The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients A Randomized Controlled Trial
机构:[1]School of Nursing, Sun Yat-sen University, Guangzhou, China.[2]Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.广东省中医院[3]Head Nurse, Department of Neurology and Stroke Center, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.中山大学附属第三医院
Background and Objective: The health behaviors of hypertensive stroke patients in China are not satisfactory. In this study, we tested the effect of a Health Belief Model Comprehensive Reminder System on health behaviors and blood pressure control in hypertensive ischemic stroke patients after occurrence and hospital discharge. Methods: A randomized, parallel-group, assessor-blinded experimental design yielded participation of 174 hospitalized hypertensive ischemic stroke patients. The intervention consisted of face-to-face and telephone health belief education, a patient calendar handbook, and weekly automated short-message services. Data were collected at baseline and 3 months after discharge. Results: Three months after discharge, the intervention group showed statistically, significantly better health behaviors for physical activity, nutrition, low-salt diet, and medication adherence. The intervention group also had statistically, significantly decreased systolic blood pressure and increased blood pressure control rate. Smoking and alcohol use behaviors were not affected. Conclusion: At 3 months, use of the Comprehensive Reminder System based on the Health Belief Model, yielded improvement in most health behaviors and blood pressure control in hypertensive ischemic stroke patients. Continued implementation of this intervention protocol is warranted to determine the long-term effect. Smoking and alcohol use behaviors need to be targeted with a different intervention.
基金:
Guangdong Science and Technology
Department, the Guangdong Special Program for Scientific
Development, no. 2016A020215039 (L.H.W., PI), and by Guangzhou
Special Program for Scientific Knowledge, no. 201609010050 (L.H.W., PI).
第一作者机构:[1]School of Nursing, Sun Yat-sen University, Guangzhou, China.
通讯作者:
通讯机构:[1]School of Nursing, Sun Yat-sen University, Guangzhou, China.[*1]School of Public Health, Sun Yat-sen University, 74 Zhongshan Rd 2, Guangzhou 510089, China
推荐引用方式(GB/T 7714):
Wan Li-Hong,Zhang Xiao-Pei,You Li-Ming,et al.The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients A Randomized Controlled Trial[J].JOURNAL OF CARDIOVASCULAR NURSING.2018,33(6):509-517.doi:10.1097/JCN.0000000000000496.
APA:
Wan, Li-Hong,Zhang, Xiao-Pei,You, Li-Ming,Ruan, Heng-Fang&Chen, Shao-Xian.(2018).The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients A Randomized Controlled Trial.JOURNAL OF CARDIOVASCULAR NURSING,33,(6)
MLA:
Wan, Li-Hong,et al."The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients A Randomized Controlled Trial".JOURNAL OF CARDIOVASCULAR NURSING 33..6(2018):509-517