Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
Turk Kardiyol Dern Ars. 2021 Mar;49(2):143-150. doi: 10.5543/tkda.2021.81669.
The objective of this study is to determine the impact of applying lifestyle intervention in the form of a continuous care model (CCM) on reducing dietary sodium intake and blood pressure (BP) in patients with hypertension.
This randomized controlled trial was conducted in a 2-group design on a total of 50 patients who were hypertensive (experimental and control) as a pre‒post test study. A healthy lifestyle (emphasizing physical activity and heart-healthy diet) in the form of CCM, which considers the patient as an active agent in the health process, was conducted in the experimental group over a period of 4 months. The mean BP value and dietary sodium intake in both groups were measured at the beginning and the end of the study.
The mean sodium intake, the mean systolic BP, and the mean diastolic BP decreased to 2.42±0.73 mm Hg (from 3.12±0.79), 128.4±13.04 mm Hg (from 144.20±13.12), and 79.4±8.93 mm Hg (from 89±9.12), respectively, after the intervention in the experimental group (p=0.021, p<0.001, and p=0.011, respectively).
Applying lifestyle intervention in the form of CCM may be recommended to reduce dietary sodium intake and mean systolic and diastolic BP in patients who are hypertensive. Considering the fact that lifestyle modifications are quite important regardless of the use of antihypertensive drugs, lifestyle intervention in the form of CCM is recommended to improve patient's adherence to dietary restrictions and consequently, treatment outcomes in patients who are hypertensive.
本研究旨在确定以持续护理模式（CCM）形式实施生活方式干预对降低高血压患者的饮食钠摄入量和血压（BP）的影响。
这是一项 2 组设计的随机对照试验，共纳入 50 例高血压患者（实验组和对照组）作为前后测试研究。实验组在 4 个月内以 CCM 的形式实施健康的生活方式（强调身体活动和心脏健康饮食），将患者视为健康过程中的积极参与者。在研究开始和结束时，测量两组的平均血压值和饮食钠摄入量。
干预后，实验组的平均钠摄入量、平均收缩压和平均舒张压分别降至 2.42±0.73mmol（从 3.12±0.79mmol）、128.4±13.04mmHg（从 144.20±13.12mmHg）和 79.4±8.93mmHg（从 89±9.12mmHg）（p=0.021、p<0.001 和 p=0.011）。
以 CCM 形式实施生活方式干预可能有助于降低高血压患者的饮食钠摄入量和平均收缩压及舒张压。考虑到生活方式改变无论是否使用降压药物都非常重要，建议以 CCM 形式实施生活方式干预，以提高患者对饮食限制的依从性，从而改善高血压患者的治疗效果。
