Nursing educational strategies to improve treatment adherence and self-care in arterial hypertension in primary care
DOI:
https://doi.org/10.70577/asce.v5i2.932Keywords:
hypertension, nursing, therapeutic adherence, self-care, primary care.Abstract
Hypertension is one of the leading risk factors for cardiovascular disease and premature mortality worldwide, necessitating strengthened control strategies in primary care. The objective of this study was to analyze recent evidence on nursing educational strategies aimed at improving treatment adherence and self-care in people with hypertension. A systematic review was conducted following PRISMA guidelines, using databases such as PubMed, Scopus, Web of Science, CINAHL, Cochrane Library, and LILACS. Studies published between 2020 and 2025 that evaluated nursing-led educational interventions in primary care were included. After applying selection criteria and methodological assessment, 20 articles were included for the results synthesis. The findings showed that structured educational interventions, combined with self-monitoring of blood pressure, continuous follow-up, and behavioral strategies, improve therapeutic adherence and strengthen self-care, with favorable effects on blood pressure control. It is concluded that nursing plays a key role in the implementation of sustainable educational programs in primary care for the comprehensive management of hypertension.
Downloads
References
Adzitey, S. P., Akimanimpaye, F., & Crowley, T. (2026). Effectiveness of nurse-facilitated hypertension self-management interventions: A mixed-methods systematic review and meta-analysis. International Journal of Nursing Sciences. https://doi.org/10.1016/j.ijnss.2026.02.016
Berardinelli, D., Conti, A., Hasnaoui, A., et al. (2024). Nurse-led interventions for improving medication adherence in chronic diseases: A systematic review. Healthcare, 12(23), 2337. https://doi.org/10.3390/healthcare12232337
Bulto, L. N., et al. (2024). Effectiveness of nurse-led interventions versus usual care to manage hypertension and lifestyle behaviour: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 23(1), 21–36. https://doi.org/10.1093/eurjcn/zvad048
Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (Eds.). (2024). Cochrane handbook for systematic reviews of interventions (Version 6.5). Cochrane Collaboration. https://training.cochrane.org/handbook
Huang, X., et al. (2023). The effects of motivational interviewing-based interventions on hypertension management: A systematic review. Patient Education and Counseling, 116, 107996. https://doi.org/10.1016/j.pec.2023.107996
Ito, M., et al. (2024). 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, 25, 80. https://doi.org/10.1186/s12875-024-02380-x
Longenecker, C. T., et al. (2024). Nurse-led strategy to improve blood pressure and cholesterol levels among people with HIV: A randomized clinical trial. JAMA Network Open, 7(3), e241234. https://doi.org/10.1001/jamanetworkopen.2024.1234
Lumu, W., et al. (2024). Effectiveness of a nurse-led management intervention on systolic blood pressure among type 2 diabetes patients in Uganda: A cluster randomized trial. Implementation Science Communications, 5, 73. https://doi.org/10.1186/s40842-024-00173-w
Martínez-Ibáñez, P., et al. (2023). Home blood pressure self-monitoring plus self-titration of antihypertensive medication for poorly controlled hypertension in primary care: The ADAMPA randomized clinical trial. Journal of General Internal Medicine, 38, 1–10. https://doi.org/10.1007/s11606-022-07791-z
Mustara, M., et al. (2025). Key contents of health education and their impact on improving medication adherence among hypertensive patients: A systematic review and meta-analysis. Narra Journal, 5(2), e2080. https://doi.org/10.52225/narra.v5i2.2080
Noorollahi, Z., et al. (2025). Investigating the effects of implementing the family health nurse model on the self-management of elderly individuals with hypertension: A randomized controlled trial. BMC Primary Care, 26(1), 380. https://doi.org/10.1186/s12875-025-03097-1
Ogedegbe, G., Tobin, J. N., Fernandez, S., et al. (2024). Home blood pressure telemonitoring and nurse case management in Black and Hispanic patients with stroke: A randomized clinical trial. JAMA, 332(1), 41–50. https://doi.org/10.1001/jama.2024.6609
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—A web and mobile app for systematic reviews. Systematic Reviews, 5, 210. https://doi.org/10.1186/s13643-016-0384-4
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
Parasuraman, A., et al. (2025). Nurse-led interventions for self-care and restitutive behaviors in hypertension: A quasi-experimental study. Bioinformation, 21(2), 12653–12660.
Siedner, M. J., et al. (2025). Home-based care for hypertension in rural South Africa. The New England Journal of Medicine, 393, 1200–1212. https://doi.org/10.1056/NEJMoa2509958
Vay-Demouy, J., et al. (2025). Impact of nurse-led interventions with prescriptive authority on blood pressure control in hypertension management: A systematic review and meta-analysis. BMC Nursing, 24, 328. https://doi.org/10.1186/s12912-025-03328-x
World Health Organization. (2023). Global report on hypertension: The race against a silent killer. World Health Organization.
World Health Organization. (2025). Global report on hypertension 2025: High stakes, turning evidence into action. World Health Organization.
Writing Committee Members. (2025). 2025 AHA/ACC clinical practice guideline for the management of high blood pressure. Circulation. https://doi.org/10.1161/CIR.0000000000001356
Xu, J., et al. (2025). Motivational interviewing intervention for the management of hypertension: A meta-analysis. Frontiers in Cardiovascular Medicine, 11, 1457039. https://doi.org/10.3389/fcvm.2024.1457039
Yulianti, T., Widayanti, A. W., Kristina, S. A., & Yasin, N. M. (2025). Theory-based interventions to improve medication adherence among patients with hypertension in primary healthcare and the community: A systematic review. Journal of Preventive Medicine and Public Health, 58(4), 348–359. https://doi.org/10.3961/jpmph.24.651
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Melany Grisell Grijalva Cruz , Francis David Almeida Lomas , José David Pozo Quezada , Msc. Sandra Lorena López Reyes , Msc. José Orlando Flores Alarcón

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Eres libre de:
- Compartir : copiar y redistribuir el material en cualquier medio o formato
- Adaptar : remezclar, transformar y desarrollar el material
- El licenciante no puede revocar estas libertades siempre y cuando usted cumpla con los términos de la licencia.
En los siguientes términos:
- Atribución : Debe otorgar el crédito correspondiente , proporcionar un enlace a la licencia e indicar si se realizaron cambios . Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o a su uso.
- No comercial : no puede utilizar el material con fines comerciales .
- CompartirIgual — Si remezcla, transforma o construye sobre el material, debe distribuir sus contribuciones bajo la misma licencia que el original.
- Sin restricciones adicionales : no puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otros hacer algo que la licencia permite.














