An evaluation of the impact of nurse-led telemonitoring on blood pressure control among hypertensive patients in Nnamdi Azikiwe University Teaching Hospital, Nnewi
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Background of the Study
Hypertension is one of the most prevalent and significant risk factors for cardiovascular diseases (CVDs), stroke, and kidney failure. In Nigeria, the prevalence of hypertension continues to rise, with millions of individuals affected, many of whom remain unaware of their condition due to limited access to healthcare (Oluwaseun et al., 2023). Effective management of hypertension is essential in preventing complications associated with the disease, but challenges such as inconsistent follow-up visits, patient non-adherence to medication, and a lack of continuous monitoring contribute to poor control of blood pressure (Okafor et al., 2023).
Telemonitoring, which involves the remote monitoring of patients' health metrics through digital devices, has emerged as a promising intervention in managing chronic conditions like hypertension. Nurse-led telemonitoring has gained traction in recent years, allowing healthcare providers, particularly nurses, to monitor patients’ health remotely, track their blood pressure, and provide real-time feedback and advice (Sulaimon & Olanrewaju, 2024). This intervention has been shown to improve medication adherence, encourage healthy lifestyle changes, and ultimately contribute to better control of blood pressure.
Nnamdi Azikiwe University Teaching Hospital in Nnewi is a leading healthcare facility that serves a significant population in the southeastern region of Nigeria. Given the increasing number of hypertensive patients and the challenges associated with managing hypertension, the potential benefits of nurse-led telemonitoring in this setting need to be evaluated. This study aims to assess the impact of nurse-led telemonitoring on blood pressure control among hypertensive patients in the hospital, evaluating whether it contributes to better management and outcomes for patients living with hypertension.
Statement of the Problem
Hypertension is poorly controlled in many patients due to limited access to healthcare services and inconsistent monitoring. At Nnamdi Azikiwe University Teaching Hospital, like many other healthcare institutions in Nigeria, there is a need for effective, accessible, and continuous management of hypertension. Nurse-led telemonitoring offers an innovative solution, but its impact on blood pressure control among hypertensive patients in this particular setting remains under-researched. This study seeks to fill this gap by evaluating how nurse-led telemonitoring affects blood pressure control in hypertensive patients at the hospital.
Objectives of the Study
- To evaluate the impact of nurse-led telemonitoring on blood pressure control among hypertensive patients at Nnamdi Azikiwe University Teaching Hospital.
- To assess the level of patient adherence to medication and lifestyle changes through nurse-led telemonitoring.
- To examine the challenges faced by nurses in implementing telemonitoring for hypertensive patients.
Research Questions
- How does nurse-led telemonitoring affect blood pressure control among hypertensive patients at Nnamdi Azikiwe University Teaching Hospital?
- What is the level of patient adherence to hypertension management strategies through nurse-led telemonitoring?
- What challenges do nurses face in implementing nurse-led telemonitoring for hypertensive patients?
Research Hypotheses
- Nurse-led telemonitoring significantly improves blood pressure control among hypertensive patients at Nnamdi Azikiwe University Teaching Hospital.
- There is a positive correlation between nurse-led telemonitoring and patient adherence to hypertension management.
- The challenges faced by nurses in implementing telemonitoring are related to technological limitations and lack of adequate training.
Scope and Limitations of the Study The study will focus on hypertensive patients attending Nnamdi Azikiwe University Teaching Hospital. Limitations include potential biases due to self-reported adherence and the difficulty in monitoring the consistency of telemonitoring use.
Definitions of Terms
- Telemonitoring: The use of telecommunications technology to monitor patients’ health parameters remotely.
- Hypertensive patients: Individuals diagnosed with hypertension, characterized by high blood pressure.
- Nurse-led telemonitoring: A healthcare approach where nurses are responsible for remotely monitoring patients’ health, particularly blood pressure, and providing support and advice.
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