Nurse administered telephone intervention for blood pressure control: a patient-tailored multifactorial intervention
Nurse administered telephone intervention for blood pressure control: a patient-tailored multifactorial intervention
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DOI：
10.1016/j.pec.2004.03.011
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发表时间：
2005-04-01
影响因子：
3.5
通讯作者：
Oddone, EZ
中科院分区：
文献类型：
--
作者：
Bosworth, HB;Olsen, MK;Oddone, EZ
目的：正在进行一项随机对照试验，涉及护士管理的患者量身定制的干预措施，以改善血压（BP）控制。研究方法：来自门诊初级保健诊所的高血压退伍军人完成了基线评估，并随机分配到护士管理的干预或常规护理。在这项正在进行的研究中，干预患者通过电话接受定制的干预，每两个月一次，持续2年;干预的目标是促进药物依从性和改善健康行为。针对干预的患者因素包括高血压的感知风险、记忆力、读写能力、社会支持、患者与其医疗保健提供者的关系、治疗的副作用、药丸补充、错过预约和健康行为。结果：随机抽样的护士干预包括294名退伍军人与高血压（平均年龄= 63岁，41%的非洲裔美国人）。退伍军人的可比样本被分配到常规护理（n = 294）。在研究的前12个月，我们保持了97%的留存率。平均电话持续时间为3.7分钟，从不到1分钟到40分钟不等。在6个月后，接受护士干预的个体对高血压治疗的信心比常规护理组有更大的增加（P < 0.007）。讨论：该干预措施易于实施，旨在提高处方高血压治疗方案的依从性。这项研究包括一般和患者定制的信息的基础上需要评估。研究设计确保了内部有效性以及将研究结果推广到临床环境的能力。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Objectives: A randomized controlled trial involving a nurse administered patient-tailored intervention is being conducted to improve blood pressure (BP) control. Methods: Veterans with hypertension from an outpatient primary care clinic completed a baseline assessment and were randomly allocated to either a nurse administered intervention or to usual care. In this ongoing study, intervention patients receive the tailored intervention bi-monthly for 2 years via telephone;, the goal of the intervention is to promote adherence with medication and improve health behaviors. Patient factors targeted for intervention include perceived risk of hypertension, memory, literacy, social support, patients' relationship with their health care provider, side effects of therapy, pill refill, missed appointments, and health behaviors. Results: The sample randomized to the nurse intervention consisted of 294 veterans with hypertension (average age = 63 years; 41% African-American). A comparable sample of veterans was assigned to usual care (n = 294). We have maintained a 97% retention rate for the first 12 months of the study. The average phone call has lasted 3.7 min ranging from less than 1 to 40 min. At 6-month post-enrollment, individuals receiving the nurse intervention had a greater increase in confidence with following hypertension treatment (P < 0.007) than the usual care group. Discussion: The intervention is easily implemented and is designed to enhance adherence with prescribed hypertension regimen. The study includes both general and patient-tailored information based upon need assessment. The study design ensures internal validity as well as the ability to generalize study findings to the clinic settings. (c) 2004 Elsevier Ireland Ltd. All rights reserved.