Team-Based Approach in Hypertension Management: A Quality Improvement Project.

IF 1.2 4区 医学 Q3 NURSING Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-02 DOI:10.1097/NCQ.0000000000000726
Vini Anand
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Abstract

Background/local problem: Hypertension is a major risk factor for heart diseases and stroke among Americans; only 25% have this under control nationwide.

Methods: This quality improvement project evaluated the outcomes of team-based care in hypertension control by registered nurses and certified nurse practitioners in a primary care setting. Pre/post-data analysis of blood pressure (BP) control, and BP knowledge, was done.

Intervention: The team provided education and counseling based on knowledge assessment during visits and used unattended automated blood pressure measurement (uAOBPM) techniques to measure BP.

Results: There was a significant reduction in systolic and diastolic BP control ( P < .001). There was a statistically significant increase in disease knowledge score pre- and postintervention ( P < .001).

Conclusion: The team-based care approach improved patients' BP control and knowledge of the disease. The uAOBPM technique could be incorporated into clinical settings for accurate BP measurements.

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以团队为基础的高血压管理方法:一个质量改进项目。
背景/局部问题:高血压是美国人心脏病和中风的主要危险因素;全国只有25%的人控制住了这种情况。方法:本质量改进项目评估了初级保健机构中注册护士和执业护士在高血压控制中的团队护理效果。进行血压(BP)控制前后数据分析和BP知识分析。干预措施:团队在就诊期间提供基于知识评估的教育和咨询,并使用无人值机自动血压测量(uAOBPM)技术测量血压。结果:两组患者的收缩压和舒张压控制均显著降低(P < 0.001)。干预前后疾病知识得分均有统计学意义的升高(P < 0.001)。结论:以团队为基础的护理方法提高了患者的血压控制和对疾病的认识。uAOBPM技术可应用于临床环境中进行准确的血压测量。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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