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Nesterovich Grushina D, Álvarez Moleiro M. Nursing intervention with a gender approach in patients with arterial hypertension: a scoping review. Women Health 2024; 64:626-635. [PMID: 39164794 DOI: 10.1080/03630242.2024.2392134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 07/15/2024] [Accepted: 08/07/2024] [Indexed: 08/22/2024]
Abstract
This scoping review aims to identify and synthesize the available literature describing the use of the gender approach in research and nursing clinical practice related to hypertension. The review was conducted following the scoping review framework recommended by Arksey and O'Malley. Elements related to content were chosen following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Data were extracted using a predesigned table and were presented narratively after the content analysis. The PubMed, CINAHL, Web of Science, PsycINFO, Cochrane, Scopus, ScienceDirect and ERIC databases were consulted between March 2022 and June 2024. Reference lists from all sources and gray literature were also reviewed to identify additional publications. A total of 18 studies were finally included in this scoping review. Most of the studies (83 percent) represent gender as a biological variable (sex), and only a few of them (22 percent) analyzed psychological or social differences. In addition, several studies include unequal representations of each sex, most of them use the terms "sex" and "gender" as incorrect or interchangeable, which makes it difficult to evaluate the results from a gender perspective. There is still a substantial gap in the literature related to nurses' intervention with a gender approach in patients with hypertension. Future studies should focus on improving health interventions by considering gender to improve equality and efficiency in health outcomes associated with hypertension and other cardiovascular risk factors.
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Affiliation(s)
- Daria Nesterovich Grushina
- Stress and Health Research Group, Faculty of Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
- Primary Health Care Center, Congrés, Institut Català de la Salut, Barcelona, Spain
- Health and Sports Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - María Álvarez Moleiro
- Stress and Health Research Group, Faculty of Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
- Department of Basic, Developmental and Educational Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
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Abstract
Since it was first defined by the American Heart Association in 2010, cardiovascular health (CVH) has been extensively studied across the life course. In this review, we present the current literature examining early life predictors of CVH, the later life outcomes of child CVH, and the relatively few interventions which have specifically addressed how to preserve and promote CVH across populations. We find that research on CVH has demonstrated that prenatal and childhood exposures are consistently associated with CVH trajectories from childhood through adulthood. CVH measured at any point in life is strongly predictive of future cardiovascular disease, dementia, cancer, and mortality as well as a variety of other health outcomes. This speaks to the importance of intervening early to prevent the loss of optimal CVH and the accumulation of cardiovascular risk. Interventions to improve CVH are not common but those that have been published most often address multiple modifiable risk factors among individuals within the community. Relatively few interventions have been focused on improving the construct of CVH in children. Future research is needed that will be both effective, scalable, and sustainable. Technology including digital platforms as well as implementation science will play key roles in achieving this vision. In addition, community engagement at all stages of this research is critical. Lastly, prevention strategies that are tailored to the individual and their context may help us achieve the promise of personalized prevention and help promote ideal CVH in childhood and across the life course.
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Affiliation(s)
- Havisha Pedamallu
- Division of Internal Medicine, Department of Medicine (H.P.), Northwestern University Feinberg School of Medicine
| | - Rachel Zmora
- Department of Preventive Medicine (R.Z., A.M.P., N.B.A.), Northwestern University Feinberg School of Medicine
| | - Amanda M Perak
- Department of Preventive Medicine (R.Z., A.M.P., N.B.A.), Northwestern University Feinberg School of Medicine
- Department of Pediatrics, Lurie Children's Hospital, Chicago, IL (A.M.P.)
| | - Norrina B Allen
- Department of Preventive Medicine (R.Z., A.M.P., N.B.A.), Northwestern University Feinberg School of Medicine
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Amaral-Moreira Mota B, Moura-Lanza F, Nogueira-Cortez D. [Effectiveness of nursing appointments in adherence to hypertension treatment]. Rev Salud Publica (Bogota) 2023; 21:324-332. [PMID: 36753177 DOI: 10.15446/rsap.v21n3.70291] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 06/02/2019] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE To assess adherence to both drug and non-drug therapy by users of primary care services diagnosed with systemic arterial hypertension before and after the implementation of systematic nursing appointments. MATERIAL AND METHODS Open clinical trial held in a Family Health Strategy center of the state of Minas Gerais, in which 14 participants were followed up through systematic nursing care from October 2016 to September 2017. RESULTS Data showed a statistically significant difference in adherence to systemic arterial hypertension therapy after conducting nursing interventions (p=0,102), both individually and in group. The most prevalent nursing diagnoses were "Readiness for enhanced health literacy" and "Sedentary lifestyle". CONCLUSION Systematic nursing care may benefit people diagnosed with systemic arterial hypertension treated by primary care services. It is necessary to consolidate the use of nursing processes as well as the nurse identity in the context of chronic care.
