a Social Determinants of Health Research Center , Mashhad University of Medical Sciences , Mashhad , Iran.
b Department of Health Education and Health Promotion, School of Health , Mashhad University of Medical Sciences , Mashhad , Iran.
Med Teach. 2018 Feb;40(2):154-163. doi: 10.1080/0142159X.2017.1395002. Epub 2017 Nov 28.
Hypertension is a common cardiovascular risk factor within the Iranian population, and this may be improved through changes in lifestyle. We aimed at improving hypertension outcomes and health literacy skills among hypertensive patients through communication skills training targeting health providers.
A randomized controlled trial method was used to enroll 35 health providers and 240 hypertensive patients attending community-based healthcare practices in the Mashhad, Iran. We evaluated the effects of a communication skills intervention for primary care providers compared to usual care controls, on the hypertension outcomes, patient medication adherence, and self-efficacy, assessed at baseline and post-intervention. Bivariate analysis and the regression model were used to assess whether the health provider training improved outcomes.
Majority of participating patients were female (77.3%), less than high school education (80.3%), married (82.3%), and low income (82.3%), with mean age of 37 years. Following the educational intervention, there was a significant improvement (p < 0.05) in patient communication skills, self-efficacy, adherence to medication, and hypertension outcomes in the intervention compared to the control group.
The brief communication skills training for health care providers appear to be an efficient way to improve patient-provider communication skills and hypertension outcome among patients with uncontrolled BP.
高血压是伊朗人群中常见的心血管危险因素，通过生活方式的改变可以改善这种情况。我们旨在通过针对卫生服务提供者的沟通技巧培训来改善高血压患者的高血压结局和健康素养技能。
采用随机对照试验方法，招募了 35 名卫生服务提供者和 240 名在伊朗马什哈德社区医疗实践中就诊的高血压患者。我们评估了针对初级保健提供者的沟通技巧干预对高血压结局、患者药物依从性和自我效能的影响，在基线和干预后进行评估。采用双变量分析和回归模型评估卫生服务提供者培训是否改善了结局。
大多数参与的患者为女性（77.3%），受教育程度低于高中（80.3%），已婚（82.3%），收入低（82.3%），平均年龄为 37 岁。在教育干预后，与对照组相比，干预组患者的沟通技巧、自我效能、药物依从性和高血压结局均有显著改善（p<0.05）。
针对卫生保健提供者的简短沟通技巧培训似乎是一种有效方法，可以改善血压控制不佳的患者的医患沟通技巧和高血压结局。
