The Evaluation of a Regional Faith Community Network's Million Hearts Program.

The Evaluation of a Regional Faith Community Network's Million Hearts Program.
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对区域信仰社区网络百万爱心计划的评估。

DOI:
10.1111/phn.12222
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发表时间:
2016
期刊:
Public health nursing (Boston, Mass.)
影响因子:
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通讯作者:
Zimmerman,Wendy
Zimmerman,Wendy
中科院分区:
--
文献类型:
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作者:
Cooper,Jennifer;Zimmerman,Wendy

文献摘要

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目标 百万之心计划的目标是到 2017 年预防 100 万人心脏病发作和中风。马里兰州是州和地区卫生官员协会百万之心州学习合作组织中的一个州。马里兰州华盛顿县县卫生局、Meritus Health 系统和 Meritus Health 教区护士协调员之间建立了合作关系,以解决该县的高血压问题。 计划计划和实施 在 52 个信仰社区的区域网络内,教区护士协调员招募了 25 名信仰社区护士参加为期三个月的计划。护士接受了正确血压测量的培训,22 名护士确定了 58 名参与血压自我监测和生活方式改变指导的参与者。此外,护士还测量了 1,729 名患者的血压,并向其会众内的个人提供健康教育。项目评估 51 名参与者与信仰社区护士一起参与了血压自我监测和生活方式指导。七个生活方式领域中有六个得到改善。百分之八二二的参与者 (N = 42) 在三个月内降低了收缩压和/或舒张压。结论信仰社区护士提供的辅导可以创造一个持续支持的环境,以促进生活方式的改善和血压随时间的变化。
ObjectiveThe goal of the Million Hearts initiative is to prevent one million heart attacks and strokes by 2017. Maryland was one state in the Association of State and Territorial Health Official's Million Hearts State Learning Collaborative. Washington County, Maryland formed a collaboration between the County Health Department, Meritus Health System, and the Meritus Health Parish Nurse Coordinator to address hypertension in the county.Program Plan and ImplementationWithin a regional network of 52 faith communities, the Parish Nurse Coordinator recruited 25 faith community nurses to participate in a three‐month program. Nurses were trained on proper blood pressure measurement and 22 nurses identified 58 participants engaged in blood pressure self‐monitoring and coaching for lifestyle changes. Additionally, nurses took 1,729 blood pressures and provided health education to individuals within their congregations.Program EvaluationFifty‐one participants participated in blood pressure self‐monitoring and lifestyle coaching with faith community nurses. There was improvement in six out of seven lifestyle areas. Eight‐two percent of participants (N= 42) decreased their systolic and/or diastolic blood pressure over three months.ConclusionCoaching provided by faith community nurses can create an environment of sustained support to promote improved lifestyle and blood pressure changes over time.