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The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients A Randomized Controlled Trial

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收录情况: ◇ SCIE ◇ SSCI

机构: [1]School of Nursing, Sun Yat-sen University, Guangzhou, China. [2]Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. [3]Head Nurse, Department of Neurology and Stroke Center, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
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关键词: health behavior health belief model hypertension reminder system stroke

摘要:
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.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 1 区 护理 4 区 心脏和心血管系统
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 护理 4 区 心脏和心血管系统
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出版当年[2016]版:
Q1 NURSING Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q2 NURSING Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]School of Nursing, Sun Yat-sen University, Guangzhou, China.
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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
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