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训练和用药提醒手表在老年高血压患者治疗依从性中的作用:一项随机对照试验。

The role of training and medication reminder wristwatch in adherence to treatment in geriatric patients diagnosed with hypertension: A randomized controlled trial.

机构信息

Department of Nursing, Faculty of Health Sciences, Tokat Gaziosmanpaşa University, Tokat, Turkey.

Department of Public Health Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey.

出版信息

Geriatr Gerontol Int. 2024 Nov;24(11):1189-1195. doi: 10.1111/ggi.14999. Epub 2024 Oct 15.

DOI:10.1111/ggi.14999
PMID:39404158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11844235/
Abstract

AIM

The purpose of this study was to determine the effects of the training and medication reminder wristwatch on treatment adherence in geriatric patients diagnosed with hypertension.

METHODS

In this study, which was conducted as a randomized clinical trial with a pretest-posttest design, 90 patients were randomly divided into the training and medication reminder wristwatch (W) group (n = 30) group, the training (T) group (n = 30), and the control (C) group (n = 30). All patients answered the data collection forms before and after the interventions.

RESULTS

By the end of the 12th week, the mean knowledge scores of the groups significantly differed from each other (t = -13.207, P < 0.001). The mean Hypertension Compliance Assessment Scale score of the W group was found to be significantly lower (t = 22.732, P < 0.001). The highest mean Medication Adherence Self-Efficacy Scale-Short Form score was found in the W group (t = -13.560, P < 0.001). In the posttest, the mean systolic blood pressure values of the patients were 142.7 ± 11.1 in the C group, 126.0 ± 13.0 mm Hg in the T group, and 120.0 ± 9.5 mm Hg in the W group (Kruskal-Wallis test = 38.065, P < 0.05).

CONCLUSIONS

This study demonstrates that 12 weeks of a training program and the use of medication reminder wristwatches were effective in adherence to treatment. Geriatr Gerontol Int 2024; 24: 1189-1195.

摘要

目的

本研究旨在确定培训和用药提醒手表对老年高血压患者治疗依从性的影响。

方法

在这项随机临床试验中,我们采用了预测试-后测试设计,将 90 名患者随机分为培训和用药提醒手表(W)组(n=30)、培训(T)组(n=30)和对照组(C)组(n=30)。所有患者在干预前后均回答了数据收集表。

结果

在第 12 周结束时,各组的平均知识得分差异有统计学意义(t=-13.207,P<0.001)。W 组的高血压依从性评估量表得分显著较低(t=22.732,P<0.001)。W 组的药物依从性自我效能量表-短式量表得分最高(t=-13.560,P<0.001)。在测试后,C 组患者的平均收缩压为 142.7±11.1mmHg,T 组为 126.0±13.0mmHg,W 组为 120.0±9.5mmHg(Kruskal-Wallis 检验=38.065,P<0.05)。

结论

本研究表明,12 周的培训计划和使用用药提醒手表有助于提高治疗依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4185/11844235/ef35153c7514/GGI-24-1189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4185/11844235/ef35153c7514/GGI-24-1189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4185/11844235/ef35153c7514/GGI-24-1189-g001.jpg

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