Friday, 3 December 2021

Determining the Effect of a Care Bundle for Hypertension Control on the Health Outcomes of Hypertensive Patients with Stroke Risk | Chapter 11 | Recent Developments in Medicine and Medical Research Vol. 15

 Background: Care bundles are made up of three to five evidence-based practises that must be given in a coordinated and consistent manner to improve patient health outcomes. The goal of this study was to determine the amount of stroke risk in hypertensive patients, evaluate the efficacy of a hypertension management care bundle on health outcomes in hypertensive patients with stroke risk, and identify parameters associated with the effect of care bundles on hypertensive patients. In this work, a quasi-experimental research design was adopted. The research was carried out in medical outpatient clinics of government and health insurance facilities in Port Said. A purposive sample of 105 patients was included in the study. Instruments: A structured interview was used to assess the socio-demographic characteristics and medical histories of patients, a stroke risk assessment screening tool was used to determine stroke risk among hypertensive patients, and clinical measures such as pulse, blood pressure, BMI, serum cholesterol, and fasting blood sugar were used to collect data. Results: The study found significant differences in clinical measures such as systolic blood pressure, cholesterol level, body mass index, and fasting blood sugar between hypertensive patients pre- and three months post-patient education with the care bundle for hypertension control, with P-values of 0.000, 0.000, and 0.002, respectively, between hypertensive patients pre- and three months post-patient education with the care bundle for hypertension control. Nearly two-thirds of hypertension individuals in the study group, on the other hand, were at intermediate risk of stroke, while the rest were at severe risk. Conclusion: The current study found that providing hypertensive stroke patients with a care package for hypertension control could enhance their clinical parameters significantly. The care bundle consists of a collection of interconnected evidence-based guidelines, with one guideline influencing another, such as proper foods for hypertension patients resulting in weight loss and increased physical activity. However, more research on a larger sample of hypertensive patients, both with and without a risk of stroke, is needed.


Author(S) Details

Azza Anwar Aly
Medical Surgical Nursing Department, Faculty of Nursing, Damanhour University, Egypt and Medical Surgical Nursing Department, Ibn Sina National Collegefor Medical Studies, KSA. 

Eman Saleh Shahin
Department of Medical, Surgical Nursing, Faculty of Nursing, Port-Said University, Egypt.

View Book:- https://stm.bookpi.org/RDMMR-V15/article/view/5012

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