Effectiveness of a family nurse-led programme on accuracy of blood pressure self-measurement: A randomised controlled trial.

Autor: Simonetti V; Politecnica delle Marche University, Ascoli Piceno, Italy., Comparcini D; Azienda Ospedaliera Universitaria 'Ospedali Riuniti' di Ancona, Ancona, Italy., Tomietto M; Regional Taskforce for Healthcare System Assessment, Direzione Centrale Salute, Politiche Sociali e Disabilità, Trieste, Italy.; Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland., Pavone D; Regional Healthcare Agency of Abruzzo, Pescara, Italy., Flacco ME; Department of Medical Science, University of Ferrara, Ferrara, Italy., Cicolini G; Department of Biomedical Science and Human Oncology, University of Bari 'Aldo Moro', Bari, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical nursing [J Clin Nurs] 2021 Aug; Vol. 30 (15-16), pp. 2409-2419. Date of Electronic Publication: 2021 Apr 19.
DOI: 10.1111/jocn.15784
Abstrakt: Aims and Objectives: 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: 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: A multicentre randomised controlled trial was carried out from September 2016 to September 2017.
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: 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: 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: This programme may be added to the existing interventions in the community setting or considered into specifically nurse-led hypertension management models.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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