Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden
ABSTRACT The aim was to study if nurse‐managed hypertension care was associated with differences in pharmacotherapy, lifestyle counseling, and prevalence of comorbid cardiometabolic diseases among patients receiving care at primary health care centers. To assess the extent of nurses' involvemen...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.14940 |
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| author | Charlotte Ivarsson Monica Bergqvist Per Wändell Sebastian Lindblom Anders Norrman Julia Eriksson Jan Hasselström Christina Sandlund Axel C. Carlsson |
| author_facet | Charlotte Ivarsson Monica Bergqvist Per Wändell Sebastian Lindblom Anders Norrman Julia Eriksson Jan Hasselström Christina Sandlund Axel C. Carlsson |
| author_sort | Charlotte Ivarsson |
| collection | DOAJ |
| description | ABSTRACT The aim was to study if nurse‐managed hypertension care was associated with differences in pharmacotherapy, lifestyle counseling, and prevalence of comorbid cardiometabolic diseases among patients receiving care at primary health care centers. To assess the extent of nurses' involvement in the hypertension care, a questionnaire was distributed to all primary health care centers in Region Stockholm. Age‐adjusted logistic regression models were used to analyze the results, odds ratios with 99% confidence intervals. Data was acquired from VAL, the administrative databases of Region Stockholm in Sweden, encompassing all individuals 30 years or older with a registered hypertension diagnosis who attended to the primary health care center they were registered at. Our analysis comprised 119 267 patients diagnosed with hypertension registered in one of the 224 included primary health care centers. Of the 81 primary health care centers that responded to the questionnaire, 54 reported having nurse‐managed hypertension care. Nurse‐managed hypertension care was not significantly associated with differences in pharmacotherapy or patients’ comorbidity, except for diabetes. Primary health care centers with nurse‐managed hypertension care had a 10% greater adherence to national guidelines for lifestyle counseling (33.5%) compared to those without nurse‐managed hypertension care (22.5%). Regardless of the organizational form of hypertension care management, more men received lifestyle counseling according to guidelines compared to women. In‐house routines for hypertension care, with designated nurses, and booking systems were associated with more lifestyle counseling, which has been associated with signs of better hypertension care. |
| format | Article |
| id | doaj-art-6cf9385b9c554cd2b50d10074dbd1a2f |
| institution | Kabale University |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-6cf9385b9c554cd2b50d10074dbd1a2f2025-01-31T05:38:36ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-01-01271n/an/a10.1111/jch.14940Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, SwedenCharlotte Ivarsson0Monica Bergqvist1Per Wändell2Sebastian Lindblom3Anders Norrman4Julia Eriksson5Jan Hasselström6Christina Sandlund7Axel C. Carlsson8Academic Primary Health Care CentreStockholm RegionStockholm SwedenAcademic Primary Health Care CentreStockholm RegionStockholm SwedenDepartment of Neurobiology, Care Sciences and SocietyDivision of Family Medicine and Primary CareKarolinska InstitutetHuddinge SwedenDepartment of Neurobiology, Care Sciences and SocietyDivision of Family Medicine and Primary CareKarolinska InstitutetHuddinge SwedenAcademic Primary Health Care CentreStockholm RegionStockholm SwedenDivision of BiostatisticsInstitute of Environmental MedicineKarolinska InstitutetStockholmSwedenAcademic Primary Health Care CentreStockholm RegionStockholm SwedenAcademic Primary Health Care CentreStockholm RegionStockholm SwedenAcademic Primary Health Care CentreStockholm RegionStockholm SwedenABSTRACT The aim was to study if nurse‐managed hypertension care was associated with differences in pharmacotherapy, lifestyle counseling, and prevalence of comorbid cardiometabolic diseases among patients receiving care at primary health care centers. To assess the extent of nurses' involvement in the hypertension care, a questionnaire was distributed to all primary health care centers in Region Stockholm. Age‐adjusted logistic regression models were used to analyze the results, odds ratios with 99% confidence intervals. Data was acquired from VAL, the administrative databases of Region Stockholm in Sweden, encompassing all individuals 30 years or older with a registered hypertension diagnosis who attended to the primary health care center they were registered at. Our analysis comprised 119 267 patients diagnosed with hypertension registered in one of the 224 included primary health care centers. Of the 81 primary health care centers that responded to the questionnaire, 54 reported having nurse‐managed hypertension care. Nurse‐managed hypertension care was not significantly associated with differences in pharmacotherapy or patients’ comorbidity, except for diabetes. Primary health care centers with nurse‐managed hypertension care had a 10% greater adherence to national guidelines for lifestyle counseling (33.5%) compared to those without nurse‐managed hypertension care (22.5%). Regardless of the organizational form of hypertension care management, more men received lifestyle counseling according to guidelines compared to women. In‐house routines for hypertension care, with designated nurses, and booking systems were associated with more lifestyle counseling, which has been associated with signs of better hypertension care.https://doi.org/10.1111/jch.14940antihypertensive medicationhypertension‐care organizationlifestyle advicenurse‐based caretask‐shiftingteam‐based care |
| spellingShingle | Charlotte Ivarsson Monica Bergqvist Per Wändell Sebastian Lindblom Anders Norrman Julia Eriksson Jan Hasselström Christina Sandlund Axel C. Carlsson Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden The Journal of Clinical Hypertension antihypertensive medication hypertension‐care organization lifestyle advice nurse‐based care task‐shifting team‐based care |
| title | Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden |
| title_full | Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden |
| title_fullStr | Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden |
| title_full_unstemmed | Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden |
| title_short | Assessing Associations of Nurse‐Managed Hypertension Care on Pharmacotherapy, Lifestyle Counseling, and Prevalence of Comorbid Cardiometabolic Diseases in All Patients With Hypertension That Are Treated in Primary Care in Stockholm, Sweden |
| title_sort | assessing associations of nurse managed hypertension care on pharmacotherapy lifestyle counseling and prevalence of comorbid cardiometabolic diseases in all patients with hypertension that are treated in primary care in stockholm sweden |
| topic | antihypertensive medication hypertension‐care organization lifestyle advice nurse‐based care task‐shifting team‐based care |
| url | https://doi.org/10.1111/jch.14940 |
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