Date of Award

Spring 5-7-2022

Document Type

DNP Project

Project Team Faculty Member

Albertina Perez

Project Team Faculty Member

Annie Imboden

Keywords

Hypertension; blood pressure; home blood pressure; monitoring; coaching; education

Abstract

While nearly half of adults in the United States have hypertension, only about one quarter of those adults have adequately controlled hypertension. Providing a nurse-led coaching program in combination with home blood pressure monitoring (HBPM) has been shown to improve blood pressure control. A rural family practice clinic in the Illinois Metro East area proposed a clinical trial to test a nurse-led coaching program in combination with home blood pressure monitoring (HBPM) in decreasing blood pressure long-term. Both intervention and control groups received nurse-led hypertension coaching, while the intervention group also received a home blood pressure cuff. The results showed that a nurse-led coaching is effective in decreasing blood pressure. However, due to significant attrition, meaningful results could not be obtained regarding any additional benefits of adding HBPM to nurse-led coaching.

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