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Impact of nurse-initiated education on HeartScore in patients with hypertension: a randomised trial

24 June 2021
Volume 30 · Issue 12



People with hypertension experience significant damage to major organs due to insufficient management of cardiovascular risk factors.


To assess the impact of nurse-led educational interventions on the total cardiovascular risk among people with hypertension.


the study was an interventional randomised study. The sample (n=92) was randomly assigned to the either the control or intervention group. The HeartScore tool was used to assess patients' total cardiovascular risk between December 2017 and March 2018.


56.6% of the control group and 55.4% of the intervention group were women, with a mean age of 64.4 years and 66.2 years respectively (P>0.05). Total cholesterol reduced in both groups; however, improvement was greater in the intervention group (P<0.05). Total cardiovascular risk fell in the intervention group from 4.75 to 4.33 (P>0.05), while the control group saw an increase in risk from 10.03 to 12.65 (P=0.035).


Nurse-led educational interventions should be incorporated in the usual care of patients with hypertension, in order to achieve the best management of the condition.

The presence of cardiovascular risk factors in patients with arterial hypertension has been examined in many studies. According to Badego et al (2020), the most frequent risk factors in people with hypertension are obesity and smoking, and de Souza Filho et al (2018) found that people with hypertension had higher values of body mass index, waist circumference, visceral fat and body fat than non-hypertensive individuals. At the same time, studies have demonstrated that patients with hypertension have very low levels of adherence to recommended guidance on managing their cardiovascular risk factors. For example, in Warren-Findlow and Seymour's (2011) study 58.6% of patients adhered to their medication regimen, less than 25% followed the recommended diet guidance, 25% continued to smoke and less than 30% maintained a recommended body weight.

Evidence that patients with hypertension demonstrate poor management of cardiovascular risk factors has highlighted the need for a tool that can be used to assess an individual's total cardiovascular risk.

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