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Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment

  • Implementation to Increase Blood Pressure Control: What Works? (J Brettler and K Reynolds, Section Editors)
  • Published:
Current Hypertension Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Hypertension consists a major risk factor for cardiovascular events. Despite the proven effectiveness of antihypertensive treatment, approximately half of hypertensive patients have inadequate blood pressure control. Non-adherence to medication has been shown to be an important barrier to achieving adequate blood pressure control and nurse interventions can substantially improve therapeutic compliance. We sought to evaluate the role of nurse interventions in alleviating non-adherence to medication in patients with hypertension by performing a systematic review of the literature for all relevant articles.

Recent Findings

Ten clinical studies were identified. The majority of studies reported beneficial effect of nursing intervention on treatment adherence in hypertensive patients. Telephone contacts and home visits were found to be the most effective educational approaches. Although comorbidities are considered to be an important barrier to adherence, there was not enough evidence to elucidate this aspect. Identifying specific factors that affect behavioral change in the setting of a successful intervention was difficult due to high heterogeneity among studies regarding materials and methods.

Summary

Nursing interventions were shown to alleviate non-adherence to medication in patients with hypertension. Large well designed clinical trials are needed to evaluate specific factors that are associated with effective interventions.

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Author information

Authors and Affiliations

  1. First Department of Cardiology, ‘Hippokration’ Hospital, University of Athens, Medical School, Vasilissis Sofias 80, TK 115 27, Athens, Greece

    G. Georgiopoulos, V. Katsi, C. Tsioufis & D. Tousoulis

  2. Emergency Department, ‘Amalia Fleming’ General Hospital, Athens, Greece

    Z. Kollia

  3. Department of Cardiology, ‘Evaggelismos’ General Hospital of Athens, Athens, Greece

    D. Oikonomou

Authors
  1. G. Georgiopoulos
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  2. Z. Kollia
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  3. V. Katsi
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  4. D. Oikonomou
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  5. C. Tsioufis
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  6. D. Tousoulis
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Corresponding author

Correspondence to G. Georgiopoulos.

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The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

What’s New?

•Nursing interventions improve adherence to treatment

•Home visits and telephone calls are effective methods

•The role of comorbidities has not been fully elucidated

•Elderly patients should be included in more clinical studies

This article is part of the Topical Collection on Implementation to Increase Blood Pressure Control: What Works?

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Georgiopoulos, G., Kollia, Z., Katsi, V. et al. Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment. Curr Hypertens Rep 20, 65 (2018). https://doi.org/10.1007/s11906-018-0862-2

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  • DOI: https://doi.org/10.1007/s11906-018-0862-2

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