Medication and Exercise Effect on Hypertension
Medication and Exercise Effect on Hypertension Essay
Medication and Exercise Effect on Hypertension Essay
Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.
Exploring the Literature

Picot Question:

Research Tool Search Tips Search Terms & Limits Findings Features
CINAHL
CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health.Medication and Exercise Effect on Hypertension Essay. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

§ Look at the Major Subject Heading in the Full Record
§ Use the Limits Feature:

o Example: Publication Type=Systematic Review

§ Try the CINAHL Heading search:

Keyword search:
Limits:

CINAHL Heading search:

Limits:

PubMed
PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.Medication and Exercise Effect on Hypertension Essay

§ Look at MeSH Terms in Full Record
§ Use the Limits Feature:

o Examples: Article Type=Meta-Analysis; Age=All Adult

§ Look for the open access Free articles!

Keyword search:
Limits:

MESH search:

Limits:

Cochrane Library
Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

§ Use the Simple Search and the Advance Search Features
§ Allows you to search with MeSH Terms

§ Check out the New Reviews

Browse reviews by topic

Keyword search:

Limits:

MESH search:

Limits:

Dynamed

· Use the Simple Search and the Advance Search Features
· Allows you to search with MeSH Terms

· Check out the New Reviews

Browse reviews by topic

Keyword search:

Also browse by:

TRIP Database
TRIP is a clinical search engine to locate publicly available clinical evidence.Medication and Exercise Effect on Hypertension Essay

§ Limit to:
§ Systematic Reviews

§ Guidelines-US

Keyword search:
Limits:

SU Library Search · Library Search is setup just like an EBSCO
· The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

Other Databases:
Be sure to spend some time in Library Search it is setup just like an EBSCO database and gives you the experience of learning how to navigates databases, and provides you with a larger pool of information within which to search. Medication and Exercise Effect on Hypertension Essay

Evidence Table Worksheet

PICOT Question:

Among hypertensive adults in Primary Care settings (Population), how does exercise with

Medications (Intervention) compared to medications alone (Comparison) affect blood pressure readings (outcome) within one year (time)?

Will you have a comparison group or will subjects be their own controls?

The study will have an intervention and control group. Adult patients being managed for hypertension with exercise and medications will be the intervention group while the comparison group will be hypertensive patients being managed with medications only. Medication and Exercise Effect on Hypertension Essay

ORDER A PLAGIARISM- FREE PAPER NOW

Is a time appropriate with your question? Yes, the PICO question requires a time frame as this is what will determine the period for data collection to determine the outcomes and make a conclusion.

I. Evidence Synthesis

(database) Cochran Study #1 Study #2 Study #3 Study #4 Study #5 Synthesis
(p) Population Adult hypertensive patients Adult hypertensive patients on antihypertensives Male outpatients aged 45-55 years with essential hypertension Adult hypertensive patients Men aged 48-50 years living in North Iraq with no known disease The sample population of all studies met the inclusion criteria for the EBPs target population.
(i) Intervention Physical activity and antihypertensives Exercise training Medication and aerobic exercise Physical exercise and a antihypertensive medications Walking and running exercises Although there was some variance in the forms of physical activity that participants in each study, the intervention is appropriate for the EBP.
(c) Comparison Patients using antihypertensives only. Medication and Exercise Effect on Hypertension Essay Not mentioned medication Antihypertensive medications medications The comparison which served as the control to determine outcome measures fits the comparison for the EBP.
(o) Outcome Reduced blood pressure Lowering systolic and diastolic blood pressure Significant reduction in blood pressure Decreasing systolic blood pressure Decreased pulse rate, systolic and diastolic blood pressure The outcome in all the studies fit the expected outcome for the proposed EBP change.
(t) time Not mentioned Not mentioned 3-8 months Not mentioned 8 weeks

Evaluation Table

Citation Design Sample size: Adequate? Major Variables:

Independent Dependent

Study findings: Strengths and weaknesses Level of evidence Evidence Synthesis
Carpio-Rivera, E., Moncada-Jiménez, J., Salazar-Rojas, W., & Solera-Herrera, A. (2016). Acute effects of exercise on blood pressure: a meta-analytic investigation. Arquivos Brasileiros de Cardiologia, 106(5), 422-433. doi:10.5935/abc.20160064. Quantitative
Meta-analysis

Adequate sample size(1408 participants)
455 females and 931 males. Medication and Exercise Effect on Hypertension Essay

Independent- age, gender,
Dependent- blood pressure BMI and medication status.

Strengths- large sample population which increases the reliability of the findings, the findings support EBP change, researchers used the required guidelines for data extraction, synthesis and statistical analysis for meta-analyses
Weaknesses-the study fails to identify time frames within which participants were subjected to physical exercise in individual studies.

