Effectiveness of nurse-led hypertension interventions on retention, adherence, and blood pressure control among adults in low- and middle-income countries: A systematic review.

What was studied

This review looked at nurse-led programs for adults with high blood pressure. It covered low- and middle-income countries. The comparison was usual care. The main outcome was retention in care. Other outcomes were medication adherence and blood pressure control. The search covered 2000 to 2026. The review included 11 studies.

What they found

Most studies were randomized trials. Many had high or unclear bias risk in missing data. Retention in care varied widely. Few studies reported medication adherence, with varied effects. 9 studies reported mean systolic pressure after the program. Most reported a mean fall of more than 10 mmHg. All studies with diastolic data reported a fall. The range was -1.8 to -20.6 mmHg.

What it means for patients

They say nurse-led care improved blood pressure control in these countries. They say retention in care varied widely. They say evidence on adherence was limited.

Why it is not certain yet

The studies differed in length and follow-up. The reported pressure falls should not be read as a pooled effect. Retention varied as definitions differed. The authors call for standard outcome measures and sound study designs. New data may change the picture. The data come from other studies.

Source

Effectiveness of nurse-led hypertension interventions on retention, adherence, and blood pressure control among adults in low- and middle-income countries: A systematic review.

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