Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/92703
Citations
Scopus Web of Science® Altmetric
?
?
Full metadata record
DC FieldValueLanguage
dc.contributor.authorCarrington, M.J.-
dc.contributor.authorJennings, G.L.-
dc.contributor.authorHarris, M.-
dc.contributor.authorNelson, M.-
dc.contributor.authorSchlaich, M.-
dc.contributor.authorStocks, N.P.-
dc.contributor.authorBurrell, L.M.-
dc.contributor.authorAmerena, J.-
dc.contributor.authorde Looze, F.J.-
dc.contributor.authorSwemmer, C.H.-
dc.contributor.authorKurstjens, N.P.-
dc.contributor.authorStewart, S.-
dc.date.issued2016-
dc.identifier.citationEuropean Journal of Cardiovascular Nursing, 2016; 15(6):409-416-
dc.identifier.issn1474-5151-
dc.identifier.issn1873-1953-
dc.identifier.urihttp://hdl.handle.net/2440/92703-
dc.description.abstractBACKGROUND: Blood pressure targets in individuals treated for hypertension in primary care remain difficult to attain. AIMS: To assess the role of practice nurses in facilitating intensive and structured management to achieve ideal BP levels. METHODS: We analysed outcome data from the Valsartan Intensified Primary carE Reduction of Blood Pressure Study. Patients were randomly allocated (2:1) to the study intervention or usual care. Within both groups, a practice nurse mediated the management of blood pressure for 439 patients with endpoint blood pressure data (n=1492). Patient management was categorised as: standard usual care (n=348, 23.3%); practice nurse-mediated usual care (n=156, 10.5%); standard intervention (n=705, 47.3%) and practice nurse-mediated intervention (n=283, 19.0%). Blood pressure goal attainment at 26-week follow-up was then compared. RESULTS: Mean age was 59.3±12.0 years and 62% were men. Baseline blood pressure was similar in practice nurse-mediated (usual care or intervention) and standard care management patients (150 ± 16/88 ± 11 vs. 150 ± 17/89 ± 11 mmHg, respectively). Practice nurse-mediated patients had a stricter blood pressure goal of ⩽125/75 mmHg (33.7% vs. 27.3%, p=0.026). Practice nurse-mediated intervention patients achieved the greatest blood pressure falls and the highest level of blood pressure goal attainment (39.2%) compared with standard intervention (35.0%), practice nurse-mediated usual care (32.1%) and standard usual care (25.3%; p<0.001). Practice nurse-mediated intervention patients were almost two-fold more likely to achieve their blood pressure goal compared with standard usual care patients (adjusted odds ratio 1.92, 95% confidence interval 1.32 to 2.78; p=0.001). CONCLUSION: There is greater potential to achieve blood pressure targets in primary care with practice nurse-mediated hypertension management.-
dc.description.statementofresponsibilityMelinda J Carrington, Garry L Jennings, Mark Harris, Mark Nelson, Markus Schlaich, Nigel P Stocks, Louise M Burrell, John Amerena, Ferdinandus J de Looze, Carla H Swemmer, Nicol P Kurstjens and Simon Stewart, on behalf of the VIPER-BP Study investigators-
dc.language.isoen-
dc.publisherSAGE Publications-
dc.rights© The European Society of Cardiology 2015-
dc.source.urihttp://dx.doi.org/10.1177/1474515115591901-
dc.subjectNurse management; blood pressure; hypertension; primary care-
dc.titleImpact of nurse-mediated management on achieving blood pressure goal levels in primary care: insights from the Valsartan Intensified Primary carE Reduction of Blood Pressure Study-
dc.typeJournal article-
dc.identifier.doi10.1177/1474515115591901-
pubs.publication-statusPublished-
dc.identifier.orcidStocks, N.P. [0000-0002-9018-0361]-
dc.identifier.orcidStewart, S. [0000-0001-9032-8998]-
Appears in Collections:Aurora harvest 2
General Practice publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.