González-Fernández R A, Rivera M, Torres D, Quiles J, Jackson A
Department of Internal Medicine, San Juan City Hospital, Rio Piedras, Puerto Rico 00928.
Am J Cardiol. 1990 Jun 1;65(20):1384-6. doi: 10.1016/0002-9149(90)91332-z.
The effects of an educational program on compliance and blood pressure (BP) control were assessed in 47 hypertensive patients hospitalized for nonhypertension-related diseases. Patients were randomized to receive either a questionnaire and an educational program (group I, 25) or questionnaire only (group II, 22). Baseline clinical characteristics, admission diagnoses and antihypertensive medications were similar between the groups. Antihypertensive medications used by patients before the trial were not changed. Eight weeks after the initial intervention, patients in group I showed a significant reduction in both systolic and diastolic BP (137/89 vs 154/98 mm Hg, p = 0.005 and 0.006, respectively) and improved compliance (96 vs 36%, p = 0.04), compared with patients in group II. An education program in patients with high BP is an effective method to improve compliance and BP control in the short-term.
在47名因非高血压相关疾病住院的高血压患者中评估了一项教育计划对依从性和血压(BP)控制的影响。患者被随机分为两组,一组接受问卷和教育计划(第一组,25人),另一组仅接受问卷(第二组,22人)。两组患者的基线临床特征、入院诊断和抗高血压药物相似。试验前患者使用的抗高血压药物未改变。初始干预八周后,与第二组患者相比,第一组患者的收缩压和舒张压均显著降低(分别为137/89 vs 154/98 mmHg,p = 0.005和0.006),依从性提高(96% vs 36%,p = 0.04)。对高血压患者进行教育计划是短期内提高依从性和血压控制的有效方法。