Management of Hypertension in Adults: Evidence-Based Approaches for Nursing Interventions And Pharmacy, Cardiologist, and Telemedicine Roles
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- Category: Vol. 80, December 2012
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Management of Hypertension in Adults: Evidence-Based Approaches for Nursing Interventions And Pharmacy, Cardiologist, and Telemedicine Roles
Abstract
Background: Hypertension, often called the “silent killer,” can lead to severe organ damage if left untreated. While effec-tive management of blood pressure (BP) can significantly re-duce these risks, a significant proportion of individuals haveuncontrolled hypertension. Home blood pressure monitoring (HBPM) has shown promise in improving blood pressure con-trol, but research on the effectiveness of BP telemonitoring, which transmits readings to healthcare professionals, is limited. Aim of Work: This review aims to evaluate the impact of BP telemonitoring on patient and healthcare outcomes in managing hypertension. Methods: A review of studies published between 1995 and 2011 was conducted using five databases and the Cochrane li-brary. Inclusion criteria included community-based empirical studies using BP telemonitoring technology with at least 20 participants, self-measured BP transmission, and primary hy-pertension diagnosis. Exclusion criteria included invasive BP telemonitoring, studies focusing on pharmacological efficacy, and studies not primarily focused on hypertension. Results: The review found that BP telemonitoring was ef-fective in reducing blood pressure in most studies, with reduc-tions comparable to those seen in antihypertensive medication trials. Patient adherence to the technology was generally posi-tive, but further research is needed to understand the mecha-nisms by which telemonitoring achieves BP control. Conclusion: BP telemonitoring shows promise in improv-ing blood pressure control, particularly in conjunction with medication management and patient empowerment. While fur-ther research is needed, particularly in rural and minority popu-lations, this technology has the potential to improve healthcare access and reduce health disparities.