The Effects of Mindfulness Program on Hypertension: A Guideline Approach

The Effects of Mindfulness Program on Hypertension: A Guideline Approach (Lea Ramos, DNP)

Hypertension is the third leading cause of death in the world and a major public health issue worldwide. According to the Centers of Disease Control and Prevention, one in three US adults have hypertension and only half of this population have controlled hypertension. Hypertension increases the risk of cardiovascular disease, stroke and overall mortality. Hypertension can be controlled through lifestyle modifications and medications. Mindfulness training intervention is
a lifestyle change and a non-pharmacological approach to decreasing hypertension. The objective of this quality improvement project was to standardize medical providers approach in the delivery of mindfulness education for patients’ diagnosed with primary hypertension at a primary care clinic. The indirect aim was to decrease hypertension in patients’ receiving this evidence-based mindfulness training program. Pender’s Health Promotion Model and Donabedian Model were utilized for this project. The Mindful Attention Awareness Scale (MAAS) was delivered to medical providers before and after training and showed improved awareness of mindfulness. These providers were then directed to utilize their training to teach patients mindfulness techniques. A paired t-test analysis was utilized to compare the patient’s
blood pressure reading values at the time of initial evaluation and again at a 4 week interval.

The project demonstrated a statistically significant decrease in both diastolic and systolic hypertension with the use of mindfulness techniques at a four week interval. This project demonstrates that mindfulness training in primary care may be an effective tool in reducing blood pressure in patients with primary hypertension.