Effect of nurse-led home visiting on blood pressure control in elderly hypertensive patients: a Meta-analysis
10.3760/cma.j.cn115682-20200916-05392
- VernacularTitle:以护士为主导的家庭访视对老年高血压患者血压控制效果的Meta分析
- Author:
Jingnan CHEN
1
;
Saiying YU
;
Ying WU
Author Information
1. 首都医科大学护理学院，北京 100069
- Keywords:
Nurses;
Home visiting;
Hypertension;
Systolic blood pressure;
Diastolic blood pressure;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2021;27(10):1324-1330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the effect of nurse-led home visiting on blood pressure control in elderly hypertensive patients.Methods:Chinese and English databases were searched, such as VIP Chinese Periodical Database, Wanfang Data Knowledge Service Platform, PubMed, The Cochrane Library and other databases to screen and collect relevant literatures about the effect of nurse-led home visiting on blood pressure control in elderly patients with hypertension published before August 2020.Inclusion and exclusion criteria were established, and the obtained literatures were screened several times according to the criteria.The quality of literatures was evaluated using the Jadad Scale and the risk of bias was evaluated according to the recommendations in the Cochrane 5.0.0 manual.Basic information was extracted from all the included qualified literatures, and relevant research data were summarized. Meta-analysis of the obtained data was performed by using RevMan 5.1 software.Results:Finally, a total of 13 literatures were included, including 9 Chinese literatures and 4 English literatures.The 13 studies included 2 630 patients aged 60 years and older with hypertension, including 1 345 patients in the control group and 1 285 patients in the intervention group.Meta-analysis results showed that the control of systolic blood pressure [ WMD=-10.28, 95% CI (-14.47, -6.09) ]and diastolic blood pressure [ WMD=-10.32, 95% CI (-14.86, -5.79) ]could be achieved by nurse-led home visiting, and the effect of intervention on systolic blood pressure was more significant than that of diastolic blood pressure. At the same time, the results of subgroup analysis showed that when the intervention time was 6 to 11 months, the effect of blood pressure control was more significant. Conclusions:Nurse-led home visiting can achieve significant effects on blood pressure control in elderly hypertensive patients, and the effect is more significant when the intervention time is 6 to 11 months.
