Shuangshuang Li, Stephanie Craig, Gary Mitchell, Donna Fitzsimons, Laura Creighton, Gareth Thompson, Patrick Stark
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引用次数: 0
Abstract
High blood pressure in older adults poses significant risks, including cardiovascular disease, stroke, and renal failure; yet, its management is often overlooked. Nurse-led personalised interventions provide essential guidance, helping patients adhere to treatment plans and adopt lifestyle changes, improving outcomes and quality of life. A scoping review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). Six electronic databases were searched systematically (CINAHL, MEDLINE, PsycINFO, EMBASE, Web of Science, and Scopus). Five research studies were included in this review, from five countries (India, Korea, China, Turkey and Thailand). Primary data were synthesised using descriptive and thematic analysis methodology. The five main themes from this review relate to nurse-led empowerment strategies for hypertension management, variability in blood pressure outcomes, the importance of tailored education and counselling, the role of regular follow-ups and support, and environmental support. Overall, nurse-led personalised interventions improve blood pressure management and patient engagement in older adults, highlighting the need for research into their long-term effectiveness and broader applicability.
老年人高血压会带来重大风险，包括心血管疾病、中风和肾衰竭；然而，它的管理往往被忽视。护士主导的个性化干预提供了必要的指导，帮助患者坚持治疗计划，改变生活方式，改善结果和生活质量。根据系统评价的首选报告项目和范围评价的元分析扩展（PRISMA-ScR）对文献进行范围评价。系统检索了6个电子数据库（CINAHL、MEDLINE、PsycINFO、EMBASE、Web of Science和Scopus）。本综述纳入了来自五个国家（印度、韩国、中国、土耳其和泰国）的五项研究。使用描述性和专题分析方法综合了原始数据。本综述的五个主要主题涉及护士主导的高血压管理赋权策略、血压结果的可变性、量身定制的教育和咨询的重要性、定期随访和支持的作用以及环境支持。总体而言，护士主导的个性化干预措施改善了老年人的血压管理和患者参与，强调了对其长期有效性和更广泛适用性进行研究的必要性。
期刊介绍：
Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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