Miao Jian-Hong, Wang Hai-Shan, Liu Na
Tangshan Worker's Hospital, Tangshan.
TangShan FuYou BaoJianYuan.
Medicine (Baltimore). 2020 Jul 2;99(27):e20967. doi: 10.1097/MD.0000000000020967.
Hypertension is a silent disease of the masses with an increasing prevalence and poor control rates. This study aims to establish and test the efficacy of a nurse-led hypertension management model in the community.
A single-blind, randomized controlled trial was performed. 156 hypertensive patients with uncontrolled blood pressure were equally and randomly allocated into 2 groups. Patients in the study group received a 12-week period of hypertension management. Blood pressure, self-care behaviors, self-efficacy, and satisfaction were assessed at the start of recruitment, 12 and 16 weeks thereafter.
After the intervention, blood pressure of patients in the study group had greater improvement in self-care behaviors and a higher level of satisfaction with the hypertensive care compared to the control group (both P < .05).
The nurse-led hypertension management model is feasible and effective for patients with uncontrolled blood pressure in the community.
高血压是一种常见的隐匿性疾病，其患病率不断上升，控制率较低。本研究旨在建立并测试社区护士主导的高血压管理模式的效果。
进行了一项单盲随机对照试验。将156例血压控制不佳的高血压患者平均随机分为2组。研究组患者接受为期12周的高血压管理。在招募开始时、此后12周和16周评估血压、自我护理行为、自我效能感和满意度。
干预后，研究组患者的血压、自我护理行为有更大改善，对高血压护理的满意度高于对照组（均P<0.05）。
社区护士主导的高血压管理模式对血压控制不佳的患者可行且有效。
