Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Meta-analysis of Hypertension-related Nursing Intervention Programs

고혈압 간호중재의 혈압하강 효과에 대한 메타분석

  • So, Eun-Sun (College of Nursing, Seoul National University) ;
  • Lee, In-Sook (College of Nursing, Seoul National University)
  • Received : 2010.02.27
  • Accepted : 2010.06.09
  • Published : 2010.06.30
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Abstract

Purpose: The aim of this study was to examine the characteristics of hypertension-related nursing intervention programs and their effects on systolic and diastolic blood pressure. Methods: Fifteen studies were selected from four databases (Korean studies, Riss4U, RICHIS, and JKAN) published as of 2009. They were analyzed by meta-analysis method. The selected studies contained a control group with pre-test and post-test design, measured blood pressure as a dependent variable, and used a reported statistical value for blood pressure to measure the size of effects. Results: The hypertension-related nursing intervention programs were relatively effective in lowering both systolic and diastolic blood pressure, although they were more efficient to decrease diastolic pressure. Among the hypertension-related intervention programs, complementary and alternative therapies were more effective in lowering blood pressure compared to lifestyle change intervention. Conclusions: To acquire substantial data of intervention effects, and complementary and alternative therapy, subjects in pre-hypertensive stage, and elderly people, better industrial and scholastic research methods need to be developed for future research. Further studies are needed to establish complementary and alternative therapies. Studies with different group of participants and studies using effective research design are in need as well.

