Hypertension management: what is the role of case management?

Abstract

Objective The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension - joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.

Nursing case management for people with hypertension in primary health care: A randomized controlled trial

“…Improvement in blood pressure, BMI, and waist circumference may be associated with improved treatment adherence because the scores in the present study showed significant improvement after 12 months of follow‐up ( p < .001). Zhu et al () and Ozpancar et al () also observed improvements in treatment adherence after an intervention with case management.…”

“…Ozpancar, Pakyuz, and Topcu () found positive effects of case management on blood pressure in people diagnosed with hypertension: their SBP decreased from 136.16 to 117.5 mmHg ( p < .001) and their DBP decreased from 87.66 to 77.50 mmHg ( p < .001).…”

Perception of post-stroke patients on case management conducted by nurses

“…The actions were associated with changing healthy lifestyle behaviors (healthy eating, physical activity) and increasing medication adherence. In this sense, the nurse's action in case management is assessed as positive, particularly in relation to people with SAH and especially when it comes to the effect of the guidelines on lifestyle changes and adherence to treatment (17) .…”

Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review

“…Studies have shown evidence on the effectiveness of CM developed by nurses for reducing risk factors and decreasing blood pressure levels, as well as improving adherence to the therapeutic regimen. (5)(6)(7)(8)(9) Case management actions also have proved beneficial to increase knowledge about the disease and self-management of treatment. (10) They reduce the number of hospitalizations and aggravations that require emergency care, impacting the improvement of quality of life.…”