Evidence map›Paper›PMID 41937999›Full record

ReviewInternational journal of nursing sciences2026

Effectiveness of nurse-led hypertension self-management interventions: A mixed-methods systematic review and meta-analysis.

Sylvia P Adzitey, Furaha Akimanimpaye, Talitha Crowley

Abstract readReview
In one paragraph

Review in International journal of nursing sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sylvia P AdziteySchool of Nursing, Faculty of Community Health, University of the Western Cape, Cape Town, South Africa.
Furaha AkimanimpayeSchool of Nursing, Faculty of Community Health, University of the Western Cape, Cape Town, South Africa.
Talitha CrowleySchool of Nursing, Faculty of Community Health, University of the Western Cape, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This mixed-method systematic review aimed to synthesize quantitative and qualitative evidence on the effectiveness of nurse-led self-management interventions for people with hypertension. Methods: This review, guided by the Joanna Briggs Institute (JBI) manual for evidence synthesis, was conducted by searching PubMed, CINAHL, Web of Science, Scopus, Google Scholar, and reference lists of included studies. Two reviewers independently screened, critically appraised, and extracted data from studies reporting nurse-led interventions for hypertension self-management. The JBI critical appraisal tool for randomized control trials and the mixed methods appraisal tool were used to appraise included studies. Meta-analysis was performed using Review Manager 5.4.1. The certainty of the evidence was determined using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results: A total of 22 studies and 2,706 participants were included. Most studies were conducted in Asia, with only one study from Africa. Most interventions employed a hybrid of face-to-face and mHealth and were delivered through a blend of individual and group-based approaches. The meta-analysis showed that nurse-led self-management interventions significantly reduced systolic blood pressure ( Conclusions: Nurse-led interventions focusing on self-management are effective for improving hypertension outcomes compared with usual care. Still, the high heterogeneity suggests that factors such as population characteristics and intervention components may influence effectiveness. A combination of individual and group-based approaches offers dual benefits: tailored care and patient peer support through shared experiences.

Indexed as

Cardiovascular diseasesHypertensionNursingSelf-managementSystematic review

Identifiers

PMID41937999
PMCPMC13044362

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.