Research output per year
Research output per year
Abstract
Aim
This review aimed to investigate the effectiveness of nurse-led interventions versus usual care on hypertension management, lifestyle behaviour, and patients’ knowledge of hypertension and associated risk factors.
Methods
A systematic review with meta-analysis was conducted following Joanna Briggs Institute (JBI) guidelines. MEDLINE (Ovid), Emcare (Ovid), CINAHL (EBSCO), Cochrane library and ProQuest (Ovid) were searched from inception to 15 February 2022. Randomised controlled trials (RCTs) examining the effect of nurse-led interventions on hypertension management were identified. Title and abstract, and full text screening, assessment of methodological quality, and data extraction were conducted by two independent reviewers using JBI tools. A statistical meta-analysis was conducted using RevMan version 5.4.1.
Results
A total of 37 RCTs and 9,731 participants were included. The overall pooled data demonstrated that nurse-led interventions may reduce systolic blood pressure (mean difference -5.39; 95% CI -7.59, -3.34; I2 = 81.33; 23 RCTs; low-certainty evidence) and diastolic blood pressure (mean difference -1.94; 95% CI -3.27, -0.60; I2 = 79.66; 22 RCTs; low-certainty evidence) compared to usual care. The duration of interventions contributed to the magnitude of blood pressure reduction. Nurse-led interventions had a positive impact on lifestyle behaviour and effectively modified diet and physical activity, but the effect on smoking and alcohol consumption was inconsistent.
Conclusion
This review revealed beneficial effects of nurse-led interventions in hypertension management compared to usual care. Integration of nurse-led interventions in routine hypertension treatment and prevention services could play an important role in alleviating the rising global burden of hypertension.
This review aimed to investigate the effectiveness of nurse-led interventions versus usual care on hypertension management, lifestyle behaviour, and patients’ knowledge of hypertension and associated risk factors.
Methods
A systematic review with meta-analysis was conducted following Joanna Briggs Institute (JBI) guidelines. MEDLINE (Ovid), Emcare (Ovid), CINAHL (EBSCO), Cochrane library and ProQuest (Ovid) were searched from inception to 15 February 2022. Randomised controlled trials (RCTs) examining the effect of nurse-led interventions on hypertension management were identified. Title and abstract, and full text screening, assessment of methodological quality, and data extraction were conducted by two independent reviewers using JBI tools. A statistical meta-analysis was conducted using RevMan version 5.4.1.
Results
A total of 37 RCTs and 9,731 participants were included. The overall pooled data demonstrated that nurse-led interventions may reduce systolic blood pressure (mean difference -5.39; 95% CI -7.59, -3.34; I2 = 81.33; 23 RCTs; low-certainty evidence) and diastolic blood pressure (mean difference -1.94; 95% CI -3.27, -0.60; I2 = 79.66; 22 RCTs; low-certainty evidence) compared to usual care. The duration of interventions contributed to the magnitude of blood pressure reduction. Nurse-led interventions had a positive impact on lifestyle behaviour and effectively modified diet and physical activity, but the effect on smoking and alcohol consumption was inconsistent.
Conclusion
This review revealed beneficial effects of nurse-led interventions in hypertension management compared to usual care. Integration of nurse-led interventions in routine hypertension treatment and prevention services could play an important role in alleviating the rising global burden of hypertension.
| Original language | English |
|---|---|
| Article number | 484 |
| Pages (from-to) | S330 |
| Number of pages | 1 |
| Journal | Heart, Lung and Circulation |
| Volume | 32 |
| Issue number | Suppl. 3 |
| DOIs | |
| Publication status | Published - Jul 2023 |
Keywords
- Hypertension
- Nurse-led interventions
Fingerprint
Dive into the research topics of 'Nurse-Led Interventions Versus Usual Care to Manage Hypertension: A Systematic Review and Meta-Analysis'. Together they form a unique fingerprint.Prizes
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Winner of the GEM (Going the Extra Mile) Staff Recognition Award
Pinero de Plaza, Maria Alejandra (Recipient), 19 Apr 2024
Prize: Other distinction
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CAREPULSE - Community And Rural Experts Partnered for Understanding and Leveraging Strategic Endeavours in Cardiac Rehabilitation and Secondary Prevention
Pinero de Plaza, D. M. A., Bester, C., Nesbitt, K., Hutchinson, C., Clark, R., Suebkinorn, O. & Beleigoli, A., 3 Nov 2023, (E-pub ahead of print) p. 1. 1 p.Research output: Contribution to conference › Poster › peer-review
Open AccessFile47 Downloads (Pure) -
Measurement properties of utility-based health-related quality-of-life measures in cardiac rehabilitation: a systematic review protocol
Bulamu, N. B., Hines, S., Gebremichael, L., Mpundu-Kaambwa, C., Pinero de Plaza, M. A., Dafny, H., Beleigoli, A., Kaambwa, B., Hendriks, J. & Clark, R., Oct 2023, In: JBI Evidence Synthesis. 21, 10, p. 2082-2091 10 p.Research output: Contribution to journal › Article › peer-review
2 Citations (Scopus) -
The effectiveness of interactive cardiac rehabilitation web applications versus usual care on programme completion in patients with cardiovascular disease: A systematic review and meta-analysis of randomised controlled trials
Nesbitt, K., Champion, S., Pearson, V., Gebremichael, L. G., Dafny, H., Ramos, J. S., Suebkinorn, O., Pinero de Plaza, M. A., Gulyani, A., Du, H., Clark, R. A., Beleigoli, A. & On behalf of the NHMRC Country Heart Attack Prevention (CHAP) Partnership Project Team, 28 Sept 2023, (E-pub ahead of print) In: Journal of Telemedicine and Telecare. 12 p.Research output: Contribution to journal › Article › peer-review
2 Citations (Scopus)