Nursing interventions for improving the management of hypertension in adults
Ahiave, Elikplim; Tom Luma, Johnson (2013)
Ahiave, Elikplim
Tom Luma, Johnson
Laurea-ammattikorkeakoulu
2013
All rights reserved
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201304114305
https://urn.fi/URN:NBN:fi:amk-201304114305
Tiivistelmä
The purpose for this study was to describe nursing interventions for improving the management of hypertension in adults. The study was undertaken as part of the medication project in Laurea University of Applied Sciences. The research question that this study aimed to answer was; what nursing interventions are used for improving the management of hypertension in adults?
The research method used to carry this study was a systematic review. Electronic databases like EBSCO (CINAHL), EBSCO (Academic Search Elite), Ovid (Medline), Pubmed and the Cochrane central register were searched for scientific journals. The keywords nursing interventions, hypertension, adults and high blood pressure were used for the data search. Books and other health journal were also hand searched to identify scientific articles. Identified articles were screened against pre-determined eligibility criteria and 10 articles were finally selected and analyzed for the study.
Extracted data from the chosen articles included names of authors, title of articles, years of publication and major findings. The principles of qualitative content analysis were then used to categorize data from the findings of the selected articles. 4 main categories emerged and they were nurse led clinics, health education, adherence promotion and telenursing.
The findings revealed that nurse led clinics were beneficial in assisting hypertensive patients to meet their target blood pressure. Nurse prescribing, risk assessment and the use of step wise treatment algorithms were the nursing actions mainly used in nurse led clinics. The findings also showed that patient education given by nurses which focused on the modifiable lifestyle factors of hypertension, self-monitoring and medication management promoted the management of hypertension. Furthermore, promotion of patient adherence using simplified medication dosages and follow up were also to have been effective. Telenursing interventions were also identified to have improved the management of hypertension adults. Nurse prescribing although considered positive still faced challenges and hence must be reviewed for improvement in the future.
The research method used to carry this study was a systematic review. Electronic databases like EBSCO (CINAHL), EBSCO (Academic Search Elite), Ovid (Medline), Pubmed and the Cochrane central register were searched for scientific journals. The keywords nursing interventions, hypertension, adults and high blood pressure were used for the data search. Books and other health journal were also hand searched to identify scientific articles. Identified articles were screened against pre-determined eligibility criteria and 10 articles were finally selected and analyzed for the study.
Extracted data from the chosen articles included names of authors, title of articles, years of publication and major findings. The principles of qualitative content analysis were then used to categorize data from the findings of the selected articles. 4 main categories emerged and they were nurse led clinics, health education, adherence promotion and telenursing.
The findings revealed that nurse led clinics were beneficial in assisting hypertensive patients to meet their target blood pressure. Nurse prescribing, risk assessment and the use of step wise treatment algorithms were the nursing actions mainly used in nurse led clinics. The findings also showed that patient education given by nurses which focused on the modifiable lifestyle factors of hypertension, self-monitoring and medication management promoted the management of hypertension. Furthermore, promotion of patient adherence using simplified medication dosages and follow up were also to have been effective. Telenursing interventions were also identified to have improved the management of hypertension adults. Nurse prescribing although considered positive still faced challenges and hence must be reviewed for improvement in the future.