Key result
Intensified nursing monitoring is linked to a ~26% lower absolute rate of renal dysfunction vs usual care.
Why the study?
The effects of intensified versus usual clinical nursing monitoring on quality of life and sedentary lifestyle in hypertensive and diabetic patients were not established.
Does intensified clinical nursing monitoring improve quality of life and reduce sedentary lifestyle in hypertensive and diabetic patients in primary care?
Does intensified clinical nursing monitoring improve quality of life and reduce sedentary lifestyle in hypertensive and diabetic patients in primary care?
Absolute Event Rate: 0% vs 26.09%
p-value: p=0.001
Intensified nursing monitoring with biochemical assessment reduces sedentary lifestyle and improves quality of life in hypertensive and diabetic patients in primary care.
Nursing monitoring may reduce sedentary lifestyle in hypertensive diabetics; hypothesis-generating and requires RCT confirmation before practice change.
Objective: Verify the effects of intensified and usual clinical nursing monitoring on the quality of life and sedentary lifestyle of hypertensive and diabetic patients in primary care. Method: A quantitative and quasi-experimental study of time series. The sample this study consisted in 85 users allocated in control (n=45) and experimental (n=40) groups. The intervention was a nursing consultation with biochemical monitoring program. Results: With the monitoring, laboratory variables in experimental group were controlled, such as serum creatinine (0.82 – 0.79 mg/dL). The control group included 6 (26.09%) patients with renal dysfunction (p=0.001). Sedentary lifestyle was reduced in the experimental group (15.00% to 0.00%). The psychological domain of quality of life presented a better perception in the group without renal dysfunction, when compared to the users with renal dysfunction (80.8 ± 0.19 vs 51.8 ± 0.21, p=0.013). Conclusion: Results proved to be relevant for the Nursing assistance practice with reduction of sedentary lifestyle and an improvement in quality of life, the modifiable risk factors for kidney diseases.
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WL et al. (2023) studied Hypertension and Diabetes Mellitus (n=85). Intensified nursing consultation with biochemical monitoring program vs. Usual clinical nursing monitoring (annual) was evaluated on Evolution to renal dysfunction (p=0.001). Intensified quarterly nursing monitoring significantly prevented the evolution to renal dysfunction compared to usual care (0% vs 26.09%, p=0.001) and reduced sedentary lifestyle.
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