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Assessment of chronic disease management mode (CDMM) on participants with primary hypertension

Dan Ling1, Rong Wang1, Qun Chen2

  • 1Department of Cardiology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an City, China.

Tropical Medicine & International Health : TM & IH
|March 29, 2021
PubMed

Insights

The Chronic Disease Management Mode (CDMM) improved blood pressure and LDL in hypertension patients. This intervention also enhanced social and psychological well-being, demonstrating its effectiveness in comprehensive chronic disease care.

Area of Science:

  • Cardiology
  • Public Health
  • Nursing Science

Background:

  • Hypertension necessitates ongoing management to mitigate complications.
  • The Chronic Disease Management Mode (CDMM) was developed to enhance patient self-management.
  • Evaluating CDMM's impact on care quality and clinical outcomes is crucial.

Purpose of the Study:

  • To assess the quality of care and clinical outcomes of the CDMM compared to routine care for primary hypertension.
  • To determine the effectiveness of CDMM in managing hypertension and its associated health parameters.

Main Methods:

  • A randomized controlled trial involving 300 primary hypertension patients (>30 years).
  • Intervention group received CDMM (nursing consultations, telephone, online support, education, referrals).
  • Outcomes measured included blood pressure, LDL, BMI, waist circumference, psychological indicators, and quality of life.

Main Results:

  • The CDMM group showed significantly lower systolic blood pressure (SBP) and LDL levels after one month.
  • No significant differences were observed in BMI, UmAlb, or waist circumference between groups.
  • The intervention group demonstrated significant improvements in psychological indicators, social, and psychological function compared to controls.

Conclusions:

  • CDMM provides clinically significant improvements in blood pressure and LDL for hypertension patients.
  • The intervention effectively enhances social and psychological functioning in individuals with primary hypertension.
  • CDMM represents a valuable approach to comprehensive hypertension management.
Abstract

Keywords:
QLICD-HYchronic disease management modenurseprimary hypertensionsystolic blood pressure

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