The Effect of Nursing Interventions in Women With Gestational Hypertension: A Systematic Review and Meta-Analysis.
Maide Nur Tumkaya, Sehma Sen, Kafiye Eroglu
PMID 40064480WHAT IT FOUND
Nursing interventions added to standard care for pregnant women with gestational hypertension lowered systolic and diastolic blood pressure, anxiety and depression, and shortened hospital stay.
Preeclampsia development did not change.
Key findings
01Pooled analyses showed nursing interventions reduced systolic and diastolic blood pressure in women with gestational hypertension.
02Anxiety and depression were lower after nursing interventions in the pooled analyses.
03Hospital stay was shorter in the pooled analysis of two studies, but preeclampsia development was not significantly affected in the pooled analysis of four studies.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The included studies used different interventions, measurements and follow-up periods, so the pooled results may not apply to one specific nursing programme. The blood pressure and anxiety analyses had high heterogeneity, and Egger's test suggested publication bias. Some outcomes were pooled from only two or four studies, and some studies had small sample sizes. Two quasi-experimental studies were included, which may weaken causal inference. The review did not identify a single primary outcome, so positive secondary outcomes should not override the null preeclampsia result.
The easy way to misread this
Do not read the positive blood pressure, anxiety and depression results as proof that one nursing component works. The interventions were bundled and heterogeneous, and preeclampsia development was not significantly affected.