Key result
Individual teaching by nurses improved treatment adherence (MD 0.87; 95% CI 0.30-1.44) and reduced systolic blood pressure by 3.79 mmHg compared to usual care in patients with hypertension or T2DM.
Why the study?
Educational interventions improve adherence in chronic diseases, but the efficacy of a nursing intervention involving individual teaching in hypertension and/or type-2 diabetes mellitus needed evaluation.
Does a nursing intervention involving individual teaching improve adherence with therapeutic regimens in patients with hypertension and/or type-2 diabetes mellitus?
RCT (n=200)
parallel
Does a nursing intervention involving individual teaching improve adherence with therapeutic regimens in patients with hypertension and/or type-2 diabetes mellitus?
An individual teaching nursing intervention significantly improves therapeutic adherence and reduces systolic blood pressure in primary care patients with hypertension and/or type 2 diabetes.
Answers are grounded in this paper and cite their sources.
Supports nurse-led teaching for hypertension/T2DM in primary care; extends RCT evidence on adherence interventions.
Educational interventions with a multifaceted approach have proven effective to improve adherence to therapeutic regimens in people with chronic diseases. The present study aimed to evaluate the efficacy of a nursing intervention involving individual teaching compared with usual care to improve adherence with therapeutic regimens in people with hypertension and/or type-2 diabetes mellitus (T2DM). This was a parallel randomised two-arm clinical trial in 200 patients from a primary care programme. After 6 months of follow-up, there was a significant improvement in treatment adherence with a score of 0.87 (95% CI 0.30 to 1.44) on a 13 point scale, and an average reduction in systolic blood pressure (SBP) of 3.79 mmHg (95% CI: -6.85 to -0.73) in the intervention group, but not in glycated haemoglobin (HbA1c) levels (-0.16% 95% CI: -0.41 to 0.09). The individual teaching intervention was effective in improving therapeutic adherence and improving blood pressure values among the participants from the primary care programme.
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Parra et al. (2021) conducted an RCT in Hypertension and/or type-2 diabetes mellitus (n=200). Nursing intervention involving individual teaching vs. Usual care was evaluated on Adherence with therapeutic regimens (13-point scale) (MD 0.87, 95% CI 0.30 to 1.44). Individual teaching by nurses improved treatment adherence (MD 0.87; 95% CI 0.30-1.44) and reduced systolic blood pressure by 3.79 mmHg compared to usual care in patients with hypertension or T2DM.
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