Holistic Hypertension Management

Rachel K Berry1, Jessica L Peck

  • 1Louise Herrington School of Nursing, Baylor University, Dallas, Texas.

PubMed

Insights

This study explored holistic nursing practices for hypertension (HTN) management. Combining a low-sodium DASH diet, exercise, and medication effectively lowered blood pressure in adult patients.

Area of Science:

  • Cardiovascular Disease
  • Public Health
  • Nursing Practice

Background:

  • Hypertension (HTN) affects nearly half of US adults, representing a significant healthcare burden.
  • Poorly controlled HTN contributes to major cardiovascular complications, increasing morbidity and mortality.
  • Only 25% of diagnosed patients achieve well-controlled blood pressure levels.

Purpose of the Study:

  • To explore evidence-based, holistic nursing practices for managing hypertension.
  • To investigate the impact of a low-sodium DASH diet, exercise, and medication on blood pressure.
  • To support clinicians in integrating complementary and traditional approaches to HTN management.

Main Methods:

  • An evidenced-based practice innovation focused on holistic nursing care.
  • Implementation of a low-sodium Dietary Approaches to Stop Hypertension (DASH) diet.
  • Integration of regular exercise and antihypertensive medication management.

Main Results:

  • The holistic approach, combining diet, exercise, and medication, demonstrated effectiveness in reducing systolic blood pressure (SBP) and diastolic blood pressure (DBP).
  • This initiative supports existing data on the efficacy of lifestyle modifications and medication in HTN management.
  • Clinicians were supported in adopting a comprehensive care strategy for hypertensive patients.

Conclusions:

  • A holistic, evidence-based nursing approach incorporating a low-sodium DASH diet, exercise, and medication is effective for managing hypertension.
  • This community-based initiative highlights the synergy between lifestyle interventions and pharmacotherapy.
  • Integrating complementary and traditional methods enhances overall HTN patient care and outcomes.

Related Concept Videos

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Hypertension I: Introduction01:28

Hypertension I: Introduction

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Hypertension II: Pathophysiology01:29

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Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
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