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...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidad de Antioquia
2021-03-01
|
| Series: | Investigación y Educación en Enfermería |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iee/article/view/345510 |
| _version_ | 1797668750994964480 |
|---|---|
| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T20:34:00Z |
| format | Article |
| id | doaj.art-11a958484ea44f9ca5d6b7aef2fec78c |
| institution | Directory Open Access Journal |
| issn | 2216-0280 |
| language | English |
| last_indexed | 2024-03-11T20:34:00Z |
| publishDate | 2021-03-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Investigación y Educación en Enfermería |
| spelling | doaj.art-11a958484ea44f9ca5d6b7aef2fec78c2023-10-02T07:30:50ZengUniversidad de AntioquiaInvestigación y Educación en Enfermería2216-02802021-03-0139110.17533/udea.iee.v39n1e0442658Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic reviewMaria de Fátima Mantovanil0Luciana Puchalski Kalinke1Ângela Taís Mattei da Silva2Juliana Perez Arthur3Cremilde Aparecida Trindade Radovanovic4Carina Bortolato-Major5Universidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Estadual de Maringá, MaringáUniversidade Estadual do Norte do ParanáObjective. 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.https://revistas.udea.edu.co/index.php/iee/article/view/345510adultcase managementhypertensionnursing carepatient care planningprimary health caresystematic review |
| spellingShingle | 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 Investigación y Educación en Enfermería adult case management hypertension nursing care patient care planning primary health care systematic review |
| title | 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_short | 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 |
| topic | adult case management hypertension nursing care patient care planning primary health care systematic review |
| url | https://revistas.udea.edu.co/index.php/iee/article/view/345510 |
| work_keys_str_mv | AT mariadefatimamantovanil effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview AT lucianapuchalskikalinke effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview AT angelataismatteidasilva effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview AT julianaperezarthur effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview AT cremildeaparecidatrindaderadovanovic effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview AT carinabortolatomajor effectivenessofnursingcasemanagementversususualcareforbloodpressurecontrolinadultswithhypertensionasystematicreview |