Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review
Objective. To synthesize the best available evidence regarding the effectiveness of nursing case management in primary health care, compared to usual care, in improving blood pressure in adults over 18 years with hypertension. Methods. Systematic review that includes studies carried out with adul...
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Universidad de Antioquia
2021
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oai:doaj.org-article:11a958484ea44f9ca5d6b7aef2fec78c2021-11-26T20:06:09ZEffectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review2216-028010.17533/udea.iee.v39n1e04https://doaj.org/article/11a958484ea44f9ca5d6b7aef2fec78c2021-03-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/iee/article/view/345510https://doaj.org/toc/2216-0280Objective. To synthesize the best available evidence regarding the effectiveness of nursing case management in primary health care, compared to usual care, in improving blood pressure in adults over 18 years with hypertension. Methods. Systematic review that includes studies carried out with adult patients diagnosed with hypertension, with or without other concomitant chronic diseases, followed-up by a case manager nurse, who evaluated the effectiveness of case management in the improvement of blood pressure. A critical evaluation of the studies was made and the results of interest were described using the instruments and tools from the Joanna Briggs Institute. Due to the heterogeneity of the included studies, the results of similar measures were not grouped in statistical meta-analysis. A narrative and tabular format was used to synthesize and present them. Results. Six randomized controlled trials were critically evaluated and included in the review. The total sample was 1963 participants. The results showed the outcomes compared at baseline and at the end of follow-up (six or twelve months). Regarding the main outcome, systolic and diastolic blood pressure, there was some reduction in the group followed-up through case management in studies lasting six months; however, the impossibility of comparing the findings poses limitations to answering the questions in this review. Conclusions. Despite the heterogeneity of the studies, the narrative and tabular analysis demonstrated that short-term case management in primary care (six-month studies) helped to reduce blood pressure levels, although the level of evidence for these results is low or very low.Maria de Fátima MantovanilLuciana Puchalski KalinkeÂngela Taís Mattei da SilvaJuliana Perez ArthurCremilde Aparecida Trindade RadovanovicCarina Bortolato-MajorUniversidad de Antioquiaarticleadultcase managementhypertensionnursing carepatient care planningprimary health caresystematic reviewNursingRT1-120ENInvestigación y Educación en Enfermería, Vol 39, Iss 1 (2021) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
adult case management hypertension nursing care patient care planning primary health care systematic review Nursing RT1-120 |
| spellingShingle |
adult case management hypertension nursing care patient care planning primary health care systematic review Nursing RT1-120 Maria de Fátima Mantovanil Luciana Puchalski Kalinke Ângela Taís Mattei da Silva Juliana Perez Arthur Cremilde Aparecida Trindade Radovanovic Carina Bortolato-Major Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| description |
Objective. To synthesize the best available evidence regarding the effectiveness of nursing case management in primary health care, compared to usual care, in improving blood pressure in adults over 18 years with hypertension.
Methods. Systematic review that includes studies carried out with adult patients diagnosed with hypertension, with or without other concomitant chronic diseases, followed-up by a case manager nurse, who evaluated the effectiveness of case management in the improvement of blood pressure. A critical evaluation of the studies was made and the results of interest were described using the instruments and tools from the Joanna Briggs Institute. Due to the heterogeneity of the included studies, the results of similar measures were not grouped in statistical meta-analysis. A narrative and tabular format was used to synthesize and present them.
Results. Six randomized controlled trials were critically evaluated and included in the review. The total sample was 1963 participants. The results showed the outcomes compared at baseline and at the end of follow-up (six or twelve months). Regarding the main outcome, systolic and diastolic blood pressure, there was some reduction in the group followed-up through case management in studies lasting six months; however, the impossibility of comparing the findings poses limitations to answering the questions in this review.
Conclusions. Despite the heterogeneity of the studies, the narrative and tabular analysis demonstrated that short-term case management in primary care (six-month studies) helped to reduce blood pressure levels, although the level of evidence for these results is low or very low. |
| format |
article |
| author |
Maria de Fátima Mantovanil Luciana Puchalski Kalinke Ângela Taís Mattei da Silva Juliana Perez Arthur Cremilde Aparecida Trindade Radovanovic Carina Bortolato-Major |
| author_facet |
Maria de Fátima Mantovanil Luciana Puchalski Kalinke Ângela Taís Mattei da Silva Juliana Perez Arthur Cremilde Aparecida Trindade Radovanovic Carina Bortolato-Major |
| author_sort |
Maria de Fátima Mantovanil |
| title |
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| title_short |
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| title_full |
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| title_fullStr |
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| title_full_unstemmed |
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| title_sort |
effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review |
| publisher |
Universidad de Antioquia |
| publishDate |
2021 |
| url |
https://doaj.org/article/11a958484ea44f9ca5d6b7aef2fec78c |
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