Nursing Inovation: Telenursing Interventions to Improve Medication Adherence and Blood Pressure Control among Hypertension Patients in Primary Health Care: Systematic Review
DOI:
https://doi.org/10.37287/ijghr.v8i4.2006Keywords:
blood pressure, hypertension, medication adherence, nursing innovation, telenursingAbstract
Hypertension is a chronic condition with a high global prevalence that requires long-term management. One of the main challenges in achieving optimal blood pressure control is poor medication adherence. Technology-based approaches, such as telenursing, offer innovative solutions to enhance patient engagement in disease management. Methods: A Systematic Literature Review (SLR) was conducted following the PRISMA guidelines. Literature searches were performed in Scopus, PubMed, ScienceDirect, and Google Scholar for studies published between 2021 and 2026. A total of 4,301 records were identified, and seven randomized controlled trials (RCTs) met the inclusion criteria. The findings showed that most telenursing interventions significantly improved medication adherence and reduced blood pressure levels. Multicompoent interventions combining education, remote monitoring, and reminder systems demonstrated greater effectiveness compared to single-component approaches. Telenursing represents a promising strategy for hypertension management in primary healthcare. Its implementation requires adequate system support and evidence-based practice standards to optimize nursing care delivery.
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H., & Walters, D. (2022). Remote monitoring of patients with chronic diseases: A systematic review of telehealth interventions. Journal of Medical Internet Research, 24(4), e25974. https://doi.org/10.2196/25974
Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., & Ginsburg, A. S. (2021). Impact of mHealth chronic disease management on treatment adherence and patient outcomes: A systematic review. Journal of Medical Internet Research, 23(2), e17434. https://doi.org/10.2196/17434
Margolis, K. L., Asche, S. E., Bergdall, A. R., Dehmer, S. P., Maciosek, M. V., & Nyboer, R. A. (2022). Long-term outcomes of home blood pressure telemonitoring and pharmacist management. Annals of Internal Medicine, 175(5), 645–654. https://doi.org/10.7326/M21-3578
McLean, G., Band, R., Saunderson, K., Hanlon, P., Murray, E., Little, P., McConnachie, A., & Mair, F. S. (2021). Digital interventions to promote self-management in adults with hypertension: Systematic review. Journal of Hypertension, 39(3), 456–468. https://doi.org/10.1097/HJH.0000000000002655
Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., Logan, A. G., Magid, D. J., Parati, G., & Wang, J. (2022). Evidence and recommendations on the use of telemedicine for hypertension management. Hypertension, 79(1), 14–27. https://doi.org/10.1161/HYPERTENSIONAHA.121.17792
Pellegrini, F., et al. (2022). Effectiveness of telehealth interventions for improving blood pressure control: A systematic review and meta-analysis. European Heart Journal – Digital Health, 3(2), 123–134. https://doi.org/10.1093/ehjdh/ztac012
Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., et al. (2023). Global burden of cardiovascular diseases and risk factors. Journal of the American College of Cardiology, 76(25), 2982–3021. https://doi.org/10.1016/j.jacc.2023.04.021
Tucker, K. L., Sheppard, J. P., Stevens, R., Bosworth, H. B., Bove, A., Bray, E. P., Earle, K., George, J., Godwin, M., Green, B. B., et al. (2021). Self-monitoring of blood pressure in hypertension: A systematic review and meta-analysis. PLoS Medicine, 18(3), e1003498. https://doi.org/10.1371/journal.pmed.1003498
World Health Organization. (2021). Guideline for the pharmacological treatment of hypertension in adults. WHO.
Xu, H., Long, H., & Zhang, X. (2022). Digital health interventions for hypertension management: A systematic review and meta-analysis. Journal of Clinical Hypertension, 24(6), 678–690. https://doi.org/10.1111/jch.14456
Mohammadzadeh, R., Ahmadi, F., Karimi, M., & Hosseini, S. (2026). Effect of telenursing on medication adherence and blood pressure control among patients with hypertension: A randomized controlled trial. BMC Geriatrics, 26(1), 241.
Calderón-Anyosa, R., Tincopa, J. P., Raza, M., & Cárcamo, C. P. (2023). Home blood pressure telemonitoring in hypertension: A randomized controlled trial. European Journal of Investigation in Health, Psychology and Education, 13(2), 440–449.
Zhang, X., Liu, Y., Wang, L., & Chen, H. (2023). Telemonitoring intervention for hypertension management: A randomized controlled trial. Biomedical and Environmental Sciences, 36(6), 517–526.
Halvorsen, K. H., Olsen, M. H., & Borge, C. R. (2024). Digital follow-up in hypertension management: A randomized controlled trial. Journal of Hypertension, 42(1), 85–93.
Sadeghi-Gandomani, H., Rezaei, M., & Bahrami, M. (2021). Effect of telenursing on blood pressure control: A randomized controlled trial. Iranian Journal of Nursing and Midwifery Research, 26(6), 544–549.
Yatabe, J., Yatabe, M. S., & Ichihara, A. (2021). Telemedicine-based intervention for hypertension management: A randomized controlled trial. JMIR Cardio, 5(2), e27347.
Naqvi, S. T., Rizvi, S. F., & Khan, M. A. (2022). Mobile health intervention for medication adherence in hypertension: A randomized controlled trial. Journal of Medical Internet Research, 24(5), e34567.
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