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Managing hypertension among veterans in an outpatient screening program
Journal of the American Academy of Nurse Practitioners
|September 1, 1994
Summary
This study on hypertension management in veterans found that both pharmacologic and nonpharmacologic interventions significantly reduced blood pressure. Lifestyle changes, including exercise, were beneficial for both groups, though weight remained a key risk factor.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Geriatric Medicine
Background:
- Hypertension is a prevalent condition, particularly among veteran populations.
- Effective management strategies are crucial for reducing cardiovascular risk.
- Lifestyle modifications play a significant role in blood pressure control.
Purpose of the Study:
- To evaluate the outcomes of a hypertension screening and management program for veterans.
- To compare the effectiveness of pharmacologic versus nonpharmacologic interventions.
- To assess the impact of lifestyle changes on blood pressure control.
Main Methods:
- Retrospective descriptive research design.
- Analysis of data from 207 veteran subjects in an outpatient clinic.
- Inclusion of nurse practitioners and physicians in healthcare delivery.
- Emphasis on lifestyle change education classes.
Main Results:
- Significant blood pressure reductions observed in both pharmacologic and nonpharmacologic groups at 12 and 24 months (p = .0001).
- No significant differences in blood pressure outcomes between the two groups.
- Pharmacologic group showed improved exercise and decreased alcohol consumption; nonpharmacologic group showed increased exercise but also increased alcohol consumption.
- Weight was identified as a major risk factor, with pharmacologic patients being more overweight.
Conclusions:
- Hypertension management programs incorporating lifestyle interventions demonstrate therapeutic benefits for veterans.
- Both pharmacologic and nonpharmacologic approaches can effectively reduce blood pressure.
- Continued focus on weight management and monitored lifestyle behaviors is essential for long-term hypertension control.