为高血压前患者开发生活方式干预计划;使用修改后的Delphi方法建立共识
Danish Hassan1, Syed Shakil Ur Rehman1, Saira Khalid1
1Riphah College of Rehabilitation & Allied Health Sciences, Riphah International University, Lahore, Pakistan.
PloS one
|October 10, 2024
概括
这项研究使用共识方法开发了高血压前期的生活方式干预计划 (LSIP). 该LSIP包括教育,饮食和运动建议,以实现早期干预和改善健康结果.
科学领域:
- 心血管健康 心血管健康
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 前高血压意味着高血压的临床前阶段,增加心血管疾病和目标器官损伤的风险.
- 早期的生活方式干预对于减轻高血压前期的不良影响和改善长期健康至关重要.
- 制定一个结构化的生活方式干预计划 (LSIP) 是有效的高血压前管理的必要条件.
研究的目的:
- 开发一个全面的生活方式干预计划 (LSIP) 用于高血压前管理.
- 采用一种涉及患者和医疗保健专业人员的建立共识的方法.
- 创建一个整体计划,整合教育,饮食和运动组件.
主要方法:
- 进行了三轮在线修改的Delphi研究,与70名小组成员 (患者和专业人士) 进行了三轮在线修改.
- 最初的建议以5点的利克特级别进行评分,并提供了额外建议的机会.
- 在第3轮中,共识被定义为至少70%的受访者将项目评为"重要"或"非常重要".
主要成果:
- 51名小组成员完成了这项研究,35项建议达到了共识.
- 最终的LSIP包括15个教育,10个饮食和10个运动建议.
- 在Delphi轮比赛中,大量的新物品被添加和改进.
结论:
- 通过建立共识的方法,成功开发了针对高血压前的综合性LSIP.
- 该计划提供了一个全面的,可扩展的早期干预模型,解决当前护理标准的差距.
- 该LSIP旨在减少对药物的依赖,并改善普通人口的长期健康结果.
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