School of Nursing, Johns Hopkins University, Baltimore, MD 21205-2110, USA.
Patient Educ Couns. 2010 Jul;80(1):130-4. doi: 10.1016/j.pec.2009.10.012. Epub 2009 Nov 30.
Nurse telephone counseling can improve the management of chronic conditions, but the effectiveness of this approach in underserved populations is unclear. This study evaluated the use of bilingual nurse-delivered telephone counseling in Korean Americans (KAs) participating in a community-based intervention trial to improve management of hypertension.
KAs were randomized to receive 12 months of hypertension-related telephone counseling that was more intensive (bi-weekly) or less intensive (monthly). Counseling logs were kept for 360 KAs who completed the pre- and post-intervention evaluations.
The overall success rate for the intervention was 80.3%. The level of success was significantly influenced by the dose of counseling, employment status, and years of US residence. Over the 12-month counseling period, both groups showed improvement with regard to medication-taking, alcohol consumption, and exercise but not smoking, with no significant group differences.
Bilingual telephone counseling could reach monolingual KAs and improve their hypertension management behavior.
Bilingual nurse telephone counseling may have wide applicability, serving as an effective means of disseminating evidence-based chronic disease management guidelines to a linguistically isolated community with limited health resources and information.
护士电话咨询可以改善慢性病管理，但这种方法在服务不足人群中的效果尚不清楚。本研究评估了双语护士提供的电话咨询在参与社区为基础的干预试验以改善高血压管理的美籍韩裔（KA）中的使用。
KA 被随机分配接受 12 个月与高血压相关的电话咨询，咨询的强度更高（每两周）或更低（每月）。对完成干预前后评估的 360 名 KA 保留了咨询记录。
干预的总体成功率为 80.3%。成功水平受咨询剂量、就业状况和在美国居住年限的显著影响。在 12 个月的咨询期间，两组在服药、饮酒和运动方面都有所改善，但在吸烟方面没有改善，且组间无显著差异。
双语电话咨询可以联系到只会说韩语的 KA 并改善他们的高血压管理行为。
双语护士电话咨询可能具有广泛的适用性，可以作为向语言隔离、健康资源和信息有限的社区传播基于证据的慢性病管理指南的有效手段。
