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本文引用的文献

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2020 International Society of Hypertension Global Hypertension Practice Guidelines.2020年国际高血压学会全球高血压实践指南
Hypertension. 2020 Jun;75(6):1334-1357. doi: 10.1161/HYPERTENSIONAHA.120.15026. Epub 2020 May 6.
2
Physical activity benefits of attending a senior center depend largely on age and gender: a study using GPS and accelerometry data.参加老年人活动中心对身体活动的益处在很大程度上取决于年龄和性别:一项使用 GPS 和加速度计数据的研究。
BMC Geriatr. 2020 Apr 15;20(1):134. doi: 10.1186/s12877-020-01527-6.
3
Recognition and Management of Hypertension in Older Persons: Focus on African Americans.老年人高血压的识别与管理:聚焦非裔美国人。
J Am Geriatr Soc. 2015 Oct;63(10):2130-8. doi: 10.1111/jgs.13672.
4
The effectiveness of adult day services for older adults: a review of the literature from 2000 to 2011.成人日间服务对老年人的有效性:2000年至2011年文献综述
J Appl Gerontol. 2014 Mar;33(2):130-63. doi: 10.1177/0733464812443308. Epub 2012 Jun 4.
5
Medication adherence in a sample of elderly suffering from hypertension: evaluating the influence of illness perceptions, treatment beliefs, and illness burden.老年高血压患者样本中的药物依从性:评估疾病认知、治疗信念和疾病负担的影响。
J Manag Care Pharm. 2014 Jan;20(1):58-65. doi: 10.18553/jmcp.2014.20.1.58.
6
Enhancing quality of life of families who use adult day services: Short- and long-term effects of the adult day services plus program.提高使用成人日间服务家庭的生活质量:成人日间服务增强计划的短期和长期效果。
Gerontologist. 2006 Oct;46(5):630-9. doi: 10.1093/geront/46.5.630.

成人日间护理中心参与对高血压管理的影响。

Effect of adult day care centre attendance on hypertension management.

机构信息

Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein.

出版信息

S Afr Fam Pract (2004). 2024 Aug 8;66(1):e1-e4. doi: 10.4102/safp.v66i1.5961.

DOI:10.4102/safp.v66i1.5961
PMID:39221730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11369611/
Abstract

BACKGROUND

Hypertension (HT) silently threatens one in three adults, especially older adults, who struggle with blood pressure (BP) control because of limited health access, poor adherence to medication and failure to make lifestyle changes. This increases their risk for heart disease, kidney failure and dementia. Fortunately, adult day care centres (ADCCs) offer hope. These community facilities provide daytime care, including health support services, social activities and exercise. This study investigated the perceived effect of adult daycare centre attendance on BP control and treatment adherence.

METHODS

A mainly descriptive study at MUCPP Community Health Centre (CHC) in Bloemfontein, South Africa, between July 2020 and September 2020, used questionnaires researchers completed during interviews. The researchers approached 372 hypertensive patients of a minimum of 60 years old and at least 2 years since being diagnosed.

RESULTS

Of the 90 who attended ADCCs, 71.1% had controlled hypertension compared to 51.4% of those who did not. While treatment adherence showed no difference, a positive association between ADCC attendance and BP control is evident.

CONCLUSION

The findings suggest a promising link between ADCC attendance and improved BP control in older adults with hypertension. Adult Day Care Centres warrant further exploration as it seems to be an encouraging support intervention for this vulnerable population.Contribution: This study highlights the positive impact ADCCs have on hypertension management in older adults, urging increased physician awareness and patient referrals.

摘要

背景

高血压(HT)无声地威胁着每三名成年人中的一人,尤其是老年人,由于健康资源有限、对药物治疗的依从性差以及无法改变生活方式,他们在控制血压方面面临困难。这增加了他们患心脏病、肾衰竭和痴呆的风险。幸运的是,成人日间护理中心(ADCC)带来了希望。这些社区设施提供日间护理,包括健康支持服务、社交活动和锻炼。本研究调查了成人日间护理中心的参与对血压控制和治疗依从性的感知效果。

方法

这是一项在南非布隆方丹 MUCPP 社区健康中心(CHC)进行的主要描述性研究,时间为 2020 年 7 月至 2020 年 9 月,使用了研究人员在访谈期间完成的问卷。研究人员接触了 372 名年龄至少 60 岁且确诊至少 2 年的高血压患者。

结果

在参加 ADCC 的 90 人中,71.1%的人血压得到控制,而未参加 ADCC 的人只有 51.4%。虽然治疗依从性没有差异,但 ADCC 参与和血压控制之间存在明显的正相关。

结论

研究结果表明,ADCC 参与与改善老年高血压患者的血压控制之间存在有希望的联系。成人日间护理中心值得进一步探索,因为它似乎是对这一脆弱人群的一种令人鼓舞的支持干预措施。

贡献

本研究强调了 ADCC 对老年高血压管理的积极影响,促使医生提高认识并增加患者转诊。