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December 10, 2021Jurnal NERSOpen Access

The Effectiveness of a Nurse-led Team-Based Hypertension Management among People with Uncontrolled Hypertension in a Community Hospital, Thailand

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Key result

The Nurse-led Team-based Hypertension Management Program significantly reduced systolic and diastolic blood pressure compared to baseline levels (p<0.001) in patients with uncontrolled hypertension.

Why the study?

Uncontrolled blood pressure among individuals with hypertension remains a major public health issue, motivating an evaluation of a Nurse-led Team-based Hypertension Management Program.

Does a Nurse-led Team-based Hypertension Management Program reduce blood pressure in people with uncontrolled hypertension?

Comparison

Pre- vs post-intervention evaluation of the Nurse-led Team-based Hypertension Management Program

Design

Quasi-experimental one-group pre-posttest design

Follow-up

3 months

Authors

NONongnut ObaNCNavarat Chutipanyaporn

Discussion

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Member takes

Overview

May support nurse-led hypertension programs in community settings; leaves open efficacy pending randomized trials.

Structured PICO

Does a Nurse-led Team-based Hypertension Management Program reduce blood pressure in people with uncontrolled hypertension?

P
Population
30 adults with uncontrolled hypertension on medication, free of cardiovascular complications, who participated in a 3-month nurse-led management program.
I
Intervention
Nurse-led Team-based Hypertension Management Program (NTHMP) for 3 months, including team-approached health education (DASH diet, physical activity, stress reduction), medication administration support by a pharmacist, home blood pressure monitoring, and motivational interviewing on behavioral adjustment.
O
Outcome
Systolic blood pressure, diastolic blood pressure, and hospital admissions with signs of hypertensive urgency at 3 months post-intervention.surrogate

Main Result

Absolute Event Rate: 125.48% vs 144.55%

p-value: p=<0.001

A nurse-led, multidisciplinary team-based management program significantly improved blood pressure control in patients with uncontrolled hypertension in a community hospital setting.

Limitations

  • One-group pre-posttest design without a control group
  • Small sample size (n=30)
  • Conducted in a single small community hospital lacking specialized staff like dietitians
  • Lack of a control group (one-group pre-posttest design)
  • Small sample size
  • Conducted in a single small community hospital lacking a dietitian

Cite This Study

Oba et al. (2021) studied Uncontrolled hypertension (n=30). Nurse-led Team-based Hypertension Management Program (NTHMP) vs. Baseline (pre-intervention) was evaluated on Systolic blood pressure (p=<0.001). The Nurse-led Team-based Hypertension Management Program significantly reduced systolic and diastolic blood pressure compared to baseline levels (p<0.001) in patients with uncontrolled hypertension.

synapsesocial.com/papers/6a9fc9488b5dbbb92fe61adfhttps://doi.org/10.20473/jn.v16i2.28758
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1&lt;p&gt;The effect of the behavior modification program Dietary Approaches to Stop Hypertension (DASH) on reducing the risk of hypertension among elderly patients in the rural community of Phayao, Thailand&lt;/p&gt;2019 · 16 citations
  2. 2Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project2016 · 167 citations
  3. 3Pharmacist Interventions in the Management of Blood Pressure Control and Adherence to Antihypertensive Medications: A Systematic Review of Randomized Controlled Trials2020 · 70 citations
  4. 4Home Blood Pressure Monitoring Has Similar Effects on Office Blood Pressure and Medication Compliance as Usual Care2019 · 19 citations
  5. 5Self-monitoring of blood pressure to guide titration of antihypertensive medication—a new era in hypertension management?2019 · 7 citations