The First School of Clinical Medicine, Lanzhou University.
Evidence-Based Nursing Center, School of Nursing of Lanzhou University.
Medicine (Baltimore). 2021 Mar 12;100(10):e24072. doi: 10.1097/MD.0000000000024072.
Blood pressure lowering treatments can help prevent cardiovascular disease. However, little is known about the possibility of home visiting programs for hypertension. This study aims to evaluate the effectiveness of home visiting programs on hypertensive patients.
We systematically reviewed the medical literature and performed a meta-analysis. Five electronic databases were systematically searched from their inception to September 2019. Two reviewers independently assessed the risk of bias of the studies included in the review using tools developed by the Cochrane Collaboration. The meta-analysis was performed using Review Manager software (version 5.3).
Thirteen RCTs with 2674 participants were identified. The home visiting program demonstrated a greater reduction in systolic blood pressure (MD = -5.63, 95% confidence interval (CI): -8.32 to -2.94), diastolic blood pressure (MD = -4.14, 95% CI: -6.72 to -1.56) and waist circumference (MD = -2.61, 95% CI: -3.5, -1.72) during a 6 month intervention. However, there were no significant differences between the groups in terms of body mass index, weight, or blood lipids.
Home visiting programs were associated with improved BP control and reduced blood pressure, which indicate that it might be an effective method for management of hypertension.
降压治疗有助于预防心血管疾病。然而，对于高血压的家庭访视方案的可能性知之甚少。本研究旨在评估家庭访视方案对高血压患者的疗效。
我们系统地检索了医学文献并进行了荟萃分析。从建库起至 2019 年 9 月，我们系统性地检索了五个电子数据库。两位评审员使用 Cochrane 协作组织开发的工具，独立评估了纳入综述研究的偏倚风险。使用 Review Manager 软件（版本 5.3）进行荟萃分析。
确定了 13 项 RCT，涉及 2674 名参与者。家庭访视方案在 6 个月的干预期间，收缩压（MD=-5.63，95%置信区间（CI）：-8.32 至-2.94）、舒张压（MD=-4.14，95%CI：-6.72 至-1.56）和腰围（MD=-2.61，95%CI：-3.5 至-1.72）的降低效果更为显著。然而，两组间的体重指数、体重或血脂水平没有显著差异。
家庭访视方案与血压控制改善和血压降低有关，这表明它可能是高血压管理的有效方法。
