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首页> 美国卫生研究院文献>American Journal of Public Health (New York N.Y. : 1912) >Five-year blood pressure control and mortality following health education for hypertensive patients.
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Five-year blood pressure control and mortality following health education for hypertensive patients.

机译：高血压患者接受健康教育后的五年血压控制和死亡率。

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摘要

Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) an exit interview to increase understanding of and compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous evaluation of the initial two-year experience demonstrated a positive effect of the educational program on compliance with the medical treatment and blood pressure control. Data accumulated over an additional three years, including mortality analysis, are now presented. The study group consisted of the same cohort of 400 ambulatory hypertensive outpatients in the eight experimental and control groups. The five-year analysis shows a continuing positive effect on appointment keeping, weight control, and blood pressure control. All-cause life table mortality rate was 57.3 per cent less for the experimental group compared to the control group (12.9/100 vs 30.2/100, p less than .05), while the hypertension-related mortality rate was 53.2 per cent less (8.9/100 vs 19.0/100, p less than .01). The results from this longitudinal study provide evidence to encourage health practitioners to utilize such educational programs in the long-term management and control of high blood pressure.
机译：在随机因子设计中依次引入了三种针对城市贫困高血压患者的健康教育干预措施：1）出院访谈，以增进对处方方案的了解和依从性； 2）进行家访以鼓励家庭成员为患者的治疗方案提供支持； 3）邀请参加小组会议，以提高患者的自信心和解决问题的能力。对最初的两年经验的先前评估表明，该教育计划对遵守医学治疗和血压控制有积极作用。现在介绍了在过去三年中累积的数据，包括死亡率分析。研究组由八个实验组和对照组中的同一队列的400名门诊高血压门诊患者组成。五年的分析表明，在保持约会，控制体重和控制血压方面持续产生积极作用。与对照组相比，实验组的全因寿命表死亡率降低了57.3％（12.9 / 100 vs 30.2 / 100，p小于0.05），而与高血压相关的死亡率降低了53.2％（ 8.9 / 100与19.0 / 100，P小于0.01）。这项纵向研究的结果提供了证据，可鼓励卫生从业人员在长期管理和控制高血压中利用此类教育计划。

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