A Review of Integrative Approaches to Self-management of Hypertension
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Honors Theses; 2019
Hypertension (HTN), or high blood pressure, is a chronic condition associated with serious complications. There is a high prevalence worldwide and increasing numbers of people are diagnosed with hypertension. Antihypertensive medications are an important part of treatment of hypertension that also includes lifestyle modification including diet and exercise, yet poor control of blood pressure remains common and contributes to poor outcomes. Dietary approaches to stop Hypertension (DASH) is the most commonly recommended non-pharmacological intervention, yet since its introduction, the number of people with hypertension has increased due to a variety of factors. Alternative or complementary (integrative) interventions may be effective in reducing hypertension. The purpose of this literature review was to identify effective alternative or complementary interventions to reduce hypertension. PubMed and CINAHL were searched using predetermined set of terms and parameters. Electronic and manual searches were completed to ensure that all inclusion and exclusion criteria were applied to the selected articles. Inclusion criteria were: outcome measure of blood pressure (BP); English language; published between 2013 and 2018; either systematic review, randomized controlled trial, or meta-analysis; adult humans (18 years or older); subjects with an official diagnosis of hypertension; the intervention must be an alternative or complementary diet or behavioral intervention; and the article must be relevant to our purposes. Eighteen studies were selected for review and were categorized accordingly. Categories were behavioral intervention, dietary intervention, and combination of a dietary and a behavioral intervention. The data shows the effectiveness of integrative approaches to hypertension self-management such as taking measures to reduce stress and increase physical activity through gentle exercise techniques like tai chi and yoga, altering the diet, taking supplements such as beetroot juice, and managing stress through stress-reduction/relaxation techniques. However, further research comparing the interventions is needed to determine the most effective non-pharmacological solutions for hypertension.
Academic Major: Nursing
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