Effect of Nurse-Based Management of Hypertension in Rural Western Kenya
Key result
Nurse-based hypertension care shows no difference in blood pressure reduction compared to clinical officer management.
- n=1,051
Why the study?
Elevated blood pressure is the leading cause of death worldwide, but treatment and control rates remain very low, and task redistribution to nurses is a supported strategy.
Does nurse-based hypertension management improve blood pressure in adult patients with hypertension compared to care by clinical officers?
Population
1051 adult patients with hypertension in rural Western Kenya
Comparison
Nurse-based hypertension management care versus care provided by clinical officers
Design
Retrospective data analysis cohort study
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
Supports nurse-led hypertension care in resource-limited settings; hypothesis-generating and requires randomized confirmation before practice change.
Study Design
Type
Cohort (n=1,051)
Structured PICO
Does nurse-based hypertension management improve blood pressure in adult patients with hypertension compared to care by clinical officers?
P
Population
1,051 adult patients with hypertension in rural Kenya, followed for one year to compare nurse-based versus clinical officer-based management.
E
Exposure
Nurse-based hypertension management care
C
Comparator
Care provided by clinical officers
O
Outcome
Change in systolic blood pressure (SBP) over one yearsurrogate
Main Result
Absolute Event Rate: -4.95% vs -5.28%
Nurse-managed hypertension care is as effective as clinical officer-managed care in reducing blood pressure, supporting task redistribution strategies in resource-limited settings.
Limitations
- Retention in care at 12 months was low (42%)
- Low retention in care (42% at 12 months)
- Retrospective design
Cite This Study
Vedanthan et al. (2020) conducted a cohort in Hypertension (n=1,051). Nurse-based hypertension management vs. Clinical officer-based management was evaluated on Change in systolic blood pressure (SBP) over one year. Nurse-based hypertension management reduced systolic blood pressure by 4.95 mmHg/month over 3 months, with no significant difference compared to clinical officer-managed care.