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Effects of Non-pharmacological Hypertension Interventions on Health Behavior, Blood Pressure and Weight for Outpatient Clinic Adults: A DNP Project
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Effects of Non-pharmacological Hypertension Interventions on Health Behavior, Blood Pressure and Weight for Outpatient Clinic Adults: A DNP Project
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Effects of Non-pharmacological Hypertension Interventions on Health Behavior, Blood Pressure and Weight for Outpatient Clinic Adults: A DNP Project
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Dissertation
Effects of Non-pharmacological Hypertension Interventions on Health Behavior, Blood Pressure and Weight for Outpatient Clinic Adults: A DNP Project
2020
Overview
For patients diagnosed with hypertension, the first line treatment included lifestyle modification. Prior to starting any medication, weight loss, increased activity, alcohol moderation and healthy diet changes were shown to have a positive effect on lowering blood pressure. This DNP project was designed to determine the impact of these non-pharmacologic interventions. This DNP Project instructed patients in a Federally Qualified Health Center on important lifestyle modifications to reach blood pressure goals, maintaining healthy weight and achieving healthy behaviors. These measures were recommended by the American Heart Association. Health coaching was used to reinforce teaching. Medication adherence was assessed using the Krousel Wood 4. Healthy behaviors were measured using the Health Promoting Lifestyle Profile II. After three months, patients returned to the clinic and had their weight and blood pressure remeasured. Both surveys were also repeated. Blood pressure and overall healthy behaviors improved. Medication adherence scores and weights did not improve. The Nutrition subscale within the HPLP II was the only statistically significant finding. As a result of this DNP Project more nurse led programs aimed at reducing blood pressure have become available at the related clinics.
