Efficacy of empowerment strategies for patients with hypertension: A systematic review and meta-analysis.
Patient Educ Couns
; 103(5): 898-907, 2020 05.
Article
em En
| MEDLINE
| ID: mdl-31810762
ABSTRACT
BACKGROUND:
Cardiovascular disease has caused heavy health care burdens in many countries, and hypertension (HTN) is a well-known independent cardiovascular risk factor.OBJECTIVE:
To assess the efficacy of empowerment strategies that affect systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), quality of life, and self-management behaviours for patients with hypertension.METHODS:
A literature search of the Cochrane Library, PubMed, MEDLINE, Embase, Web of Science, and several Chinese medical databases was performed. Study screening, quality assessment, data extraction, and meta-analysis were conducted according to Cochrane standards.RESULTS:
Eleven randomised controlled trials with 988 subjects were identified. Relative to control groups, the empowerment strategies showed significant decreases in SBP (the mean difference [MD]â¯=â¯9.46, 95 % confidence interval [CI]â¯=â¯6.36-12.55, pâ¯<⯠0.00001) and DBP (MD = 6.68, 95 % CI = 3.07-10.29, pâ¯=⯠0.0003). However, no significant difference was found in BMI (p = 0.05). Subgroup analysis showed significant differences in the improvement of both SBP and DBP among the various groups, regardless of the duration and type of interventions.DISCUSSION:
Empowerment strategies can decrease both SBP and DBP in hypertension patients. However, its influence on patients' BMI, quality of life, and self-management behaviour remains unclear. PRACTICAL VALUE Empowerment strategies are useful for controlling the blood pressure of hypertension patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Doenças Cardiovasculares
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Empoderamento
/
Hipertensão
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Patient Educ Couns
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
China