Universidade Estadual do Ceará, Fortaleza, CE, Brasil.
Universidade Federal do Piauí, Teresina, PI, Brasil.
Rev Lat Am Enfermagem. 2023 May 12;31:e3929. doi: 10.1590/1518-8345.6648.3929. eCollection 2023.
to assess the effect of an educational intervention performed by nurses for blood pressure control in people with arterial hypertension, when compared to usual care. a systematic review with meta-analysis of randomized clinical trials, conducted in six databases. The studies included were those in which an educational intervention was performed by nurses on people with arterial hypertension. The risk of bias was assessed by means of the Risk of Bias Tool, the meta-analysis was performed in the Review Manager software and certainty of the evidence was calculated in the Grading of Recommendations Assessment, Development and Evaluation system. a total of 1,692 studies were found, which were peer-reviewed, including eight of them in the meta-analysis. The meta-analysis was calculated for the "systolic blood pressure" and diastolic blood pressure" outcomes, in subgroups by time and by intervention performance type. For the in-person educational intervention, performed individually combined with a group activity, the effect estimate was -12.41 mmHg (95% Confidence Interval: from -16.91 to -7.91, p<0,00001) for systolic pressure and -5.40 mmHg (95% Confidence Interval: from -7.98 to -2.82, p<0,00001) for diastolic pressure, with high certainty of evidence. the educational intervention performed by nurses, individually and combined with a group activity, presents a statistically significant clinical effect. PROSPERO registration No.: CRD42021282707.
评估护士进行的教育干预对高血压患者血压控制效果，与常规护理相比。这是一项在六个数据库中进行的随机临床试验系统评价和荟萃分析。纳入的研究是护士对高血压患者进行教育干预的研究。使用偏倚风险工具评估偏倚风险，使用 Review Manager 软件进行荟萃分析，并使用 Grading of Recommendations Assessment, Development and Evaluation 系统计算证据确定性。共发现 1692 项经过同行评审的研究，其中 8 项进行了荟萃分析。荟萃分析计算了“收缩压”和“舒张压”的结果，按时间和干预实施类型进行了亚组分析。对于面对面的教育干预，个体实施并结合小组活动，收缩压的效应估计为-12.41mmHg（95%置信区间：-16.91 至-7.91，p<0.00001），舒张压为-5.40mmHg（95%置信区间：-7.98 至-2.82，p<0.00001），证据确定性高。护士进行的教育干预，个体实施和结合小组活动，具有统计学显著的临床效果。PROSPERO 注册号：CRD42021282707。
