A RANDOMIZED CONTROLLED TRIAL OF STRESS REDUCTION FOR HYPERTENSION IN OLDER AFRICAN-AMERICANS
A RANDOMIZED CONTROLLED TRIAL OF STRESS REDUCTION FOR HYPERTENSION IN OLDER AFRICAN-AMERICANS
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DOI：
10.1161/01.hyp.26.5.820
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发表时间：
1995-11-01
期刊：
影响因子：
8.3
通讯作者：
KING, CG
中科院分区：
文献类型：
--
作者：
SCHNEIDER, RH;STAGGERS, F;KING, CG
我们测试了两种压力教育方法对老年非裔美国人轻度高血压治疗的短期疗效和可行性。这是一项在一个市中心的初级保健健康中心进行的随机、对照、单盲试验，随访期为3个月。在对213名非裔美国男性和女性进行筛选后，选取了127人（年龄在55岁至85岁之间，初始舒张压为90至109毫米汞柱，收缩压小于或等于189毫米汞柱，最终基线血压小于或等于179/104毫米汞柱）。其中，16人没有完成随访血压测量。将心理和生理减压方法（超觉冥想和渐进性肌肉松弛）与一种生活方式改变教育对照方案进行相互比较。主要结局指标是从基线到最终随访时临床舒张压和收缩压的变化，由不知情的观察者测量。次要指标是线性血压趋势、家庭血压变化和干预依从性。根据显著的基线差异进行调整并与对照组相比，超觉冥想使收缩压降低了10.7毫米汞柱（P<...此处原文似乎不完整）
We tested the short-term efficacy and feasibility of two stress education approaches to the treatment of mild hypertension in older African Americans. This was a randomized, controlled, single-blind trial with 3 months of follow-up in a primary care, inner-city health center. Of 213 African American men and women screened, 127 individuals (aged 55 to 85 years with initial diastolic pressure of 90 to 109 mm Hg, systolic pressure of less than or equal to 189 mm Hg, and final baseline blood pressure of less than or equal to 179/104 mm Hg) were selected. Of these, 16 did not complete follow-up blood pressure measurements. Mental and physical stress-reduction approaches (Transcendental Meditation and progressive muscle relaxation) were compared with a lifestyle modification education control program and with each other. The primary outcome measures were changes in clinic diastolic and systolic pressures from baseline to final follow-up, measured by blinded observers. The secondary measures were linear blood pressure trends, changes in home blood pressure, and intervention compliance. Adjusted for significant baseline differences and compared with control, Transcendental Meditation reduced systolic pressure by 10.7 mm Hg (P