Nurse-Led Interventions Versus Usual Care to Manage Hypertension:: A Systematic Review and Meta-Analysis

L. Bulto; J. Roseleur; S. Noonan; M. Pinero de Plaza; S. Champion; H. Dafny; V. Pearson; K. Nesbitt; L. Gebremichael; A. Beleigoli; T. Schultz; S. Hines; R. Clark; J. Hendriks

doi:10.1016/j.hlc.2023.06.480

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.

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	https://doi.org/10.1016/j.hlc.2023.06.480
Publication status	Published - Jul 2023

Keywords

Hypertension
Nurse-led interventions

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10.1016/j.hlc.2023.06.480Licence: In Copyright

CSIRO On Prime Innovation Reward 2024
Pinero de Plaza, M. A. (Recipient), Marmolejo Ramos, F. (Recipient) & Morton, E. (Recipient), 20 Nov 2024
Prize
Healthcare Innovator Award 2024
Pinero de Plaza, M. A. (Recipient), 5 Dec 2024
Prize: Honorary award
Recognition: Top Cited Article in Nursing Philosophy
Tieu, M. (Recipient), Mudd, A. (Recipient), Conroy, T. (Recipient), Pinero de Plaza, M. A. (Recipient) & Kitson, A. (Recipient), Dec 2023
Prize: Other distinction

1 Invited talk

Aged & Extended Care Unit Academic Meeting - Monday 17/2/25: Advancing Human-Centred AI in Emergency Care: A Multimethod Evaluation of RAPIDx AI Using the PROLIFERATE_AI Framework
Pinero de Plaza, M. A. (Speaker)
17 Feb 2025
Activity: Talk or presentation types › Invited talk

File

2 Poster
2 Article

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, Jun 2025, In: Journal of Telemedicine and Telecare. 31, 4, p. 475-486 12 p.
Research output: Contribution to journal › Article › peer-review
2 Citations (Scopus)
Strengthening Care Networks: Applying Caring Life Course Theory to Enhance Cardiac Rehabilitation through Social Network Analysis
Pinero de Plaza, M. A., Hutchinson, C., Beleigoli, A., Tieu, M., Lawless, M., Conroy, T., Feo, R., Clark, R. A., Dafny, H., McMillan, P., Allande Cusso, R. & Kitson, A., Nov 2024, p. 24. 1 p.
Research output: Contribution to conference › Poster › peer-review

Open Access
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 Access
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Cite this

Bulto, L., Roseleur, J., Noonan, S., Pinero de Plaza, M., Champion, S., Dafny, H., Pearson, V., Nesbitt, K., Gebremichael, L., Beleigoli, A., Schultz, T., Hines, S., Clark, R., & Hendriks, J. (2023). Nurse-Led Interventions Versus Usual Care to Manage Hypertension: A Systematic Review and Meta-Analysis. Heart, Lung and Circulation, 32(Suppl. 3), S330. Article 484. https://doi.org/10.1016/j.hlc.2023.06.480

@article{8552e2e9d7a0415b85b8b4bf2ec1e88e,

title = "Nurse-Led Interventions Versus Usual Care to Manage Hypertension:: A Systematic Review and Meta-Analysis",

abstract = "AimThis review aimed to investigate the effectiveness of nurse-led interventions versus usual care on hypertension management, lifestyle behaviour, and patients{\textquoteright} knowledge of hypertension and associated risk factors.MethodsA 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.ResultsA 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.ConclusionThis 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.",

keywords = "Hypertension, Nurse-led interventions",

author = "L. Bulto and J. Roseleur and S. Noonan and {Pinero de Plaza}, M. and S. Champion and H. Dafny and V. Pearson and K. Nesbitt and L. Gebremichael and A. Beleigoli and T. Schultz and S. Hines and R. Clark and J. Hendriks",

year = "2023",

month = jul,

doi = "10.1016/j.hlc.2023.06.480",

language = "English",

volume = "32",

pages = "S330",

journal = "Heart, Lung and Circulation",

issn = "1443-9506",

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number = "Suppl. 3",

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Bulto, L , Roseleur, J, Noonan, S, Pinero de Plaza, M , Champion, S , Dafny, H, Pearson, V, Nesbitt, K , Gebremichael, L , Beleigoli, A , Schultz, T , Hines, S , Clark, R & Hendriks, J 2023, 'Nurse-Led Interventions Versus Usual Care to Manage Hypertension: A Systematic Review and Meta-Analysis', Heart, Lung and Circulation, vol. 32, no. Suppl. 3, 484, pp. S330. https://doi.org/10.1016/j.hlc.2023.06.480

TY - JOUR

T1 - Nurse-Led Interventions Versus Usual Care to Manage Hypertension:

T2 - A Systematic Review and Meta-Analysis

AU - Bulto, L.

AU - Roseleur, J.

AU - Noonan, S.

AU - Pinero de Plaza, M.

AU - Champion, S.

AU - Dafny, H.

AU - Pearson, V.

AU - Nesbitt, K.

AU - Gebremichael, L.

AU - Beleigoli, A.

AU - Schultz, T.

AU - Hines, S.

AU - Clark, R.

AU - Hendriks, J.

PY - 2023/7

Y1 - 2023/7

N2 - AimThis 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.MethodsA 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.ResultsA 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.ConclusionThis 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.

AB - AimThis 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.MethodsA 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.ResultsA 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.ConclusionThis 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.

KW - Hypertension

KW - Nurse-led interventions

U2 - 10.1016/j.hlc.2023.06.480

DO - 10.1016/j.hlc.2023.06.480

M3 - Meeting Abstract

SN - 1443-9506

VL - 32

SP - S330

JO - Heart, Lung and Circulation

JF - Heart, Lung and Circulation

IS - Suppl. 3

M1 - 484

ER -

Nurse-Led Interventions Versus Usual Care to Manage Hypertension: A Systematic Review and Meta-Analysis

Abstract

Keywords

Access to Document

Fingerprint

Prizes

CSIRO On Prime Innovation Reward 2024

Healthcare Innovator Award 2024

Recognition: Top Cited Article in Nursing Philosophy

Activities

Aged & Extended Care Unit Academic Meeting - Monday 17/2/25: Advancing Human-Centred AI in Emergency Care: A Multimethod Evaluation of RAPIDx AI Using the PROLIFERATE_AI Framework

Research output

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

Strengthening Care Networks: Applying Caring Life Course Theory to Enhance Cardiac Rehabilitation through Social Network Analysis

CAREPULSE - Community And Rural Experts Partnered for Understanding and Leveraging Strategic Endeavours in Cardiac Rehabilitation and Secondary Prevention

Cite this