How Does the Use of Telemonitoring in Adult Patients with Uncontrolled Hypertension Improve Blood Pressure Control? An Integrative Review
School of Nursing
Doctor of Nursing Practice (DNP)
telemonitoring, hypertension, standard care, blood pressure, home monitoring, adults, uncontrolled hypertension
Bakop, Lucie, "How Does the Use of Telemonitoring in Adult Patients with Uncontrolled Hypertension Improve Blood Pressure Control? An Integrative Review" (2022). Doctoral Dissertations and Projects. 4072.
Hypertension is an evolving problem worldwide and it constitutes a great risk for cardiovascular diseases. Despite the research and new drugs on the market to manage high blood pressure, hypertension remains the leading cause of disability-adjusted life and death worldwide. With many people suffering from hypertension around the world, and the burden of uncontrolled hypertension, it is imperative to find an intervention that can improve blood pressure control. To better target uncontrolled hypertension, the conventional method of management of high blood pressure based on in-person visits has shown some limitations and it must be combined with a contemporary approach that allows for fast decision-making and fast results. One measure that has been identified to improve blood pressure control is the use of telemonitoring. Telemonitoring is a remote delivery of care that provides a quick transfer of information between a healthcare professional and a patient. Telemonitoring improves access to care, patient education, counseling, medication management, and titration, improve adherence to care plans, improves healthcare cost, speeds up healthcare delivery and decision-making strategies, and improves the overall health of patients. There is strong evidence in research studies showing that telemonitoring can improve blood pressure control and prevent cardiovascular events in patients with uncontrolled hypertension. However, challenges remain relating to the sustainability and long-term clinical effectiveness of telemonitoring.