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01.08.2018 | Implementation to Increase Blood Pressure Control: What Works? (J Brettler and K Reynolds, Section Editors)

Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment

verfasst von: G. Georgiopoulos, Z. Kollia, V. Katsi, D. Oikonomou, C. Tsioufis, D. Tousoulis

Erschienen in: Current Hypertension Reports | Ausgabe 8/2018

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Abstract

Purpose of Review

Hypertension consists a major risk factor for cardiovascular events. Despite the proven effectiveness of antihypertensive treatment, approximately half of hypertensive patients have inadequate blood pressure control. Non-adherence to medication has been shown to be an important barrier to achieving adequate blood pressure control and nurse interventions can substantially improve therapeutic compliance. We sought to evaluate the role of nurse interventions in alleviating non-adherence to medication in patients with hypertension by performing a systematic review of the literature for all relevant articles.

Recent Findings

Ten clinical studies were identified. The majority of studies reported beneficial effect of nursing intervention on treatment adherence in hypertensive patients. Telephone contacts and home visits were found to be the most effective educational approaches. Although comorbidities are considered to be an important barrier to adherence, there was not enough evidence to elucidate this aspect. Identifying specific factors that affect behavioral change in the setting of a successful intervention was difficult due to high heterogeneity among studies regarding materials and methods.

Summary

Nursing interventions were shown to alleviate non-adherence to medication in patients with hypertension. Large well designed clinical trials are needed to evaluate specific factors that are associated with effective interventions.

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Titel: Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment
verfasst von: G. Georgiopoulos
Z. Kollia
V. Katsi
D. Oikonomou
C. Tsioufis
D. Tousoulis
Publikationsdatum: 01.08.2018
Verlag: Springer US
Erschienen in: Current Hypertension Reports / Ausgabe 8/2018
Print ISSN: 1522-6417
Elektronische ISSN: 1534-3111
DOI: https://doi.org/10.1007/s11906-018-0862-2

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Abstract

Purpose of Review

Recent Findings

Summary

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