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Affiliation(s)
- Beatriz Amaral-Moreira Mota
- BA: Enf. Pós-graduada em Enfermagem na Atenção Básica/Saúde da Família. Universidade Federal de São João Del Rei - UFSJ. Divinópolis, MG - Brasil.
| | - Fernanda Moura-Lanza
- FM: Enf.. Ph:D. Enfermagem. Universidade Federal de São João Del Rei - UFSJ. Divinópolis, MG - Brasil.
| | - Daniel Nogueira-Cortez
- DN: Enf.. Ph:D. Enfermagem. Universidade Federal de São João Del Rei - UFSJ. Divinópolis, MG - Brasil.
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Silva AFRD, Moura KRD, Moura TVC, Oliveira ASSD, Moreira TMM, Silva ARVD. Telephone intervention in self-care practices with the feet of patients with diabetes: a randomized clinical trial. Rev Esc Enferm USP 2021; 55:e03737. [PMID: 34190883 DOI: 10.1590/s1980-220x2020047203737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 12/03/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess the effect of a telephone intervention for self-care practices with the feet of people with type 2 diabetes mellitus. METHOD This is a randomized clinical trial with two groups, control and intervention, carried out with 102 users with type 2 diabetes mellitus linked to four Basic Health Units in a municipality in the state of Piauí. For the intervention group, six telephone interventions were carried out in three months; and the control group received only conventional follow-up. For assessment, a form was applied before and after the intervention period. RESULTS In the intragroup analysis, when comparing self-care practices with the feet in the control group in the pre- and post-tests, there was no significant difference (p > 0.05); in the intervention group, there was an increase in self-care practices in 70% of the items, with p < 0.001 to 0.03. When analyzing the practice of intergroup self-care after the telephone intervention, the positive effect of the intervention was evidenced, obtaining statistically significant differences in 60% of the items, with a value of p < 0.001 to 0.031. CONCLUSION The telephone intervention promoted greater adherence to self-care practices with the feet of patients with type 2 diabetes mellitus. Brazilian Clinical Trials Registry: RBR-3pq5th.
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Duarte-Clíments G, Mauricio TF, Gómez-Salgado J, Moreira RP, Romero-Martín M, Sánchez-Gómez MB. Assessment of Cardiovascular Risk Factors in Young Adults through the Nursing Diagnosis: A Cross-Sectional Study among International University Students. Healthcare (Basel) 2021; 9:healthcare9010091. [PMID: 33477383 PMCID: PMC7830444 DOI: 10.3390/healthcare9010091] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 01/10/2021] [Accepted: 01/13/2021] [Indexed: 12/13/2022] Open
Abstract
Four out of five deaths from cardiovascular disease are due to heart attacks and strokes in low- and middle-income countries. Early identification of risk factors in exposed individuals will help to develop interventions that may eliminate and/or reduce these risks and prevent the development of cardiovascular diseases. So, it is necessary to investigate the risk of impaired cardiovascular function in university students due to the increase in some risk factors and cardiovascular events in young adults, and to describe its epidemiology among international university students. For this, an observational cross-sectional study through interviews is designed. The clinical validity was addressed following the Fehring model. In addition, anthropometric data and results of laboratory tests were collected. The nursing diagnosis “Risk of impaired cardiovascular function” showed clinical validity, high sensitivity and specificity, as well as predictive values. Fehring ratio values were above 0.79 and Kappa Index above 0.72. The study showed a high frequency of this nursing diagnosis among university students, especially in students of Brazilian nationality. The main risks of impaired cardiovascular function found in 86.8% of students were: family history of cardiovascular disease, sedentary lifestyle, pharmacological agent, dyslipidemia, and insufficient knowledge. The most prevalent risk factors of the nursing diagnosis in the studied population were related to insufficient knowledge of modifiable health habits, such as sedentary lifestyle. The information provided is expected to serve as the basis for the planning and implementation of health actions aimed at reducing modifiable risk factors for cardiovascular disease.
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Affiliation(s)
- Gonzalo Duarte-Clíments
- University School of Nursing, University of La Laguna, Candelaria NS University Hospital, Canary Islands Health Service, 38010 Santa Cruz de Tenerife, Spain; (G.D.-C.); (M.B.S.-G.)
| | | | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador
- Correspondence: ; Tel.: +34-95-92-19-700
| | - Rafaella Pessoa Moreira
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony (UNILAB), Redenção 62790-000, Ceará, Brazil;
| | | | - María Begoña Sánchez-Gómez
- University School of Nursing, University of La Laguna, Candelaria NS University Hospital, Canary Islands Health Service, 38010 Santa Cruz de Tenerife, Spain; (G.D.-C.); (M.B.S.-G.)
