, nursing practice interventions in primary health care appears to offer a promising avenue to better meet the needs of vulnerable populations with HBP [10]. The purpose of this study was 1) to describe the nursing interventions related to health promotion in adults with HBP in a community nursing center (CNC) based on evidence recommended by practice extant; 2) to identify the relationships between the nursing diagnoses, nursing interventions, and outcomes related to HBP as represented by the Omaha System (OS) in a CNC; 3) to explore nurses's opinions in relation to the quantitative findings of health promotion in adults with HBP using the OS in the CNC.…”

Section: Introductionmentioning

confidence: 99%

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

Hong

2015

J Korean Acad Community Health Nurs

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Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

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Evidence-based Nursing Practice for Health Promotion in Adults With Hypertension: A Literature Review

Cited by 15 publications

References 52 publications

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

Nursing Best Practices to Prevent Stroke in Women

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

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