彩色血压日记是否能改善全科医疗患者的血压控制：CoCo 试验。

Does a colour-coded blood pressure diary improve blood pressure control for patients in general practice: the CoCo trial.

机构信息

Institute for General Practice, University of Zurich, Sonneggstrasse 6, 8091 Zurich, Switzerland.

出版信息

Trials. 2010 Apr 14;11:38. doi: 10.1186/1745-6215-11-38.

DOI:10.1186/1745-6215-11-38

PMID:20398258

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2873272/

Abstract

BACKGROUND

Insufficient blood pressure control is a frequent problem despite the existence of effective treatment. Insufficient adherence to self-monitoring as well as to therapy is a common reason. Blood pressure self-measurement at home (Home Blood Pressure Measurement, HBPM) has positive effects on treatment adherence and is helpful in achieving the target blood pressure. Only a few studies have investigated whether adherence to HBPM can be improved through simple measures resulting also in better blood pressure control.

OBJECTIVE

Improvement of self-monitoring and improved blood pressure control by using a new colour-coded blood pressure diary.

PRIMARY OUTCOME

Change in systolic and/or diastolic blood pressure 6 months after using the new colour-coded blood pressure diary.Secondary outcome: Adherence to blood pressure self-measurement (number of measurements/entries).

METHODS/DESIGN: Randomised controlled study.

POPULATION

138 adult patients in primary care with uncontrolled hypertension despite therapy. The control group uses a conventional blood pressure diary; the intervention group uses the new colour-coded blood pressure diary (green, yellow, red according a traffic light system). EXPECTED RESULTS/CONCLUSION: The visual separation and entries in three colour-coded areas reflecting risk (green: blood pressure in the target range <or= 140/<or= 90 mmHg, yellow: blood pressure >140/>90 mmHg, red: blood pressure in danger zone > 180 mmHg/>110 mmHg) lead to better self-monitoring compared with the conventional (non-colour-coded) blood pressure booklet. The colour-coded, visualised information supports improved perception (awareness and interpretation) of blood pressure and triggers correct behaviour, in the means of improved adherence to the recommended treatment as well as better communication between patients and doctors resulting in improved blood pressure control.

TRIAL REGISTRATION

ClinicalTrials.gov ID NCT01013467.

摘要

背景

尽管有有效的治疗方法，但血压控制不足仍然是一个常见问题。不遵守自我监测和治疗方案是常见的原因。家庭血压测量（HBPM）对治疗依从性有积极影响，并有助于达到目标血压。只有少数研究调查了通过简单的措施是否可以提高对 HBPM 的依从性，从而更好地控制血压。

目的

通过使用新的彩色编码血压日记提高自我监测的依从性并改善血压控制。

主要结果

使用新的彩色编码血压日记 6 个月后收缩压和/或舒张压的变化。次要结果：血压自我测量的依从性（测量/记录的次数）。

方法/设计：随机对照研究。

人群

初级保健中未经治疗的血压控制不佳的 138 名成年患者。对照组使用传统的血压日记；干预组使用新的彩色编码血压日记（绿色、黄色、红色，根据交通灯系统）。

预期结果/结论：视觉分隔和在三个彩色编码区域中的条目反映了风险（绿色：血压在目标范围内 <或= 140/<或= 90mmHg，黄色：血压 >140/>90mmHg，红色：血压处于危险区域 > 180mmHg/>110mmHg），与传统的（非彩色编码）血压手册相比，自我监测效果更好。彩色编码、可视化信息支持对血压的更好感知（意识和解释），并触发正确的行为，从而提高对推荐治疗的依从性，以及改善患者和医生之间的沟通，从而更好地控制血压。