Nurse-Led Email Reminder for Hypertensive Patients | Free Essay Example

Nurse-Led Email Reminder for Hypertensive Patients

Words: 565
Topic: Health & Medicine
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Research title and authors

The article under analysis is called “Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: A randomized controlled trial.” It was written by Cicolini et al. and published in 2013.

Research problem and purpose

The article targets the issue of hypertension management. The issue is addressed using email reminder. The purpose is to save time and effort. Nurses reach the patients on distance. Nurses ensure better condition management.

Literature review

The literature review is in the introduction. The authors review many sources. All of them are recent. All sources are relevant. The authors provide an issue background. The importance of CVD intervention is discussed. There is a need for improvement.

Research objectives, questions, or hypothesis

The objective is to assess NRP-e effectiveness. NRP-e is hypothesized as a cost-effective intervention. The rationale is the lack of such studies. Question: do patients benefit from NRP-e? Theory: NRP-e helps nurses and patients.

Variables

Variables: gender, age of the patients. More variables: BMI, alcohol consumption. The research focused on lifestyle—main factors: diet, smoking, activity. The study measured intervention compliance. Biological variables: BP, blood glucose, cholesterol.

Design

Study design: a randomized controlled trial. Length: October 2011 – May 2012. Location: Italian Hypertension Primary Care Center. The study met ethical concerns. It was approved by the Ethics Committee of the University of the Abruzzo Region.

Sample, population, and setting

Target population: adults diagnosed with hypertension. Inclusion criteria: knowing the Italian language. Additional criteria: having e-mail and phone. The participants signed informed consent. Sample: divided into intervention and control groups. Sampling: random; researchers were blinded. Setting: home (patients), hospital (nurses).

Intervention description

The educational program was developed. Intervention: delivered via email, phone. Time: 1-hour sessions 3-4 times a week. Content: advice on condition management. Other content: tips on lifestyle choices. Materials: table of food classification.

Measurements

Outcome assessment: during follow-up visits. Means used: validated questionnaires. Other means: lab testing (blood). Outcomes assessed: CVD risk factors. Factors measured: diet, glucose, physical activity. Other measurements: treatment adherence.

Data collection

Data obtained: via questionnaires. Lab data: from blood tests. Factors assessed: blood glucose, BP. More factors: BMI, lifestyle, and diet reports. Intervention compliance: the appearance at follow-ups.

Data analyses

Data analysis: using the Shapiro–Wilk test. Differences over time periods: t-test. For variables distributed non-normally: Kruskal– Wallis test. For dichotomized variables: chi-square. Comparisons: Wilcoxon matched-pairs signed-ranks test.

Mean differences: Kruskal– Wallis test.

Data presentation

Data was presented in a table. Each factor was calculated separately. Advantages: excellent visibility and comprehensiveness. Research design: presented via a graph. The graph showed each step of work with the sample.

Results of the study

The decrease in CVD risk factors found in both groups. Factor without change: salt intake. Intervention group: greater improvement. Namely: BMI, BP, diet, lifestyle. Intervention group: better results in every factor. Intervention made no effect on salt intake.

Interpretation of findings

NRP-e is very effective for patients. Statistically better results in the intervention group. Conclusion: NRP-e works for each CVD factor. Results agree with previous findings. Compared to other studies: it affected more factors.

Limitations

The time of follow-up provision was short. No long-term assessment was conducted. No knowledge of the effects on major outcomes. Namely: stroke, myocardial infarction rates.

Implications

NRP-e is helpful for nurses. NRP-e allows for better workplace flexibility. It requires little time and effort. Nurses produce better effects. Conclusion: NRP-e is cost-effective.