Level I Study has a high reliability, validity and a string evidence level. The findings can be generalized to large populations and the outcomes support EBP practice change. The study will therefore be incorporated in literature.
Ghadieh, A. S., & Saab, B. (2015). Evidence for exercise training in the management of hypertension in adults. Canadian Family Physician, 61(3), 233-239. Quantitative systematic review Adequate sample of participants between (40-1842 participants) Independent- jogging, running, rope jumping, walking
Dependent-BMI, blood pressure.

Strengths-the study supports physical exercise and medications to reduce blood pressure in hypertensive patients, the study used RCTs with large sample populations which increases the validity and reliability of findings Level I Study has a high reliability, validity and a string evidence level. The findings can be generalized to large populations and the outcomes support EBP practice change. The study will therefore be incorporated in literature
Hong, S. K., Lee, D. G., & Lee, G. C. (2018). Effect of Aerobic Exercise on Blood Pressure and Arterial Compliance in Patients with Essential Hypertension. Journal of Exercise Physiology Online, 21(5). Quantitative randomized controlled trial Inadequate( 14 men aged between 45-55 years) Independent- age, physical exercise
Dependent- systolic and diastolic blood pressure,

BMI

Strengths-the researchers adhered to the guidelines and procedures required for RCTs, the outcomes of the study support the recommended practice change.
Weaknesses-the study used a small sample population which limits the reliability ad validity of the findings

Level I Smaller sample population which limits the reliability of the findings. This population has no statistical significance but is clinically significant. It also has a strong Evidence level. Based on the interventions used, the findings can be generalized to large populations and the outcomes support EBP practice change. The study will therefore be incorporated in literature.
Naci, H., Salcher-Konrad, M., Dias, S., Blum, M. R., Sahoo, S. A., Nunan, D., & Ioannidis, J. P. (2019). How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. British journal of sports medicine, 53(14), 859-869. Medication and Exercise Effect on Hypertension Essay Quantitative meta-analysis Adequate. (391 RCTs with a total of 39, 742 participants) Independent- age, gender
Dependent- systolic blood pressure

Strengths-the study used a large sample population, findings support EBP practice change, the study follows the required guidelines for meta-analysis data extraction, synthesis, statistical analyses and ethical approval.
Weaknesses-the study relied on indirect evidence to compare the lowering effects of medications and exercise of systolic blood pressure.

Level I Study has a high reliability, validity and a string evidence level. The findings can be generalized to large populations and the outcomes support EBP practice change. The study will therefore be incorporated in literature
Othman, S. T., & Temur, H. B. (2018). Investigation of the Effect of Walking and Running Exercises on Some Blood Parameters in Adults. Universal Journal of Educational Research, 6(10), 2125-2132. Quantitative Inadequate (20 men living in North Iraq aged between 48-50 years). Independent-gender, physical exercise
Dependent-systolic and diastolic blood pressure, BMI, pulse rate.

Strengths-the findings of the study support EBP practice change
Weaknesses- the study used a small sample size which limits the reliability of the study findings.

Level I Smaller sample population which limits the reliability of the findings. This population has no statistical significance but is clinically significant. It also has a strong Evidence level. Based on the interventions used, the findings can be generalized to large populations and the outcomes support EBP practice change. The study will therefore be incorporated in literature.

References

Carpio-Rivera, E., Moncada-Jiménez, J., Salazar-Rojas, W., & Solera-Herrera, A. (2016). Acute effects of exercise on blood pressure: a meta-analytic investigation. Arquivos Brasileiros de Cardiologia, 106(5), 422-433. doi:10.5935/abc.20160064.

Ghadieh, A. S., & Saab, B. (2015). Evidence for exercise training in the management of hypertension in adults. Canadian Family Physician, 61(3), 233-239. Medication and Exercise Effect on Hypertension Essay

Hong, S. K., Lee, D. G., & Lee, G. C. (2018). Effect of Aerobic Exercise on Blood Pressure and Arterial Compliance in Patients with Essential Hypertension. Journal of Exercise Physiology Online, 21(5).

Naci, H., Salcher-Konrad, M., Dias, S., Blum, M. R., Sahoo, S. A., Nunan, D., & Ioannidis, J. P. (2019). How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. British journal of sports medicine, 53(14), 859-869.

Othman, S. T., & Temur, H. B. (2018). Investigation of the Effect of Walking and Running Exercises on Some Blood Parameters in Adults. Universal Journal of Educational Research, 6(10), 2125-2132. Medication and Exercise Effect on Hypertension Essay