Thomas Stephanie M, Cassells Holly B
Vital Life Wellness Center.
Ila Faye School of Nursing, University of the Incarnate Word, San Antonio, TX, USA.
Integr Blood Press Control. 2017 Oct 13;10:25-32. doi: 10.2147/IBPC.S137112. eCollection 2017.
Elevated blood pressure (BP) and prehypertension increase the risk of cardiovascular diseases, a national health concern. This article presents a quality improvement project implemented within a primary care setting that aimed at lowering cardiovascular risk by improving the identification, treatment, and follow-up of patients with elevated BP. This project was designed and implemented to address the identified deficiencies contributing to poor identification and follow-up of patients with elevated BP. The intervention was multi-pronged and comprised a staff educational program, introduction of a new method for measuring BP using the BpTRU™ device, and patient educational intervention. A significant improvement in staff BP knowledge scores was achieved following the intervention (<0.05). Patient participants also exhibited a significant improvement in post-intervention BP measurements (<0.05). This project showed that the implementation of a quality improvement project in a primary care setting can lead to significant improvements in staff BP knowledge and patient BP readings. However, future research in this area is required to determine whether particular lifestyle changes are directly associated with the reduction in BP.
血压升高和高血压前期会增加心血管疾病风险，这是一个全国性的健康问题。本文介绍了在初级保健机构内实施的一项质量改进项目，该项目旨在通过改善血压升高患者的识别、治疗和随访来降低心血管疾病风险。该项目的设计和实施是为了解决已发现的导致血压升高患者识别和随访不佳的缺陷。干预措施是多方面的，包括员工教育项目、引入使用BpTRU™设备测量血压的新方法以及患者教育干预。干预后员工血压知识得分有显著提高（<0.05）。参与项目的患者在干预后的血压测量中也有显著改善（<0.05）。该项目表明，在初级保健机构实施质量改进项目可使员工血压知识和患者血压读数得到显著改善。然而，该领域未来还需要开展研究，以确定特定的生活方式改变是否与血压降低直接相关。
