Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment

Georgiopoulos, G; Kollia, Zoi; Katsi, Vasiliki; Oikonomou, Dimitrios; Tsioufis, Costas; Tousoulis, Dimitris

doi:10.1007/s11906-018-0862-2

Cited by 8 publications

(5 citation statements)

References 36 publications

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“…Programs that educate people about changing their lifestyles and understanding diseases had higher outcomes for improved blood pressure control and medication adherence. 26 Similarly, in our study, it was observed that blood pressure and cardiovascular risk factors improved through nursing interventions. Likewise, results from another systematic review concluded that digital health interventions led by nurses were more successful than standard treatment in lowering blood pressure and improving self-management in hypertensive patients.…”

Section: Discussionsupporting

confidence: 75%

The contribution of nursing expertise to the management of complex comorbidities in internal medicine setting: a systematic review

Alresheedi,

Alanazi,

Alshammari

et al. 2023

Int J Community Med Public Health

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The burden of comorbidities is on the rise, and nursing has long been recognized as having a crucial role in assisting individuals to manage long-term conditions. Over the past ten years, a growing number of chronic disease delivery models have given nurses great opportunities to develop roles and abilities focused on effective chronic disease management. We have conducted both electronic and manual searches within the potential databases to find relevant studies. Studies from the years 2010-2023 were included. Case reports with limited sample sizes, no descriptive statistics, review papers, and meta-analyses were excluded from this review. A quality assessment for all included studies was performed. Final inclusion resulted in a total of eight studies. Cardiovascular diseases, hypertension, and diabetes were the comorbidities reported by the majority of the studies, while chronic obstructive pulmonary disease, end-stage renal disease, and metastatic cancer were reported by each study. Overall, the findings suggest that nurses play a significant role in the management of comorbidities among patients, further improving patient outcomes, reducing readmissions and hospital costs, and preventing complications. The care of patients with complicated medical and social needs is coordinated through the employment of a wide range of interventions in an internal medicine setting. Nurse-led interventions /programs can play a vital part in reducing the burden of rising comorbidities among patients. However, the role of nurses in the internal medicine setting needs to be highlighted further by evidence-based research.

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Section: Discussionsupporting

confidence: 75%

The contribution of nursing expertise to the management of complex comorbidities in internal medicine setting: a systematic review

Alresheedi,

Alanazi,

Alshammari

et al. 2023

Int J Community Med Public Health

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“…Despite this varied evidence base, the previous investigation of nurse-led interventions with populations at high CVD risk reported improvements in smoking (Halcomb et al, 2015), alcohol (Platt et al, 2016;Clossick & Woodward, 2014), weight (Sargent et al, 2012), physical activity (Chudowolska-Kiełkowska & Małek, 2020) and medication adherence (Georgiopoulos et al, 2018). (Mitchell et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Despite this varied evidence base, the previous investigation of nurse‐led interventions with populations at high CVD risk reported improvements in smoking (Halcomb et al, 2015), alcohol (Platt et al, 2016; Clossick & Woodward, 2014), weight (Sargent et al, 2012), physical activity (Chudowolska‐Kiełkowska & Małek, 2020) and medication adherence (Georgiopoulos et al, 2018). The limited evidence on dietary interventions to improve nutritional quality and anthropomorphic outcomes compares to previous reviews which found some, yet inconsistent effect in both nurse (McElwaine et al, 2016) and multidisciplinary nutritional interventions in primary care (Mitchell et al, 2017).…”

Section: Discussionmentioning

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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“…(11,12) In this sense, the literature has indicated that nursing, as part of the health staff, plays a fundamental role in improving this problem, especially through education actions aimed at modifying lifestyles and understanding the disease. (13) Consequently, the aim of this study was to determine the factors associated with adherence to the therapeutic regime (pharmacological and nonpharmacological treatment) in patients with arterial hypertension and T2DM cared for in primary care centers in the city of Bucaramanga in Colombia.…”

Section: Introductionmentioning

confidence: 99%

Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes

Parra¹,

Guevara²,

Rojas³

2019

invest. educ. enferm

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Objective. To determine the factors associated with adherence to the therapeutic regime in patients with hypertension and type 2 diabetes mellitus cared for in primary care centers.Methods. This was an analytical cross-sectional study, conducted with 500 patients from two institutions in Bucaramanga (Colombia). Adherence to the therapeutic regime was measured with the label of Nursing outcomes “Treatment Behavior: Illness or Injury” and the instrument “Factors that influence on adherence to pharmacological and non-pharmacological treatments” by Ortiz Suárez was used. Results. Factors affecting negatively adherence to the therapeutic regime were: belonging to the subsidized regime, never being able to read written information about the management of their disease, and never receiving information about benefits of the medications ordered by the physician. On the contrary, positive influence was noted by referring “never” to the following statements, which impacted positively on adherence: the diverse occupations you have in and out of the house hinder your following the treatment; when your symptoms improve, do you interrupt the treatment? previously, have you had difficulties in complying with your treatment and believe there are difficult-to-change customs about foods and exercises? Conclusion. Two socioeconomic factors and one related with the health system and staff affected negatively on adherence to the therapeutic regime, while four factors related with the therapy favored it. The factors identified could be used in the design of nursing interventions to improve adherence in this population.Descriptors: treatment adherence and compliance; hypertension; diabetes mellitus, type 2; risk factors; cross-sectional studiesHow to cite this article: Parra DI, Romero SL, Rojas LZ. Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes. Invest. Educ. Enferm. 2019; 37(3):e02.

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Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment

Cited by 8 publications

References 36 publications

The contribution of nursing expertise to the management of complex comorbidities in internal medicine setting: a systematic review

The contribution of nursing expertise to the management of complex comorbidities in internal medicine setting: a systematic review

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

Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes

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