Effectiveness of a family nurse-led programme on accuracy of blood pressure self-measurement: A randomised controlled trial.
home blood pressure measurement
hypertension
nurse-led intervention
randomised controlled trial
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
10
03
2021
received:
06
01
2021
accepted:
22
03
2021
pubmed:
20
4
2021
medline:
29
7
2021
entrez:
19
4
2021
Statut:
ppublish
Résumé
To evaluate the effectiveness of a Family Nurse Practitioner (FNP)-led programme on the degree of adherence of current recommendations on home blood pressure self-measurement (HBPM) as compared to routine care and management. HBPM plays an important role for monitoring hypertensive patients; however, patients' adherence to current guidelines is unsatisfactory. A nurse-led training programme in the community setting could be an effective strategy to achieve high level of patients' adherence to recommendations. A multicentre randomised controlled trial was carried out from September 2016 to September 2017. In total, 170 patients were randomly allocated into the intervention group (n = 83) and the usual care (n = 87). All participants received usual care (written and verbal information on HBPM recommendations); subjects in the intervention group also received 1-hour training session on how to correctly self-measure BP. Clinical trial registration was done (ClinicalTrials.gov.: NCT04681703). The CONSORT checklist for randomised controlled trials was used in this study. At baseline, the level of adherence to the recommendation was similar in the two groups (p < .05). After 1 month, the adherence significantly increased in the intervention group, where patients were more likely to measure BP at the same hour and from the same arm, in a quiet environment, with the back and uncovered arm supported and the legs uncrossed; recording BP more than once in each measurement session; keeping a diary of blood pressure measurements; use of the appropriate cuff and proper placement of the cuff; and resting for >5 min before performing the measurement (all p < .05). The FNP-led programme is effective in improving patients' adherence to guidelines on the correct technique to self-measure BP at home. This programme may be added to the existing interventions in the community setting or considered into specifically nurse-led hypertension management models.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To evaluate the effectiveness of a Family Nurse Practitioner (FNP)-led programme on the degree of adherence of current recommendations on home blood pressure self-measurement (HBPM) as compared to routine care and management.
BACKGROUND
BACKGROUND
HBPM plays an important role for monitoring hypertensive patients; however, patients' adherence to current guidelines is unsatisfactory. A nurse-led training programme in the community setting could be an effective strategy to achieve high level of patients' adherence to recommendations.
DESIGN
METHODS
A multicentre randomised controlled trial was carried out from September 2016 to September 2017.
METHODS
METHODS
In total, 170 patients were randomly allocated into the intervention group (n = 83) and the usual care (n = 87). All participants received usual care (written and verbal information on HBPM recommendations); subjects in the intervention group also received 1-hour training session on how to correctly self-measure BP. Clinical trial registration was done (ClinicalTrials.gov.: NCT04681703). The CONSORT checklist for randomised controlled trials was used in this study.
RESULTS
RESULTS
At baseline, the level of adherence to the recommendation was similar in the two groups (p < .05). After 1 month, the adherence significantly increased in the intervention group, where patients were more likely to measure BP at the same hour and from the same arm, in a quiet environment, with the back and uncovered arm supported and the legs uncrossed; recording BP more than once in each measurement session; keeping a diary of blood pressure measurements; use of the appropriate cuff and proper placement of the cuff; and resting for >5 min before performing the measurement (all p < .05).
CONCLUSIONS
CONCLUSIONS
The FNP-led programme is effective in improving patients' adherence to guidelines on the correct technique to self-measure BP at home.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
This programme may be added to the existing interventions in the community setting or considered into specifically nurse-led hypertension management models.
Banques de données
ClinicalTrials.gov
['NCT04681703']
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Langues
eng
Pagination
2409-2419Informations de copyright
© 2021 John Wiley & Sons Ltd.
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