The second study by Gummidi et al. (2020) explores how antihypertensive can be very
effective except when it is difficult for individuals to continue with the regimen, making
medication alone a poor choice in controlling blood pressure. The problem in this study is that
not everyone can follow a medication regimen. Adherence to medication alone to control blood
pressure may depend on medication side effects, cost, dosages, gender, and other co-morbidities
(Gummidi et al., 2020). This article is significant to nursing because nurses become the primary
educators. Being able to recognize that a medication regimen alone is not enough to keep blood
pressure under control can help prevent further hospitalizations. Nurses can also provide other
lifestyle modifications that can help improve blood pressure and make medication intake more
tolerable. This study highlighted the poor control of blood pressure with medications alone. The
objective is to explore the reason for irregular antihypertensive medication intake affecting blood
pressure and the perspective of healthcare providers (Gummidi et al., 2020). The research
question in this study is how blood pressure is affected by non-adherence and how to resolve this
issue to gain control of this disease which can be deadly
How Do the Articles Support the Nurse Practice Issue You Chose?
Nurses spend most of their time with patients and need to provide the tools necessary for
patients to take control of their medical conditions. Providing information and guidance on
exercise for those suffering from hypertension can improve blood pressure control in individuals
and communities. Earlier, it was mentioned that some might not comply with medication regimes
due to cost, which is why being able to educate on the incorporation of exercise, such as walking,
which is free, can make a huge difference in blood pressure control
Method of Studies
Non-matched case–control studies were used in which 288 participants were enrolled in
the case group, and 310 participants were enrolled in the control group (Zhang, et al.,2020).
These studies were conducted through surveys, telephone interviews, and visits. The data was
analyzed using Epidata 3.1 to establish the database. A benefit of this study is that the sample
size is large, and therefore, more data can be collected, but case-control studies can be
susceptible to research biases. The study by Gummidi et al. (2020) conducted in-depth
interviews and focused group discussions among patients and healthcare providers. Audio
recording devices were used to collect data since this study took place in India. The information
was later translated into English after a rigorous review by PI and the generation of codes
manually. One benefit of this study is that it collected information from healthcare professionals
and patients. However, the information was limited to eight healthcare professionals and eight
patients from a specific region. Both articles use different methods and different group sizes to
conduct their data which allows the study with the smaller group to have more control over their
study than the other.
Results of Studies
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