Louise Herrington School of Nursing, Baylor University, Dallas, Texas.
Holist Nurs Pract. 2023;37(5):253-259. doi: 10.1097/HNP.0000000000000604.
Hypertension (HTN) is a major health care problem affecting nearly half of American's adult population. HTN is one of the costliest diagnoses among cardiovascular disease and leads to other major cardiovascular complications, which increase overall morbidity and mortality. Of those diagnosed with HTN in America, only one-fourth of patients are living with well-controlled HTN. This evidenced-based HTN management practice innovation was conducted to explore evidenced-based, holistic nursing practice of a low-sodium dietary approach to stop hypertension (DASH) diet, and exercise alongside antihypertensive medication management in decreasing systolic blood pressure (SBP) and diastolic blood pressure (DBP) in adult patients diagnosed with HTN. This community-based holistic care initiative supports data previously published, which suggests a low-sodium DASH diet, exercise, and antihypertensive medication management are effective in decreasing SBP and DBP. This project supported clinicians seeking to integrate a complementary holistic and traditional approach to HTN management in patients diagnosed with HTN.
高血压（HTN）是影响近半数美国成年人口的主要健康问题。HTN 是心血管疾病中最昂贵的诊断之一，可导致其他主要心血管并发症，从而增加整体发病率和死亡率。在美国被诊断出患有 HTN 的患者中，只有四分之一的患者血压得到良好控制。这项基于证据的 HTN 管理实践创新旨在探索基于证据的、整体的护理实践，即采用低钠饮食方法来停止高血压（DASH）饮食，以及结合抗高血压药物管理，以降低成年高血压患者的收缩压（SBP）和舒张压（DBP）。这一基于社区的整体护理计划支持了先前发表的数据，表明低钠 DASH 饮食、运动和抗高血压药物管理可有效降低 SBP 和 DBP。该项目支持临床医生寻求在诊断出 HTN 的患者中整合互补的整体和传统方法来管理 HTN。
