NURSING CARE FOR HYPERTENSION CONTROL IN PRIMARY HEALTH CARE: EFFECTIVENESS AND STRATEGIES
DOI:
https://doi.org/10.56238/arev8n5-051Keywords:
Hypertension, Nursing Care, Primary Health Care, Review, Health EducationAbstract
Objective: To synthesize and discuss the scientific evidence on the role and effectiveness of nursing care in the control of Systemic Arterial Hypertension in Primary Health Care settings. Method: This is a narrative literature review. The search was conducted in the LILACS, SciELO, and PubMed/MEDLINE databases, encompassing publications between 2020 and 2025. Nineteen relevant studies were selected, including randomized clinical trials, systematic reviews, cohort studies, and qualitative research. The synthesis of knowledge was organized into thematic categories. Results: The most effective nursing interventions include: health education strategies (with a reduction in systolic blood pressure of up to 5.8 mmHg); blood pressure monitoring (with reductions of 3.3 to 8.5 mmHg); support for medication adherence; lifestyle modification programs; and nurse-led care models, such as nursing clinics and case management, which demonstrated reductions in systolic blood pressure between 5.4 and 12.41 mmHg. Outcomes include improved blood pressure control, increased adherence rates, enhanced disease knowledge, and improved quality of life. Conclusion: The evidence confirms that nursing care is fundamental and highly effective for the control of hypertension in primary health care. Nurse-led interventions, particularly when integrated into collaborative models, result in better clinical outcomes.
Downloads
References
AMERICAN HEART ASSOCIATION. Hypertension statistics and facts. 2020. Disponível em: https://www.heart.org. Acesso em: 10 mar. 2026.
ANAND, S. Hypertension control: Lots of progress, but still a long way to go. The Lancet, v. 401, n. 10393, 2023. DOI: 10.1016/S0140-6736(23)00921-3.
ARSHAD, M. et al. Abstract 265: Implementation of treat to target hypertension strategy in a metropolitan primary care facility. Circulation: Cardiovascular Quality and Outcomes, v. 15, n. Suppl_1, 2022.
DULLER, P. et al. The effectiveness of collaborative advanced practice nursing in primary hypertension management: A randomized controlled trial. Kardiyovasküler Hemşirelik Dergisi, 2024.
FALCÃO, D. V. S. et al. Intervenção educativa realizada por enfermeiros para controle da pressão arterial: revisão sistemática com metanálise. Revista Latino-Americana de Enfermagem, v. 31, 2023. DOI: 10.1590/1518-8345.6648.3931.
FIGUEIREDO, M. H. et al. Empowerment of hypertensive individuals and families in disease management: A community nursing intervention. Pensar Enfermagem, v. 27, n. 1, 2023.
ITO, K. et al. The short and long-term efficacy of nurse-led interventions for improving blood pressure control in people with hypertension in primary care settings: A systematic review and meta-analysis. BMC Primary Care, v. 25, 2024. DOI: 10.1186/s12875-024-02380-x.
JAFAR, T. H. et al. Integration of a multicomponent intervention for hypertension into primary healthcare services in Singapore – A cluster randomized controlled trial. PLOS Medicine, v. 19, n. 6, 2022. DOI: 10.1371/journal.pmed.1004026.
JUNIOR, A. C. P. et al. Combate à hipertensão arterial: Importância da prevenção e do cuidado. Research, Society and Development, v. 11, n. 4, 2022. DOI: 10.33448/rsd-v11i4.27794.
KAUR, G. et al. The India Hypertension Control Initiative – early outcomes in 26 districts across five states of India, 2018–2020. Journal of Human Hypertension, v. 36, 2022. DOI: 10.1038/s41371-022-00742-5.
LUMU, W. et al. Effectiveness of a nurse-led management intervention on systolic blood pressure among type 2 diabetes patients in Uganda: A cluster randomized trial. Clinical Diabetes and Endocrinology, v. 10, 2024. DOI: 10.1186/s40842-024-00167-8.
MANTOVANIL, M. F. et al. Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: A systematic review. Investigación y Educación en Enfermería, v. 39, n. 1, 2021. DOI: 10.17533/UDEA.IEE.V39N1E04.
MIAO, J. et al. The evaluation of a nurse-led hypertension management model in an urban community healthcare: A randomized controlled trial. Medicine, v. 99, n. 29, 2020. DOI: 10.1097/MD.000000000020967.
ORGANIZAÇÃO MUNDIAL DE SAÚDE. Mundo tem mais de 700 milhões de pessoas com hipertensão não tratada. Pan American Health Organization, 2021. Disponível em: https://www.paho.org/pt/noticias/25-8-2021-mundo-tem-mais-700-milhoes-pessoas-com- hipertensao-nao-tratada. Acesso em: 10 mar. 2026.
ROTHER, E. T. Revisão sistemática X revisão narrativa. Acta paul. Enferm 2007; 20(2):v-vi
SETYOADI, S. et al. The effect of a nurse's home visit intervention on knowledge, dietary salt adherence, and blood pressure in hypertensive patients at primary health care. Jurnal Keperawatan, v. 15, n. 2, 2024. DOI: 10.22219/jk.v15i02.25376.
SILVA, L. B. et al. Nursing case management for people with hypertension in primary health care: A randomized controlled trial. Research in Nursing & Health, v. 43, n. 1, 2020a. DOI: 10.1002/NUR.21994.
SILVA, M. A. et al. Educação em saúde como estratégia prestada por enfermeiros a pacientes com hipertensão na perspectiva dos cuidados primários. Arquivos de Ciências da Saúde da UNIPAR, v. 27, n. 2, 2023. DOI: 10.25110/arqsaude.v27i2.2023-029.
STEPHEN, C. et al. Nurse-led interventions to manage hypertension in general practice: A systematic review and meta-analysis. Journal of Advanced Nursing, v. 78, n. 4, 2022. DOI: 10.1111/jan.15159.
VAY-DEMOUY, A. et al. Impact of nurse-led interventions with prescriptive authority on blood pressure control in hypertension management: A systematic review and meta-analysis. BMC Nursing, v. 24, 2025. DOI: 10.1186/s12912-025-03328-x.
VEDANTHAN, R. et al. Effect of nurse-based management of hypertension in rural western Kenya. Global Heart, v. 15, n. 1, 2020. DOI: 10.5334/GH.856.
YU, E. Y. T. et al. Assessment of hypertension complications and health service use 5 years after implementation of a multicomponent intervention. JAMA Network Open, v. 6, n. 5, 2023. DOI: 10.1001/jamanetworkopen.2023.15064.
