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同伴支持计划对高血压患者治疗方案依从性的影响:一项随机临床试验研究。

The Impact of Peer Support Program on Adherence to the Treatment Regimen in Patients with Hypertension: A Randomized Clinical Trial Study.

作者信息

Haidari Ameneh, Moeini Mahin, Khosravi Alireza

机构信息

Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Ulcer Repair Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):427-430. doi: 10.4103/ijnmr.IJNMR_16_16.

Abstract

BACKGROUND

High blood pressure is the greatest risk factor of death, and patients should manage to control it. Peer support program is used to control chronic diseases. This study aims to determine the effect of peer support program on adherence to the regimen in patients suffering from hypertension.

MATERIALS AND METHODS

This study is a clinical trial conducted among 64 patients with hypertension referring to the Hypertension Research Center (Isfahan. Iran). The information was collected in three stages - before the start of intervention, immediately after, and 1 month after the intervention using a questionnaire of adherence to the treatment regimen for high blood pressure. The questionnaires were filled using a questioning method by patients who were not aware of the study. The experimental group attended 6 sessions of the peer support program (1 hour), and the control group attended two sessions held by the researcher. Data were analyzed using the Statistical Package for the Social Sciences version 18 software, and statistical tests were analyzed using independent -test and analysis of variance with repeated measures.

RESULTS

Before the intervention, there was no significant difference in adherence to the treatment regimen score between the two groups regarding the three aspects of medication regimen, diet, and activity program. Increase in scores of control group immediately after and 1 month after peer support program was higher ( < 0.001) compared to before the intervention.

CONCLUSIONS

This study showed that peer support programs had a positive impact on adherence to the treatment regimen in patients suffering from hypertension.

摘要

背景

高血压是最大的死亡风险因素,患者应设法控制血压。同伴支持项目用于控制慢性病。本研究旨在确定同伴支持项目对高血压患者治疗方案依从性的影响。

材料与方法

本研究是一项针对64名转诊至高血压研究中心(伊朗伊斯法罕)的高血压患者开展的临床试验。信息收集分三个阶段进行——干预开始前、干预刚结束后以及干预后1个月,使用高血压治疗方案依从性问卷进行收集。问卷由对研究不知情的患者通过询问法填写。实验组参加6次同伴支持项目课程(每次1小时),对照组参加研究者举办的两次课程。数据使用社会科学统计软件包第18版进行分析,统计检验采用独立样本t检验和重复测量方差分析。

结果

干预前,两组在药物治疗方案、饮食和活动计划这三个方面的治疗方案依从性得分无显著差异。与干预前相比,对照组在同伴支持项目刚结束后及1个月后的得分增加幅度更高(P<0.001)。

结论

本研究表明,同伴支持项目对高血压患者的治疗方案依从性有积极影响。

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