Nurse-led protocol-driven care for hypertension in Cameroon significantly reduced systolic blood pressure by 11.7 mm Hg and diastolic blood pressure by 7.8 mm Hg.
Cohort (n=454)
Sí
Does nurse-led protocol-driven care improve blood pressure control in patients with hypertension in rural and urban Sub-Saharan Africa?
Implementation of a nurse-led, protocol-driven hypertension clinic in rural and urban Sub-Saharan Africa significantly reduced systolic and diastolic blood pressures.
valor p: p=<0.001
To implement a nurse-led protocol for the care of hypertension, 5 clinics were established in Yaounde (urban) and Bafut (rural) in Cameroon. International guidelines were adapted and 10 nurses were trained. The initial cohort of patients was referred from a field survey. The program proceeded for 26 months and 454 patients (45% urban) were registered in the clinics. Relative to urban participants, rural participants were more often women (59% vs 45%, P=.002) and less likely to have diabetes (7.2% vs 41.2%, P<.001). Between baseline and final visits, systolic and diastolic blood pressures dropped by 11.7 mm Hg (95% confidence interval, 8.9-14.4) and 7.8 (95% confidence interval, 5.9-9.6), respectively (P<.001). These changes were consistent in subgroups and after adjustment. Most dropouts occurred around the initial visit and among urban participants and nondiabetics. Nurse-led clinics are effective for improving hypertension care in these settings and require implementation and validation through controlled trials.
Kengne et al. (Wed,) conducted a cohort in Hypertension (n=454). Nurse-led protocol-driven care was evaluated on Change in systolic blood pressure between baseline and final visit (95% CI 8.9-14.4, p=<0.001). Nurse-led protocol-driven care for hypertension in Cameroon significantly reduced systolic blood pressure by 11.7 mm Hg and diastolic blood pressure by 7.8 mm Hg.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: