Effectiveness of Mindfulness Therapy as a Complement to Pharmacological Treatment in the Control of Blood Pressure in Hypertensive Adults: A Quasi‐Experimental Study in Lima, Peru
ABSTRACT Objective To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru. Method This study employed a quasi‐experimental design with a quantitative and...
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Veröffentlicht in: | Public health Nursing 2025-01, Vol.42 (1), p.123-131 |
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creator | Chonta‐Jaime, Edith Cortez‐Portas, Neydi Luján López, Jorge Eduardo Villena Zapata, Luigi Italo Acosta‐Enriquez, Benicio Gonzalo Gonzales‐Carhuajulca, Doris |
description | ABSTRACT
Objective
To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru.
Method
This study employed a quasi‐experimental design with a quantitative and longitudinal cohort approach. The participants included 50 adults who were diagnosed with hypertension and who regularly attended the health center in the Villa El Salvador district of Lima, Peru. The data were collected using three instruments: the Depression Anxiety Stress Scale (DASS 21), validated in Peru; a sociodemographic questionnaire; and a BP recording sheet. The Wilcoxon test was utilized to assess the effectiveness of mindfulness therapy on BP control, while the nonparametric Friedman test was used to evaluate the effectiveness of mindfulness therapy considering confounding factors.
Results
Therapy resulted in favorable outcomes for BP control. After eight sessions, the average systolic BP decreased from 122.8 to 115.0 mm Hg (a reduction of 7%), and the average diastolic BP decreased from 78.1 to 69.9 mm Hg (a reduction of 11%).
Conclusions
Mindfulness is an effective complementary therapy for controlling BP in hypertensive adults. It also helps reduce confounding factors such as stress, anxiety, and depression. |
doi_str_mv | 10.1111/phn.13452 |
format | Article |
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Objective
To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru.
Method
This study employed a quasi‐experimental design with a quantitative and longitudinal cohort approach. The participants included 50 adults who were diagnosed with hypertension and who regularly attended the health center in the Villa El Salvador district of Lima, Peru. The data were collected using three instruments: the Depression Anxiety Stress Scale (DASS 21), validated in Peru; a sociodemographic questionnaire; and a BP recording sheet. The Wilcoxon test was utilized to assess the effectiveness of mindfulness therapy on BP control, while the nonparametric Friedman test was used to evaluate the effectiveness of mindfulness therapy considering confounding factors.
Results
Therapy resulted in favorable outcomes for BP control. After eight sessions, the average systolic BP decreased from 122.8 to 115.0 mm Hg (a reduction of 7%), and the average diastolic BP decreased from 78.1 to 69.9 mm Hg (a reduction of 11%).
Conclusions
Mindfulness is an effective complementary therapy for controlling BP in hypertensive adults. It also helps reduce confounding factors such as stress, anxiety, and depression.</description><identifier>ISSN: 0737-1209</identifier><identifier>ISSN: 1525-1446</identifier><identifier>EISSN: 1525-1446</identifier><identifier>DOI: 10.1111/phn.13452</identifier><identifier>PMID: 39468410</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>adult ; Adults ; Anxiety ; Blood pressure ; Confounding (Statistics) ; Control equipment ; Design of experiments ; Drug therapy ; Effectiveness ; Experimental design ; healthy lifestyle ; Hypertension ; Mental depression ; Mindfulness ; Pharmacology ; Therapy ; vulnerable population</subject><ispartof>Public health Nursing, 2025-01, Vol.42 (1), p.123-131</ispartof><rights>2024 Wiley Periodicals LLC.</rights><rights>2025 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2432-4681c509bc4890030269aab83340d675395dc4f4cc656b49a286b00fb4d40db23</cites><orcidid>0000-0003-1208-1242 ; 0000-0001-9430-0028 ; 0000-0002-9591-861X ; 0000-0002-3361-4223</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fphn.13452$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fphn.13452$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39468410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chonta‐Jaime, Edith</creatorcontrib><creatorcontrib>Cortez‐Portas, Neydi</creatorcontrib><creatorcontrib>Luján López, Jorge Eduardo</creatorcontrib><creatorcontrib>Villena Zapata, Luigi Italo</creatorcontrib><creatorcontrib>Acosta‐Enriquez, Benicio Gonzalo</creatorcontrib><creatorcontrib>Gonzales‐Carhuajulca, Doris</creatorcontrib><title>Effectiveness of Mindfulness Therapy as a Complement to Pharmacological Treatment in the Control of Blood Pressure in Hypertensive Adults: A Quasi‐Experimental Study in Lima, Peru</title><title>Public health Nursing</title><addtitle>Public Health Nurs</addtitle><description>ABSTRACT
Objective
To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru.
Method
This study employed a quasi‐experimental design with a quantitative and longitudinal cohort approach. The participants included 50 adults who were diagnosed with hypertension and who regularly attended the health center in the Villa El Salvador district of Lima, Peru. The data were collected using three instruments: the Depression Anxiety Stress Scale (DASS 21), validated in Peru; a sociodemographic questionnaire; and a BP recording sheet. The Wilcoxon test was utilized to assess the effectiveness of mindfulness therapy on BP control, while the nonparametric Friedman test was used to evaluate the effectiveness of mindfulness therapy considering confounding factors.
Results
Therapy resulted in favorable outcomes for BP control. After eight sessions, the average systolic BP decreased from 122.8 to 115.0 mm Hg (a reduction of 7%), and the average diastolic BP decreased from 78.1 to 69.9 mm Hg (a reduction of 11%).
Conclusions
Mindfulness is an effective complementary therapy for controlling BP in hypertensive adults. It also helps reduce confounding factors such as stress, anxiety, and depression.</description><subject>adult</subject><subject>Adults</subject><subject>Anxiety</subject><subject>Blood pressure</subject><subject>Confounding (Statistics)</subject><subject>Control equipment</subject><subject>Design of experiments</subject><subject>Drug therapy</subject><subject>Effectiveness</subject><subject>Experimental design</subject><subject>healthy lifestyle</subject><subject>Hypertension</subject><subject>Mental depression</subject><subject>Mindfulness</subject><subject>Pharmacology</subject><subject>Therapy</subject><subject>vulnerable population</subject><issn>0737-1209</issn><issn>1525-1446</issn><issn>1525-1446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp1kU2O0zAYhi0EYkphwQWQJTYgkRn_pgm7UhWKVKCIso4c5wvNyImDf4DuOAKX4UKcBKcdWCDhjWV9jx_71YvQQ0ouaVpX42G4pFxIdgvNqGQyo0Lkt9GMLPgio4yUF-ie99eEEC5Zfhdd8FLkhaBkhn6u2xZ06L7AAN5j2-I33dC00ZyO-wM4NR6x8ljhle1HAz0MAQeLdwfleqWtsZ86rQzeO1DhNOwGHA6Q8CE4ayblC2Ntg3cuKaODCdgcR3ABBp8exssmmuCf4yV-H5Xvfn3_sf6Wxt1kS-YPITbH6dK269UzvAMX76M7rTIeHtzsc_Tx5Xq_2mTbd69er5bbTDPBWZZCUi1JWWtRlCk8YXmpVF1wLkiTLyQvZaNFK7TOZV6LUrEirwlpa9EkoGZ8jp6cvaOznyP4UPWd12CMGsBGX3HKqCxZkVRz9Pgf9NpGN6TfJUrSRcElmYRPz5R21nsHbTWmnModK0qqqcsqdVmdukzsoxtjrHto_pJ_ykvA1Rn42hk4_t9U7TZvz8rfJ5-qjA</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Chonta‐Jaime, Edith</creator><creator>Cortez‐Portas, Neydi</creator><creator>Luján López, Jorge Eduardo</creator><creator>Villena Zapata, Luigi Italo</creator><creator>Acosta‐Enriquez, Benicio Gonzalo</creator><creator>Gonzales‐Carhuajulca, Doris</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1208-1242</orcidid><orcidid>https://orcid.org/0000-0001-9430-0028</orcidid><orcidid>https://orcid.org/0000-0002-9591-861X</orcidid><orcidid>https://orcid.org/0000-0002-3361-4223</orcidid></search><sort><creationdate>202501</creationdate><title>Effectiveness of Mindfulness Therapy as a Complement to Pharmacological Treatment in the Control of Blood Pressure in Hypertensive Adults: A Quasi‐Experimental Study in Lima, Peru</title><author>Chonta‐Jaime, Edith ; Cortez‐Portas, Neydi ; Luján López, Jorge Eduardo ; Villena Zapata, Luigi Italo ; Acosta‐Enriquez, Benicio Gonzalo ; Gonzales‐Carhuajulca, Doris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2432-4681c509bc4890030269aab83340d675395dc4f4cc656b49a286b00fb4d40db23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>adult</topic><topic>Adults</topic><topic>Anxiety</topic><topic>Blood pressure</topic><topic>Confounding (Statistics)</topic><topic>Control equipment</topic><topic>Design of experiments</topic><topic>Drug therapy</topic><topic>Effectiveness</topic><topic>Experimental design</topic><topic>healthy lifestyle</topic><topic>Hypertension</topic><topic>Mental depression</topic><topic>Mindfulness</topic><topic>Pharmacology</topic><topic>Therapy</topic><topic>vulnerable population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chonta‐Jaime, Edith</creatorcontrib><creatorcontrib>Cortez‐Portas, Neydi</creatorcontrib><creatorcontrib>Luján López, Jorge Eduardo</creatorcontrib><creatorcontrib>Villena Zapata, Luigi Italo</creatorcontrib><creatorcontrib>Acosta‐Enriquez, Benicio Gonzalo</creatorcontrib><creatorcontrib>Gonzales‐Carhuajulca, Doris</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health Nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chonta‐Jaime, Edith</au><au>Cortez‐Portas, Neydi</au><au>Luján López, Jorge Eduardo</au><au>Villena Zapata, Luigi Italo</au><au>Acosta‐Enriquez, Benicio Gonzalo</au><au>Gonzales‐Carhuajulca, Doris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of Mindfulness Therapy as a Complement to Pharmacological Treatment in the Control of Blood Pressure in Hypertensive Adults: A Quasi‐Experimental Study in Lima, Peru</atitle><jtitle>Public health Nursing</jtitle><addtitle>Public Health Nurs</addtitle><date>2025-01</date><risdate>2025</risdate><volume>42</volume><issue>1</issue><spage>123</spage><epage>131</epage><pages>123-131</pages><issn>0737-1209</issn><issn>1525-1446</issn><eissn>1525-1446</eissn><abstract>ABSTRACT
Objective
To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru.
Method
This study employed a quasi‐experimental design with a quantitative and longitudinal cohort approach. The participants included 50 adults who were diagnosed with hypertension and who regularly attended the health center in the Villa El Salvador district of Lima, Peru. The data were collected using three instruments: the Depression Anxiety Stress Scale (DASS 21), validated in Peru; a sociodemographic questionnaire; and a BP recording sheet. The Wilcoxon test was utilized to assess the effectiveness of mindfulness therapy on BP control, while the nonparametric Friedman test was used to evaluate the effectiveness of mindfulness therapy considering confounding factors.
Results
Therapy resulted in favorable outcomes for BP control. After eight sessions, the average systolic BP decreased from 122.8 to 115.0 mm Hg (a reduction of 7%), and the average diastolic BP decreased from 78.1 to 69.9 mm Hg (a reduction of 11%).
Conclusions
Mindfulness is an effective complementary therapy for controlling BP in hypertensive adults. It also helps reduce confounding factors such as stress, anxiety, and depression.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39468410</pmid><doi>10.1111/phn.13452</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1208-1242</orcidid><orcidid>https://orcid.org/0000-0001-9430-0028</orcidid><orcidid>https://orcid.org/0000-0002-9591-861X</orcidid><orcidid>https://orcid.org/0000-0002-3361-4223</orcidid></addata></record> |
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subjects | adult Adults Anxiety Blood pressure Confounding (Statistics) Control equipment Design of experiments Drug therapy Effectiveness Experimental design healthy lifestyle Hypertension Mental depression Mindfulness Pharmacology Therapy vulnerable population |
title | Effectiveness of Mindfulness Therapy as a Complement to Pharmacological Treatment in the Control of Blood Pressure in Hypertensive Adults: A Quasi‐Experimental Study in Lima, Peru |
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