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Parra DI, Trapero Gimeno I, Sánchez Rodríguez JM, Rodríguez Corredor LC, Hernández Vargas JA, López Romero LA, García López FJ, Escudero-Gómez C, Trujillo-Cáceres SJ, Serrano-Gallardo P, Vera-Cala LM. Individual interventions to improve adherence to pharmaceutical treatment, diet and physical activity among adults with primary hypertension. A systematic review protocol. BMJ Open 2020; 10:e037920. [PMID: 33371014 PMCID: PMC7757507 DOI: 10.1136/bmjopen-2020-037920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 11/14/2020] [Accepted: 11/17/2020] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Hypertension is a chronic disease with 31% worldwide prevalence in adults. It has been associated with non-adherence to therapeutic regime with a negative impact on the prognosis of the disease and healthcare-associated costs. So, it is necessary to identify effective interventions to improve adherence among the afflicted population. The objective of this protocol is to describe the methods for a systematic review that will evaluate the effect of individual interventions so as to improve adherence to the prescribed pharmacological treatment, as well as to prescribed diet and physical activity in adults with primary hypertension. METHODS AND ANALYSIS A systematic search of studies will be conducted in PubMed/MEDLINE, BVS, CINAHL, Embase, Cochrane and Scopus databases. Randomised and non-randomised clinical studies conducted in human beings, published from 1 January 2009 to 13 December 2019, are to be included, in any language. Adherence to pharmacological treatment, diet and physical activity, measured by direct and indirect methods, will be the primary outcome. Two independent reviewers will select relevant studies and will extract the data following the Cochrane's Handbook for Systematic Reviews of Approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. Methodological quality will be evaluated using the risk-of-bias (RoB) 2 and Risk of Bias in Non-randomised Studies - of Interventions (ROBINS-I) tools. Risk of bias will also be evaluated, and if the criteria are met, a meta-analysis will be finally performed. ETHICS AND DISSEMINATION Information to be analysed is of a grouped nature, and given that its sources are published studies, no ethics committee approval is required. Results will be published in scientific journals, and in conferences, seminars and symposiums. Copyrights will be addressed by giving due credit through bibliographic references. PROSPERO REGISTRATION NUMBER CRD42020147655.
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Affiliation(s)
- Dora Inés Parra
- Nursing School, Universidad Industrial de Santander, Bucaramanga, Colombia
- Clinical and Community Nursing Doctoral student, Universitat de València, Valencia, Spain
| | | | | | - Lizeth Catherine Rodríguez Corredor
- Research Division, Instituto Neumológico del Oriente, Bucaramanga, Colombia
- Public Health Department, Universidad Industrial de Santander, Bucaramanga, Colombia
| | | | | | | | | | | | - Pilar Serrano-Gallardo
- Department of Nursing, School of Medicine, Universidad Autónoma de Madrid/IDIPHIM / INAECU, Madrid, Spain
| | - Lina M Vera-Cala
- Public Health Department, Universidad Industrial de Santander, Bucaramanga, Colombia
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Foroumandi E, Kheirouri S, Alizadeh M. The potency of education programs for management of blood pressure through increasing self-efficacy of hypertensive patients: A systematic review and meta-analysis. PATIENT EDUCATION AND COUNSELING 2020; 103:451-461. [PMID: 31558325 DOI: 10.1016/j.pec.2019.09.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 09/09/2019] [Accepted: 09/14/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To identify the effect of self-management education programs on the changes of self-efficacy and the management of blood pressure (BP) in hypertensive patients. METHODS PubMed, Google Scholar, Scopus, Trip database, Proquest, and Embase were searched. Trials that had examined the effect of self-management education programs on self-efficacy, systolic BP (SBP) and diastolic BP (DBP) in hypertensive patients were selected. RESULTS Fourteen studies with 2239 participants were analyzed. Self-management education programs led to a statistically-significant increase in the self-efficacy of the participants (SMD: 0.71; 95% CI: 0.34-1.07; I2 = 94%; P < 0.001), as well as significant decrease in SBP (MD: -5.37 mmHg; 95% CI: -8.53 to -2.22; P < 0.001) and DBP (MD: -3.87 mmHg, 95% CI: -5.84 to -1.90; P < 0.001) compared to control groups. CONCLUSION The findings indicated that self-management education programs can promote self-efficacy in hypertensive patients, possibly contributing to better management of BP. PRACTICE IMPLICATIONS Adoption of the self-management education program provides a basic concept to improve both quality and efficacy of strategies related to BP management. Policy makers should focus on improving self-efficacy via the implementation of policies useful for better educational outcomes concerning new technologies as well as appropriate theoretical methods.
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Affiliation(s)
- Elaheh Foroumandi
- Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran; Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sorayya Kheirouri
- Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Mohammad Alizadeh
- Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
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Mattei da Silva ÂT, Fátima Mantovani M, Castanho Moreira R, Perez Arthur J, Molina de Souza R. Nursing case management for people with hypertension in primary health care: A randomized controlled trial. Res Nurs Health 2019; 43:68-78. [DOI: 10.1002/nur.21994] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2019] [Accepted: 10/09/2019] [Indexed: 12/27/2022]
Affiliation(s)
| | - Maria Fátima Mantovani
- Department of Nursing, Postgraduate Nursing ProgramFederal University of Parana Curitiba Parana Brazil
| | | | - Juliana Perez Arthur
- Department of Nursing, Postgraduate Nursing ProgramFederal University of Parana Curitiba Parana Brazil
| | - Roberto Molina de Souza
- Academic Department of MathematicsFederal University of Technology Cornelio Procopio Parana Brazil
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