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Health education interventions for older adults with hypertension: A systematic review and meta-analysis

机译：高血压老年人的健康教育干预：系统审查和荟萃分析

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Objective The study aimed to evaluate the effectiveness of health education intervention for the control of blood pressure (BP) in older adults with hypertension. Methods Five databases were searched in March 2018 for randomized controlled trials to manage hypertension in older adults by health education. The primary outcomes were changes in systolic and diastolic BP. RevMan5 was used for meta-analysis. Results Seven articles with 1,105 participants were included. In them, 393 (35.56%) older adults participated in health education interventions in the form of courses, and 226 (20.45%), in health education sessions. The meta-analysis suggested an overall reduction in systolic BP after health education courses (SMD, standardized mean difference = 4.80, 95% CI: 7.01-2.59, p < .05). Similar results were observed after health education sessions (SMD = 11.73, 95% CI: 17.63-5.82, p < .05). The diastolic BP reduction showed no difference after the health education course (p = .09). The random effects meta-analysis suggested an overall reduction in diastolic BP after health education sessions (SMD = 5.39, 95% CI: 7.98-2.79, p < .05). Conclusion Although different health education methods had different effects on hypertension control, overall, educational interventions can potentially lead to improved BP control.
机译：目的该研究旨在评估健康教育干预对高血压老年人血压（BP）控制的有效性。方法于2018年3月搜查了五个数据库，用于随机对照试验，以健康教育管理老年人的高血压。主要结果是收缩性和舒张性BP的变化。 Revman5用于Meta分析。结果包括七章，其中七章有1,105名参与者。在其中，393名（35.56％）老年人参加了课程形式的健康教育干预，226名（20.45％），健康教育会议。 Meta分析表明健康教育课程后收缩基BP的总体减少（SMD，标准化平均差异= 4.80,95％CI：7.01-2.59，P <.05）。在健康教育会议后观察到类似的结果（SMD = 11.73,95％CI：17.63-5.82，P <.05）。舒张压BP减少在健康教育课程后没有差异（p = .09）。随机效应Meta分析表明健康教育会议后舒张压BP的总体减少（SMD = 5.39,95％CI：7.98-2.79，P <.05）。结论虽然不同的健康教育方法对高血压控制产生不同的影响，但总体而言，教育干预措施可能会导致改善的BP控制。

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