Examinando por Materia "Self-Care"

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  • Miniatura
    ÍtemAcceso abierto
    Educational strategies in self-care for elderly patients with hypertension
    (Universidad Privada Norbert Wiener, 2020-01-05) Vilca Negron, Lucy; Arias Gutierrez, Nora; Pérez Siguas, Rosa Eva
    Objective: Systematize the evidence of how some educational strategies can contribute to improving the self-care of older adults with high blood pressure. Materials and methods: They are systematic compilations of scientific evidence, observational and retrospective, the search has been limited to full-text articles, intensive literature search algorithm – PICO model. The selected reviews underwent an intense analysis to consider their quality, validity, strength of recommendation of scientific evidence and considering the ethical aspects of scientific research. Results: in the search that was carried out, 10 articles were selected; that 7 of 10 articles are systematic reviews, 1 of 10 is a randomized controlled clinical trial, 1 of 10 is a quasi-experimental design, and finally 1 of 10 is a prospective randomized experimental study. The studies chosen for this study are from countries such as: Spain (30%), continued Brazil (30%), USA (10%), Costa Rica (10%), Mexico (10%) and Chile (10%). Of the articles analyzed, 90% affirm that the strategies applied to hypertensive older adults improve their behavior in self-care. Conclusions: it was evident from the scientific articles analyzed that nursing interventions have a positive effect on the self-care of older adults with high blood pressure and their family environment.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of a nursing educational intervention in self-help to improve treatment adherence and blood pressure control in hypertensive patients
    (Universidad Privada Norbert Wiener, 2018-12-02) Vilchez Vilcapoma, Maria Del Rosario; Palomino Buleje, Nadia Barbie; Bonilla Asalde, César Antonio
    Systematic review of 10 scientific articles no older than 10 years, on the effectiveness of a self-help nursing educational intervention to improve adherence to treatment and blood pressure control in hypertensive patients, found in the databases: Scielo , Cochrane Plus. Lilacs, Pubmed, Medline, and analyzed according to the Grade scale to determine its quality of evidence and strength of recommendation. RESULT: Of the 10 articles reviewed: 20% are randomized controlled trials, 40% are Systematic Reviews, 20% are quasi-experimental trials, another 10% correspond to a prospective study and 10% are a cross-sectional descriptive study. 80% of the reviews indicate that various interventions significantly improve adherence to treatment and blood pressure control, with the nurse managing individualized education promoting self-care with telephone reinforcement, home visits, educational talks, and early care in the consultation, the use of teaching materials and telemedicine. However, 20% indicate that there are no differences and in some cases they do not reduce blood pressure and this is due to the heterogeneity of the interventions and the few existing studies. CONCLUSIONS: Of the 10 articles reviewed, 8 indicate the effectiveness of interventions to improve adherence to treatment and blood pressure control in hypertensive patients and 2 articles are discordant with some interventions to improve adherence and reduce blood pressure.