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References

  1. Cho, G. Y., & Park, H. S. (2004). Effects of 6-week foot reflexology on the blood pressure and fatigue in elderly patients with hypertension. Journal of Korean Academy of Fundamental Nursing, 11, 138-147.
  2. Choi, B. O., Cha, Y. N., Jang, H. S., & Kim, Y. H. (1987). An experimental study on the development of a program for the promotion of the compliance with sick role behavior in the hypertensives. Journal of Korean Academy of Nursing, 19, 5-23.
  3. Egger, M., Smith, G. D., & Phillips, A. N. (1997). Meta-analysis: Principles and procedures. British Medical Journal, 315, 1533- 1537. https://doi.org/10.1136/bmj.315.7121.1533
  4. Eum, S. O., Kim, S. D., & Lee, J. S. (2007). Effect of hypertension education programs on knowledge, attitude and practice in hypertension pratients. Korean Public Health Research, 33, 162-174.
  5. Fleiss, J. L. (1993). The statistical basis of meta-analysis. Statistical Methods in Medical Research, 2, 121-145. https://doi.org/10.1177/096228029300200202
  6. Han, K. S., Im, N. Y., Song, K. A., Hong, Y. H., Kim, J. I., Kim, K. H., et al. (2003). The analysis of trend in complementary and alternative therapy (CAT) in nursing research in Korea. Journal of Korean Academy Fundamental Nursing, 10, 392-398.
  7. Health Insurance Review and Assessment Service. (2008). 2008 Heath care statistics. Retrieved January 11, 2009, from/http:// www.hira.or.kr/common/dummy.jsp?pgmid=HIRAF0103030 00000
  8. Hong, M. S., Park, O. J., & Jang, K. S. (2000). How long the effect of social support would be continued for the patients with hypertension?. Journal of Korean Academy of Adult Nursing, 12, 533-545.
  9. Hwang, J. H. (2006). The effects of the inhalation method using essential oils on blood pressure and stress responses of clients with essential hypertension. Journal of Korean Academy of Nursing, 36, 1123-1134. https://doi.org/10.4040/jkan.2006.36.7.1123
  10. Jadud, A. R., Moor, R. A., Caroll, D., Jenkinson, C. J., Reynolds, D. J., Gavaghan, D. J., et al. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clinical Trials, 17, 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  11. Jeon, E. Y. (2002). The effects of sasang constitutional diet for essential hypertension on blood pressure, fat, and serum lipid. Journal of Korean Academy of Nursing, 32, 673-683. https://doi.org/10.4040/jkan.2002.32.5.673
  12. Jeon, E. Y. (2003). The effects of aerobic exercise on health status of the patients with essential hypertension. The Korean Journal of Rehabilitation Nursing, 6, 173-182.
  13. Joint National Committee. (2003). The seventh report of the Joint National Committee prevention, detection, evaluation, and treatment of high blood pressure. US Department of Health and Human Service. Retrieved January 11, 2009, from http:// www.nhlbi.nih.gov/guidelines/hypertension/
  14. Kim, S. H., & Song, M. S. (2008). Comparison of non-pharmacological intervention programs for the aged with hypertension in Korea and other countries. Journal of Gerontological Nursing, 10, 152-163.
  15. Korea Centers for Disease Control and Prevention. (2007). Analysis report on the Korean National Health and Nutrition Examination Survery 3: health examination. Retrieved January 11, 2009, from http://stat.mw.go.kr/homepage/data/part_data_content. jsp
  16. Korea National Statistical Office. (2008). National Statistical Combination, An annual report of Death Cause Statics. Retrieved January 11, 2009, from http://www.kostat.go.kr
  17. Lee, E. N. (2004). The effects of Tai Chi excercise program on blood pressure, total cholesterol and cortisol level in patients with essential hypertension. Journal of Korean Academy of Nursing, 34, 829-837. https://doi.org/10.4040/jkan.2004.34.5.829
  18. Lee, M. S. (1999). An effects of Qigong exercise program on the blood pressure, cognitive perceptual variables, lipid metabolism in essential hypertension. Seong Shin College of Nursing Thesis Collection, 8, 3-23.
  19. National Center of Complementary Alternative Medicine. (2002). What is Complementary and Alternative Medicine (CAM)? Retrieved January 11, 2009, from http://nccam.nih./health/ whatiscam/
  20. Oh, K., Kim, K. S., Kwon, S. H., & Park, J. W. (2006). Research trend of complementary and alternative medicine. Journal of Korean Academy of Nursing, 36, 721-731. https://doi.org/10.4040/jkan.2006.36.5.721
  21. Park, H. S., & Cho, G. Y. (2004). Effects of foot reflexology on essential hypertension patients. Journal of Korean Academy of Nursing, 34, 739-750. https://doi.org/10.4040/jkan.2004.34.5.739
  22. Park, H. S., Lee, Y. M., Kang, H. J., Choi, Y. O., & Bae, E. S. (2002). The effect of hypertension regulating education program on reduced blood pressure physiological parameters, self-care and self-efficacy. Journal of Korean Gerontologiccal Nursing, 4, 38-48.
  23. Park, Y. I., & Jun, M. H. (1998). The effect of a self-regulation program for hypertensives in rural areas. Journal of Korean Academy of Nursing, 30, 1303-1317.
  24. Rhie, I. S. (2003). The literature review study for the nursing intervention and the effectiveness of the hypertension management programs. Unpublished master's thesis, Yonsei University, Seoul.
  25. Son, K. O., & Yoo, W. K. (2004). Effect of health education method for Korean patients with essential hypertension on their compliance with health behaviors. Journal of Korean Society for Health Education and Promotion, 21, 215-231.
  26. Staessen, J. A., Gasowski, J., Wang, J. G., Thijs, L., Hond, E. D., Boissel, J. P., et al. (2000). Risks of untreated and treated isolated systolic hypertension in the elderly: Meta-analysis of outcome trials. The Lancet, 355, 865-872. https://doi.org/10.1016/S0140-6736(99)07330-4
  27. Wang, M. J., & Cha, N. H. (2003). An analysis of the effect of selffoot reflexology on level of hypertension. The Journal of Korean Community Nursing, 14, 5-15.
  28. Yu, J. O., & Cho, Y. B. (2005). The effect an internet community on knowledge, self-efficacy and self care behavior in workers with hypertension. Journal of Korean Academy of Nursing, 35, 1258-1267. https://doi.org/10.4040/jkan.2005.35.7.1258
  29. Yu, S. J., Song, M. S., & Lee, Y. J. (2001). The effects of self-efficacy promotion and education program on self-efficacy, self-care behavior, and blood pressure for elderly hypertensives. Journal of Korean Academy of Adult Nursing, 13, 108-122.