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Improving blood pressure control and hypertension management with a self-measured blood pressure monitoring intervention
Descriptive
TitleInfo
Title
Improving blood pressure control and hypertension management with a self-measured blood pressure monitoring intervention
Name
(type = personal)
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(type = family)
Reshetnyak
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(type = given)
Caterina
NamePart
(type = date)
1992-
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Caterina Reshetnyak
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(authority = RULIB)
author
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(type = personal)
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(type = family)
Benenson
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Irina
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Irina Benenson
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Advisory Committee
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chair
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Camacho- Walsh
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Mercedes
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Mercedes Camacho- Walsh
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Advisory Committee
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internal member
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Rutgers University
Role
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(authority = RULIB)
degree grantor
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NamePart
School of Nursing - RBHS
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school
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Text
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theses
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2020
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2020-05
Language
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English
Abstract
(type = abstract)
Purpose of Project: Hypertension (HTN) affects about one in every three adults in the United States, yet the rate of blood pressure (BP) control is suboptimal. Poorly controlled HTN contributes to significant target organ damage and increases mortality. Self- measurement of blood pressure (SMBP) is an effective strategy for empowering hypertensive adults to become active participants in the management of their chronic condition and promoting adherence to medications. Practice guidelines strongly recommend SMBP, however, it continues to be underutilized and not routinely encouraged in clinical practice.
Methodology: A pilot program utilizing a quasi- experimental one-group pre-test post-test design was implemented in a community health fitness facility. A convenience sample of thirteen adults who self-reported to have HTN and were currently prescribed antihypertensive medications were included. Three in-person sessions were conducted over the course of four weeks. BPs were measured for participants at the initiation and conclusion of the program. Participants were educated about the benefits of SMBP, its proper technique, and asked to perform it at home for two nonconsecutive weeks.
Results: The average differences in systolic/ diastolic BPs and medication adherence scores were calculated using the Wilcoxon signed- ranks test. The SMBP intervention led to a statistically significant reduction in systolic BPs (p= 0.041, CI: 95%, Z= -2.047) and to an improvement in medication adherence (p= 0.002, CI: 95%, Z= 3.068). The post- intervention mean diastolic BP was numerically lower than the pre-intervention mean diastolic BP, however, the change was not statistically significant (p= 0.126, CI: 95%, Z= -1.531).
Implications for Practice: SMBP offers a new approach for improving HTN management. Healthcare providers should offer adequate support and encourage all of their patients who are diagnosed with HTN to routinely utilize SMBP.
Methodology: A pilot program utilizing a quasi- experimental one-group pre-test post-test design was implemented in a community health fitness facility. A convenience sample of thirteen adults who self-reported to have HTN and were currently prescribed antihypertensive medications were included. Three in-person sessions were conducted over the course of four weeks. BPs were measured for participants at the initiation and conclusion of the program. Participants were educated about the benefits of SMBP, its proper technique, and asked to perform it at home for two nonconsecutive weeks.
Results: The average differences in systolic/ diastolic BPs and medication adherence scores were calculated using the Wilcoxon signed- ranks test. The SMBP intervention led to a statistically significant reduction in systolic BPs (p= 0.041, CI: 95%, Z= -2.047) and to an improvement in medication adherence (p= 0.002, CI: 95%, Z= 3.068). The post- intervention mean diastolic BP was numerically lower than the pre-intervention mean diastolic BP, however, the change was not statistically significant (p= 0.126, CI: 95%, Z= -1.531).
Implications for Practice: SMBP offers a new approach for improving HTN management. Healthcare providers should offer adequate support and encourage all of their patients who are diagnosed with HTN to routinely utilize SMBP.
Subject
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Topic
Self-measurement
Subject
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Topic
Family Nurse Practitioner
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Rutgers University Electronic Theses and Dissertations
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ETD_10577
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1 online resource (111 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-9zmd-5v44
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Reshetnyak
GivenName
Caterina
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Copyright Holder
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Permission or license
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2020-02-01 19:50:28
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Caterina Reshetnyak
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-05-31
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2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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