Key result
Internet-enabled nursing reduces blood pressure and improves compliance and quality of life versus conventional care.
Why the study?
The study aimed to assess the impact of an internet-enabled nursing model, led by specialized nurses within a multidisciplinary collaborative framework, on patients with hypertension and their caregivers.
Does an internet-enabled nursing model improve blood pressure control, treatment compliance, and caregiver proficiency in patients with hypertension?
RCT (n=158)
Random number table method
Does an internet-enabled nursing model improve blood pressure control, treatment compliance, and caregiver proficiency in patients with hypertension?
p-value: p=<0.05
An internet-enabled nursing model led by specialist nurses significantly improves blood pressure control, treatment compliance, and caregiver proficiency in hypertensive patients.
Supports implementation in hypertension care pathways; extends RCT evidence for digital nurse-led models.
To aim of this study is to assess the impact of an internet-enabled nursing model, led by specialized nurses within a framework of multidisciplinary collaboration, on both, patients diagnosed with hypertension, and their respective caregivers. A total of 158 patients with hypertension, along with their corresponding caregivers, were meticulously selected and paired. By using a random number table method, participants were allocated into either a control group or an observation group. The control group received conventional health education, blood pressure monitoring, and routine telephone follow-ups administered by designated nurses. Conversely, patients in the observation group underwent treatment within an internet-enabled nursing model, led by specialist nurses within a multidisciplinary collaborative framework. Parameters including systolic and diastolic blood pressure readings of the patients, as well as their scores in compliance with the hypertension treatment, quality of life, and caregiving proficiency of family members, which were meticulously documented prior to intervention (T 0 ), as well as at 3- and 6-month intervals post-intervention (T 1 and T 2 ). Statistically significant differences were observed in both systolic and diastolic blood pressure levels among patients, as well as in their scores reflecting compliance with hypertension treatment, quality of life, and caregiving proficiency of family members, when comparing pre- and post-intervention periods within each group, across groups, and within the interaction effect ( p < 0.05). Also, there were statistically significant differences in the aforementioned parameters between the two groups at adjacent time points ( p < 0.05). Specifically, patients within the observation group exhibited notable reductions in systolic and diastolic blood pressure levels at both T 1 and T 2 , alongside heightened scores indicative of enhanced compliance with hypertension treatment, enhanced quality of life, and increased caregiving proficiency among family members, when compared to patients within the control group ( p < 0.05). The implementation of an internet-enabled nursing model, overseen by specialized nurses within a framework of multidisciplinary collaboration, demonstrates superior efficacy in preserving the stability of blood pressure among patients with hypertension. This model significantly enhances patient compliance with treatment regimens, enhances their overall quality of life, and fosters heightened caregiving proficiency among their respective caregivers. • The paper built a multidisciplinary collaborative Internet+nursing mode service platform led by specialist nurses. • The paper studied blood pressure control, treatment compliance, and caregiver care ability of 158 hypertensive patients. • The paper shows that Internet+nursing mode can stabilize blood pressure, improve compliance and caregiver care ability.
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He et al. (2024) conducted an RCT in Hypertension (n=158). Internet-enabled nursing model led by specialist nurses vs. Conventional health education, blood pressure monitoring, and routine telephone follow-ups was evaluated on Systolic and diastolic blood pressure levels, treatment compliance, quality of life, and caregiving proficiency (p=<0.05). An internet-enabled nursing model significantly reduced blood pressure and improved treatment compliance, quality of life, and caregiver proficiency compared to conventional care (p<0.05).
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