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Holistic Hypertension Management
Rachel K Berry1, Jessica L Peck
1Louise Herrington School of Nursing, Baylor University, Dallas, Texas.
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.
Abstract:
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.
Related Concept Videos
Hypertension V: Nursing Management
Hypertension IV: Drug Therapy and Lifestyle Modifications
Hypertension and Regulation of Blood Pressure
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension I: Introduction
Hypertension II: Pathophysiology

