Κατεύθυνση Καρδιοαναπνευστική ΑναζωογόνησηLibrary of the School of Health Sciences
Νικολέττα Μ. Ιακωβίδου, Καθηγήτρια, Ιατρική Σχολή ΕΚΠΑ.
Ξάνθος Θεόδωρος. Καθηγητής, Ιατρική Σχολή, Ευρωπαϊκό Πανεπιστήµιο Κύπρου.
Δωροθέα Τσεκούρα. Ειδικό Διδακτικό Προσωπικό, Ιατρική Σχολή, ΕΚΠΑ.
Η διαχείριση της υπέρτασης στις εθνοτικές μειονότητες. Η σημασία της κοινοτικής νοσηλευτικής.
Hypertension management in ethnic minorities. The importance of community nursing.
Managing and controlling hypertension is a critical public health issue, as prevalence appears to be high in some ethnic groups. Treatment should include lifestyle changes and pharmacological intervention, usually with multiple agents.
Aim: To investigate both the pharmacological and non-pharmacological management of hypertension as well the role of community nurses in the hypertension control in ethnic minorities.
Methodology: A systematic review was conducted to research primary studies on the management of hypertension in ethnic minorities. Keywords and time constraints were set for 2011-2020 using the Medline online database (NCBI) with a combination of inclusion and exclusion criteria.
Inclusion Criteria: Randomized controlled trials (RCTs) were included, examining the effectiveness of community-based nursing/ nursing interventions for the management of hypertension in ethnic minorities. Due to the limited number of studies, studies investigating the role of nursing in general were included, while no time limit was set.
Results: Thirteen primary research studies met the inclusion criteria. Nine studies investigated interventions in the non-pharmacological management of hypertension, while four studies investigated the pharmacological management of hypertension in ethnic minorities. Analysis of the data shows that patients of predominantly African descent are more likely to receive combination antihypertensive therapy with a thiazide diuretic or calcium channel blocker and generally have an impaired response to drugs that inhibit the renin-angiotensin-blocking system and In addition, they have significantly lower rates of BP control and which are related to socio-economic factors. Regarding the non-pharmacological management part, those interventions under the guidance of community nurses have been proposed as a promising way of managing patients belonging to these groups.
Conclusions: Further research is needed to investigate the phenomenon of unequal distribution of hypertension in different human populations, as well as the role of community nursing in improving individualized care for hypertension and managing the overall cardiovascular risk in these vulnerable populations.
Key Words: Hypertension, pharmacological management / non-pharmacological management, ethnic minorities, interventions, community nursing
Main subject category:
Hypertension, Pharmacological Management / Non-Pharmacological Management, Ethnic Minorities, Interventions, Community Nursing
Number of references:
Νικητοπούλου Αλεξάνδρα-Διαχείριση Υπέρτασης στις εθνοτικές μειονότητες (τελικό)..pdf
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