Li Shuangshuang, Craig Stephanie, Mitchell Gary, Fitzsimons Donna, Creighton Laura, Thompson Gareth, Stark Patrick
School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, UK.
Nurs Rep. 2025 Mar 18;15(3):106. doi: 10.3390/nursrep15030106.
High blood pressure in older adults poses significant risks, including cardiovascular disease, stroke, and renal failure; yet, its management is often overlooked. Nurse-led personalised interventions provide essential guidance, helping patients adhere to treatment plans and adopt lifestyle changes, improving outcomes and quality of life. A scoping review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). Six electronic databases were searched systematically (CINAHL, MEDLINE, PsycINFO, EMBASE, Web of Science, and Scopus). Five research studies were included in this review, from five countries (India, Korea, China, Turkey and Thailand). Primary data were synthesised using descriptive and thematic analysis methodology. The five main themes from this review relate to nurse-led empowerment strategies for hypertension management, variability in blood pressure outcomes, the importance of tailored education and counselling, the role of regular follow-ups and support, and environmental support. Overall, nurse-led personalised interventions improve blood pressure management and patient engagement in older adults, highlighting the need for research into their long-term effectiveness and broader applicability.
老年人高血压会带来重大风险，包括心血管疾病、中风和肾衰竭；然而，其管理往往被忽视。由护士主导的个性化干预提供了重要指导，帮助患者坚持治疗计划并改变生活方式，改善治疗效果和生活质量。按照系统评价和Meta分析扩展的范围综述首选报告项目（PRISMA-ScR）对文献进行了范围综述。系统检索了六个电子数据库（CINAHL、MEDLINE、PsycINFO、EMBASE、Web of Science和Scopus）。本综述纳入了来自五个国家（印度、韩国、中国、土耳其和泰国）的五项研究。使用描述性和主题分析方法对原始数据进行了综合分析。本综述的五个主要主题涉及护士主导的高血压管理赋权策略、血压结果的变异性、量身定制的教育和咨询的重要性、定期随访和支持的作用以及环境支持。总体而言，由护士主导的个性化干预可改善老年人的血压管理和患者参与度，凸显了对其长期有效性和更广泛适用性进行研究的必要性。
