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通过社区护理健康博览会进行血压筛查:激励个人寻求后续医疗保健服务。

Blood pressure screenings through community nursing health fairs: motivating individuals to seek health care follow-up.

作者信息

Lucky Daniel, Turner Barbara, Hall Melissa, Lefaver Scott, de Werk Art

机构信息

College of Nursing, Health and Human Services, Indiana State University, Terre Haute, Indiana, USA.

出版信息

J Community Health Nurs. 2011 Jul;28(3):119-29. doi: 10.1080/07370016.2011.588589.

Abstract

PURPOSE

To evaluate the effectiveness of blood pressure [BP] screenings through community-based health fairs. Effectiveness was measured by those with high BP readings who either made an appointment with or actually followed up with their primary care provider [PCP] in person following post-screening referral.

DATA SOURCES

Anonymized data were provided for 958 individuals who obtained BP screening through a three-day health fair provided by the Ceres Police Department Nurse Program.

CONCLUSIONS

Of 958 screened, 170 (17.8%) were identified with high BP readings and provided with PCP referral. Data were analyzed on 124 individuals with high BP recordings. Of the 124 PCP referrals, 116 (93%) either made an appointment with or followed up in person with their PCP following BP screening. Of the 98 who visited with their PCP, 29 (30%) were either placed on BP medication, had their current BP medication dose increased, or were changed to another BP medication by their PCP.

IMPLICATIONS FOR PRACTICE

Hypertension remains a leading cause of morbidity and mortality. Nurse-operated health fairs, crafted to identify those with high BP readings, are promising as a simple and effective means in motivating individuals to seek follow-up care.

摘要

目的

评估通过社区健康博览会进行血压筛查的效果。效果通过筛查后被转介的血压读数高的人来衡量,这些人要么预约了初级保健医生(PCP),要么在筛查后亲自去看了初级保健医生。

数据来源

提供了958人的匿名数据,这些人通过Ceres警察局护士项目举办的为期三天的健康博览会进行了血压筛查。

结论

在958名接受筛查的人中,有170人(17.8%)血压读数高,并被转介给初级保健医生。对124名血压读数高的人进行了数据分析。在这124次转介给初级保健医生的情况中,有116人(93%)在血压筛查后要么预约了初级保健医生,要么亲自去看了初级保健医生。在去看初级保健医生的98人中,有29人(30%)要么开始服用降压药,要么增加了当前降压药的剂量,要么被初级保健医生换成了另一种降压药。

对实践的启示

高血压仍然是发病和死亡的主要原因。由护士操作的健康博览会旨在识别血压读数高的人,有望成为激励个人寻求后续护理的一种简单有效的手段。

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