越南克服高血压:来自集群随机对照试验的12个月随访结果
Hoa L Nguyen1, Duc A Ha2,3, Oanh T Tran3
1Department of Population and Quantitative Health Sciences, UMass Chan Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
The Lancet regional health. Western Pacific
|July 24, 2024
概括
一项多组分干预措施显著降低了越南成年人不受控制的高血压的血压. 这种方法改善了血压控制和药物坚持,为管理高血压提供了一个有希望的策略.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压影响了大约20%的越南成年人,这给管理带来了重大挑战.
- 越南的失控高血压需要有效和可扩展的干预措施.
研究的目的:
- 评估多组分干预措施降低系统性血压 (BP) 在越南未控制高血压的成年人中的有效性.
主要方法:
- 一个集群随机对照试验,涉及越南农村16个社区的671名成年人.
- 该干预包括卫生工作者培训,患者教育,讲故事,家庭血压自我监测以及扩大社区卫生工作者服务.
- 主要结局是12个月的随访期内缩血压的变化,并进行掩盖结果评估.
主要成果:
- 干预组的平均静脉血压下降为18.4mmHg,而对照组的平均下降为3.7mmHg,差异性下降为14.7mmHg.
- 干预组表现出改善的血压控制和药物坚持.
- 没有任何与干预相关的严重不良事件.
结论:
- 一种多组分干预措施有效地降低了未经控制的高血压在越南的成年人的高血压.
- 这种干预策略有望改善类似环境中的高血压管理.
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