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Outcomes following a programme for lifestyle changes with people with hypertension

Drevenhorn, Eva LU ; Kjellgren, Karin I and Bengtson, Ann (2007) In Journal of Clinical Nursing 16(7b). p.144-151
Abstract
AIM: The purpose of the study was to explore the effects of using a structured nursing intervention programme in hypertension care. BACKGROUND: Counselling on lifestyle changes to address hypertension helps patients reduce risk factors such as smoking, high alcohol consumption, overweight, dyslipidemia, negative stress and physical inactivity. DESIGN: The study was performed as a pre-test-post-test study. METHODS: All 177 patients diagnosed with hypertension visiting a health centre in Southern Sweden were invited to be counselled by a public health nurse about hypertension, cardiovascular risk factors and non-pharmacological treatment with 15 months follow up. RESULTS: One hundred patients participated in the study. Systolic blood... (More)
AIM: The purpose of the study was to explore the effects of using a structured nursing intervention programme in hypertension care. BACKGROUND: Counselling on lifestyle changes to address hypertension helps patients reduce risk factors such as smoking, high alcohol consumption, overweight, dyslipidemia, negative stress and physical inactivity. DESIGN: The study was performed as a pre-test-post-test study. METHODS: All 177 patients diagnosed with hypertension visiting a health centre in Southern Sweden were invited to be counselled by a public health nurse about hypertension, cardiovascular risk factors and non-pharmacological treatment with 15 months follow up. RESULTS: One hundred patients participated in the study. Systolic blood pressure decreased overall (p < 0.01), three patients with high alcohol consumption were identified, two smokers stopped smoking, two new diabetics were discovered, physical activity increased (p = 0.035) and one-third of the patients changed their medication. CONCLUSION: The level of exercise increased and a reduction in systolic blood pressure and in women's weight were the most obvious results of this intervention study. The study elucidates the challenge of executing health behaviour changes. RELEVANCE TO CLINICAL PRACTICE: Counselling following a hypertension programme gives hypertensive patients a chance to execute lifestyle changes and have their medication adjusted to achieve goals for blood pressure control. Further prospective studies in this area, with well-defined intervention approaches and several years of follow up, are necessary. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
nursing, nurses, non-pharmacological treatment, health promotion, counselling, hypertension care
in
Journal of Clinical Nursing
volume
16
issue
7b
pages
144 - 151
publisher
Wiley-Blackwell
external identifiers
  • pmid:17584423
  • scopus:34250779366
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2005.01493.x
language
English
LU publication?
yes
id
5e3aef33-431e-48d9-9bd4-9cc8b58603e0 (old id 1140103)
date added to LUP
2008-08-21 13:23:42
date last changed
2017-10-01 04:36:58
@article{5e3aef33-431e-48d9-9bd4-9cc8b58603e0,
  abstract     = {AIM: The purpose of the study was to explore the effects of using a structured nursing intervention programme in hypertension care. BACKGROUND: Counselling on lifestyle changes to address hypertension helps patients reduce risk factors such as smoking, high alcohol consumption, overweight, dyslipidemia, negative stress and physical inactivity. DESIGN: The study was performed as a pre-test-post-test study. METHODS: All 177 patients diagnosed with hypertension visiting a health centre in Southern Sweden were invited to be counselled by a public health nurse about hypertension, cardiovascular risk factors and non-pharmacological treatment with 15 months follow up. RESULTS: One hundred patients participated in the study. Systolic blood pressure decreased overall (p &lt; 0.01), three patients with high alcohol consumption were identified, two smokers stopped smoking, two new diabetics were discovered, physical activity increased (p = 0.035) and one-third of the patients changed their medication. CONCLUSION: The level of exercise increased and a reduction in systolic blood pressure and in women's weight were the most obvious results of this intervention study. The study elucidates the challenge of executing health behaviour changes. RELEVANCE TO CLINICAL PRACTICE: Counselling following a hypertension programme gives hypertensive patients a chance to execute lifestyle changes and have their medication adjusted to achieve goals for blood pressure control. Further prospective studies in this area, with well-defined intervention approaches and several years of follow up, are necessary.},
  author       = {Drevenhorn, Eva and Kjellgren, Karin I and Bengtson, Ann},
  issn         = {1365-2702},
  keyword      = {nursing,nurses,non-pharmacological treatment,health promotion,counselling,hypertension care},
  language     = {eng},
  number       = {7b},
  pages        = {144--151},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Outcomes following a programme for lifestyle changes with people with hypertension},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2005.01493.x},
  volume       = {16},
  year         = {2007},
}