Duff E M, Simpson S H, Whittle S, Bailey E Y, Lopez S A, Wilks R
Department of Advanced Nursing Education and Tropical Medicine Research Institute, Faculty of Medical Sciences, University of the West Indies, Kingston 7, Jamaica.
West Indian Med J. 2000 Dec;49(4):307-11.
The aim of this study is to evaluate the impact of a six-month structured education programme on blood pressure (BP) control in patients with uncontrolled hypertension. All patients attending the Specialist Hypertension Clinic, University Hospital of the West Indies (UHWI), between January 4 and March 29, 1999, with blood pressure > 140/90 mmHg (n = 80), were randomly divided into Group 1, cases (n = 42) and Group 2, controls (n = 38). A 40-item pretested questionnaire, administered at the baseline and final visits of both groups, elicited demographic, lifestyle and knowledge data. Group 1 attended monthly structured interventions for six months. Except for diastolic blood pressure among male controls, diastolic blood pressure and systolic blood pressure were significantly reduced at the end of the intervention period (p < 0.01). Knowledge improved among the male patients (p < 0.01). Among the female patients, activity scores were significantly increased (p < 0.01), weight (p < 0.05) and BMI (p < 0.05) were significantly reduced. There were no differences in these variables among the controls. This intervention had a benefit in blood pressure control.
本研究的目的是评估一项为期六个月的结构化教育计划对未控制高血压患者血压（BP）控制的影响。1999年1月4日至3月29日期间，所有前往西印度群岛大学医院（UHWI）专科高血压诊所就诊、血压>140/90 mmHg的患者（n = 80）被随机分为两组，第1组为病例组（n = 42），第2组为对照组（n = 38）。在两组的基线和末次访视时发放一份经过预测试的包含40个条目的问卷，收集人口统计学、生活方式和知识数据。第1组参加了为期六个月的每月一次的结构化干预。除男性对照组的舒张压外，干预期末舒张压和收缩压均显著降低（p < 0.01）。男性患者的知识水平有所提高（p < 0.01）。女性患者的活动得分显著增加（p < 0.01），体重（p < 0.05）和BMI（p < 0.05）显著降低。对照组在这些变量上没有差异。这种干预对血压控制有益。
