Effects of home telemonitoring and community-based monitoring on blood pressure control in urban African Americans: A pilot study
Effects of home telemonitoring and community-based monitoring on blood pressure control in urban African Americans: A pilot study
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DOI：
10.1067/mhl.2001.112684
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发表时间：
2001-05-01
期刊：
影响因子：
2.8
通讯作者：
Templin, TN
中科院分区：
文献类型：
--
作者：
Artinian, NT;Washington, OGM;Templin, TN
背景：非裔美国人的高血压患病率和严重程度高于其他少数民族和白人。当人们意识到美国人群中高血压的控制和治疗率正在恶化而不是好转时，这一事实尤其成问题。需要测试促进血压控制的替代策略。结论：本初步研究的目的是测试以下假设：参与护士管理的家庭远程监护（HT）加常规护理或参与护士管理的社区监测（CBM）加常规护理的患者，从基线至3个月随访期间的血压改善更大-方法：本研究采用随机对照设计，参与者被随机分配到3组中的1组，根据使用或不使用降压药物进行分层。使用控制年龄和体重的单因素方差分析（ANOVA）和协方差分析（ANCOVA）来确定血压从基线到3个月的变化。样本包括26名非裔美国人，平均年龄为59岁。结果：HT组和CBM组均具有临床和统计学意义3个月随访时收缩压（SBP）和舒张压（DBP）下降（P <0.05），HT组的参与者表现出最大的改善（HT：基线SRP 148.8 +/- 13.8，DBP 90.2 +/- 5.79; 3个月随访S13 P 124.1 +/- 13.82，DBP 75.58 +/- 11.4; CBM：基线SEP 155.25 +/- 17.0141 DBP 89.42 +/- 10.95，3个月随访SEP 142.3 +/- 12.1，DBP 78.25 +/- 6.86）。SEP或DBP在3个月的后续在通常的护理只有group.CONCLUSION：这些都是重要的试点结果，如果复制在一个更大的样本将显着改善城市非洲裔美国人的高血压护理变化不大。
BACKGROUND: African Americans have a higher prevalence and greater severity of hypertension than do other minorities and whiter. This fact is particularly problematic when one realizes that the rate of control and treatment of hypertension in the US population is Setting worse rather than better. Alternative strategies to promote blood pressure control need to be tested.OBJECTIVES: The purpose of this pilot study was to test the following hypothesis: Persons who participate in nurse-managed home telemonitoring (HT) plus usual care or who participate in nurse-managed community-based monitoring (CBM) plus usual care will have greater improvement in blood pressure from baseline to 3 months' follow-up than will persons who receive usual care only.METHODS: This study used a randomized controlled design; participants were randomly assigned to I of 3 groups that were stratified by use or nonuse of antihypertension medication. One-way analysis of variance (ANOVA) and analysis of covariance (ANCOVA) controlling for age and body weight were used to determine changes in blood pressure from baseline to 3 months. The sample contained 26 African Americans with a mean age of 59 years.RESULTS: Both the HT group and the CBM group had clinically and statistically significant (P < .05) drops in systolic blood pressure (SBP) and diastolic blood pressure (DBP) at 3 months' follow-up, with participants in the HT group demonstrating the greatest improvement (HT: baseline SRP 148.8 +/- 13.8, DBP 90.2 +/- 5.79; 3 months' follow-up S13P 124.1 +/- 13.82, DBP 75.58 +/- 11.4; CBM: baseline SEP 155.25 +/- 17.0141 DBP 89.42 +/- 10.95, 3 months' follow-up SEP 142.3 +/- 12.1, DBP 78.25 +/- 6.86). There was little change in SEP or DBP at 3 months' follow-up in the usual care only group.CONCLUSION: These are important pilot results, which if replicated in a larger sample will significantly I improve care for urban African Americans with hypertension.