Maintenance of blood pressure treatment and control after discontinuation of work site follow-up.
Maintenance of blood pressure treatment and control after discontinuation of work site follow-up.
复制标题
停止工作现场随访后维持血压治疗和控制。
DOI：
10.1097/00043764-199006000-00007
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Foote,A
中科院分区：
文献类型：
--
作者：
Erfurt,JC;Foote,A
在四个工作场所进行的为期3年的高血压控制研究的参与者在研究方案终止4年后进行了重新筛选。在为期3年的研究结束时，提供常规随访监测的研究地点的员工的血压控制水平明显好于最初筛查时，也明显好于没有提供随访监测的工作地点的员工。但在后续服务停止4年后，情况就不再如此了。实验地点的血压控制水平并不比控制地点好，所有研究地点的控制水平并不比预测的年龄为7岁的人群好。大约17.6%的参与者被发现血压缓解（血压读数正常，未接受治疗），但数据表明他们有未来血压升高的风险，需要继续监测。持续治疗的主要预测因素是血压监测频率，但监测频率与良好控制的维持无关。结论是，工作现场的后续监测方案应被视为长期服务，而不是短期方案。
Participants in a 3-year study of hypertension control at four work sites were rescreened 4 years after discontinuation of the study protocols. At the end of the 3-year study period, employees at the study sites that provided routine follow-up monitoring had shown significantly better levels of blood pressure control than at initial screening and significantly better levels than employees at the site that did not provide follow–up monitoring. But 4 years after discontinuation of the follow–up services this was no longer true. The level of blood pressure control at the experimental sites was no better than at the control site, and the level of control at all study sites was no better than would have been predicted for a population that had aged by 7 years. Some 17.6% of the participants were found to be in remission (with normal blood pressure readings, not under treatment), but the data suggested that they were at risk of future blood pressure elevations, warranting continued monitoring. The major predictor of continuation in treatment was frequency of blood pressure monitoring, but frequency of monitoring was not associated with maintenance of good control. It is concluded that follow-up monitoring programs at the work site should be treated as permanent services, not short-term programs.