Why the study?
To comprehensively assess nursing interventions for patients with hypertension, diabetes, and dyslipidemia and analyze intervention components, delivery methods, and outcomes.
Nursing interventions for patients with hypertension, diabetes, and dyslipidemia are diverse and effective to varying degrees, but future studies need better reporting of delivery methods and objective indicators.
Nursing interventions for cardiometabolic conditions vary widely; leaves open the need for RCTs to identify effective components and delivery methods.
AIMS: To conduct a comprehensive assessment of nursing interventions for patients with hypertension, diabetes, and dyslipidemia and analyse the components, delivery methods and outcomes of intervention programmes. DESIGN: Scoping review. DATA SOURCES: Systematic searches were performed in four Chinese databases (WanFang, CNKI, Chinese Biomedical Literature Database, and the VIP database) and six English databases (CINAHL, MEDLINE, Web of Science, PubMed, Embase, The Cochrane Library) from their inception until October 2023. An updated search was performed on 6 August 2024. METHODS: Two reviewers independently retrieved full-text studies and conducted the initial screening of titles and abstracts, followed by full-text analysis and data extraction. RESULTS: A total of 49 articles were included in this review. The nursing interventions consisted of various components, including fitness exercise, a balanced diet, mental health support, medication administration and others. The most commonly used delivery method was health education, with an increasing trend towards online interventions. However, the included studies did not provide details on delivery methods, including the team qualifications, subject areas or intervention duration and frequency. The nursing interventions achieved their research aims to varying degrees, as measured by subjective and/or objective indicators. CONCLUSION: The nursing interventions for the three highs are diverse, including offline, online and combined methods, covering exercise, diet, and mental health. Future efforts can draw on these intervention components and methods and establish a nurse-led multidisciplinary team. The measurement of objective indicators, including blood lipids, should be taken seriously. Developing more diverse subjective measurement indicators can comprehensively assess patients' health. IMPACT: This review offers clear guidance for the subsequent prevention and management of the three highs and consolidates evidence for healthcare professionals to devise targeted intervention strategies. REPORTING METHOD: We followed Arksey's five-step framework and the PRISMA extension for scoping reviews (PRISMA-ScR). PATIENT OR PUBLIC CONTRIBUTION: No.
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Chen et al. (2025) studied this question.
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