在黑人理发店中降低血压的可持续性
Ronald G Victor1, Ciantel A Blyler1, Ning Li2
1Smidt Heart Institute at Cedars-Sinai Medical Center, Los Angeles, CA (R.G.V., C.A.B., K.L., N.B.M., M.R., F.R.).
Circulation
|December 29, 2018
概括
这项研究表明,让理发师参与促进健康和药剂师参与药物管理,在12个月内显著降低了患有高血压的黑人男性的血压.
科学领域:
- 心血管健康
- 公共卫生干预措施
- 健康上的差异
背景情况:
- 高血压对非西班牙裔黑人男性的影响不成比例.
- 需要以社区为基础的干预措施来改善这一群体的高血压管理.
- 现有的模式可能无法充分解决这一群体面临的独特需求和障碍.
研究的目的:
- 开发和测试非西班牙裔黑人男性的高血压治疗模式.
- 评估结合理发师和药剂师的模式的有效性和可持续性.
- 评估对系统血压 (BP) 和治疗坚持性的影响.
主要方法:
- 一项为期12个月的随机集群试验,涉及319名血压升高的黑人男性 (≥140 mm Hg).
- 52个理发店被随机分配到由药剂师主导的干预组或主动对照组.
- 干预组从理发师和美国高血压学会认证的药剂师那里获得了健康促进.
主要成果:
- 干预组在12个月后的平均静脉压下降幅度为28. 6毫米克,而对照组为7. 2毫米克.
- 在干预组中达到目标血压 (<130/ 80毫米) 的比例为68. 0%,对照组为11. 0%.
- 干预表明持续的疗效和安全性,90%的队列保留,没有严重的不良事件.
结论:
- 一个以社区为基础的模式, 连接理发师和药剂师有效地降低和维持高血压的黑人男性.
- 这种干预模式有望在广泛实施和解决健康差异方面发挥作用.
- 需要进一步的实施研究来扩大这种有效的高血压管理策略.
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