Calano Benedict Jerome D, Cacal Mary Jane B, Cal Christian B, Calletor Klein P, Guce Frances Irah Crichelle C, Bongar Maria Victoria V, Macindo John Rey B
College of Nursing, University of Santo Tomas, Manila, Philippines.
Faculty of Management and Development Studies, University of the Philippines - Open University, Los Baños, Laguna, Philippines.
J Clin Nurs. 2019 May;28(9-10):1879-1888. doi: 10.1111/jocn.14787. Epub 2019 Feb 13.
To determine the effectiveness of a community-based health programme grounded on the PRECEDE-PROCEED model, on the knowledge, adherence and blood pressure control of community-dwelling adults with hypertension.
Hypertension has consistently been a leading cause of morbidity and mortality in different countries and has continuously increased in prevalence. Albeit manageable with lifestyle modification and anti-hypertensive medications, adequate knowledge and poor adherence to these treatment regimens are issues that have led to poor blood pressure control.
Quasi-experimental, one-group pretest-post-test design.
The PRECEDE-PROCEED model was used to develop and evaluate the effectiveness of the community-based health programme. From August to October 2017, a total of 50 community-dwelling adults with hypertension participated in the programme which included blood pressure monitoring, targeted health educations, motivational interviews, individualised lifestyle modification plans and house-to-house visits. Knowledge, adherence and blood pressure were assessed at the start and at the end of the 2-month programme. Gathered data were analysed using descriptive statistics and RM-MANOVA. The TREND checklist was followed in reporting this study (See Appendix S1).
After 2 months, the mean adherence, systolic blood pressure and diastolic blood pressure significantly improved, attributing more than 25% of the change. Although knowledge scores were significantly higher after the programme, it only accounted 9% of the improvement.
This study provides evidence on the effectiveness of a community-based health programme grounded on the PRECEDE-PROCEED model on the knowledge, adherence and blood pressure control of community-dwelling adults with hypertension.
The community-based health programme is beneficial to community-dwelling adults with hypertension in promoting knowledge and adherence to treatment regimen and improving BP control. This study also provides a framework for developing new or enhancing existing programmes on hypertension in the Philippines.
确定基于“优先教育诊断与评价-过程评价”（PRECEDE-PROCEED）模型的社区健康项目对社区高血压成年居民的知识水平、依从性和血压控制情况的有效性。
高血压一直是不同国家发病和死亡的主要原因，其患病率持续上升。尽管通过生活方式改变和抗高血压药物可以控制，但知识不足和对这些治疗方案的依从性差导致血压控制不佳。
准实验性单组前后测设计。
采用“优先教育诊断与评价-过程评价”模型来开发和评估该社区健康项目的有效性。2017年8月至10月，共有50名社区高血压成年居民参与了该项目，包括血压监测、针对性健康教育、动机访谈、个性化生活方式改变计划和逐户家访。在为期2个月的项目开始和结束时评估知识水平、依从性和血压。使用描述性统计和重复测量多变量方差分析对收集的数据进行分析，并按照TREND清单报告本研究（见附录S1）。
2个月后，平均依从性、收缩压和舒张压显著改善，超过25%的变化可归因于此。尽管项目结束后知识得分显著提高，但仅占改善的9%。
本研究为基于“优先教育诊断与评价-过程评价”模型的社区健康项目对社区高血压成年居民的知识水平、依从性和血压控制的有效性提供了证据。
该社区健康项目有利于社区高血压成年居民提高知识水平和治疗方案依从性，并改善血压控制。本研究还为菲律宾开发新的或加强现有的高血压项目提供了框架。
