Kenkre J, Drury V W, Lancashire R J
Fam Pract. 1985 Mar;2(1):17-22. doi: 10.1093/fampra/2.1.17.
In this study 377 patients with hypertension from four general practices were referred to a nurse for care. A management protocol was agreed by all participating doctors and programmed into a microcomputer. Three practices representing approximately 80% of the total patients had a computer-assisted care programme and there is no evidence that this improved their care. Three-quarters of the patients had reached their target diastolic blood pressure by the end of the study compared with 50% at the beginning. The proportion of patients with normal weights for their heights increased, and almost one-fifth of those patients who admitted to smoking at the onset subsequently stated that they had stopped. Patients and doctors were satisfied with the system.
在本研究中，来自四个全科诊所的377名高血压患者被转介给一名护士进行护理。所有参与的医生商定了一项管理方案，并将其编入一台微型计算机。代表约80%患者总数的三个诊所采用了计算机辅助护理方案，但没有证据表明这改善了他们的护理情况。到研究结束时，四分之三的患者达到了舒张压目标，而开始时这一比例为50%。身高体重正常的患者比例有所增加，近五分之一在开始时承认吸烟的患者随后表示已经戒烟。患者和医生对该系统感到满意。
