基于家庭的干预措施,以获得成人最佳血压结果:印度的一个集群随机对照试验
Panniyammakal Jeemon1, Thottathan Athira, Thoniparambil Ravindranathanpillai Lekha
1Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Journal of hypertension
|September 24, 2025
概括
一个以家庭为中心的策略显著降低了高风险个体的血压. 这种方法涉及生活方式的改变和定期的随访,为高血压管理提供了公共卫生效益.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 临床试验 临床试验
背景情况:
- 高血压是全球残疾和死亡的主要原因.
- 高风险家庭是干预的目标人群.
- 需要有效的策略来控制血压并降低心血管风险.
研究的目的:
- 评估以家庭为中心的降低血压策略的有效性.
- 评估生活方式改变和获得医疗保健对血压控制的影响.
- 确定这种干预对高风险家庭的公共卫生益处.
主要方法:
- 一个开放的标签,集群随机对照试验,涉及来自750个家庭的1671名参与者.
- 干预包括心血管风险查,生活方式修改,初级医疗保健获取便利化和坚持支持.
- 血压 (SBP和DBP) 在基线,12个月和24个月使用电子设备测量.
主要成果:
- 干预组显示,在2年内,系统血压 (SBP) 显著降低 -5.23 mmHg,腹压 (DBP) 显著降低 -2.56 mmHg.
- 与通常护理组相比,干预组的血压≥140/90mmHg的几率在干预组下降了25%.
- 在2年的随访期间,观察到3%的低消耗率.
结论:
- 以家庭为中心的生活方式干预措施在高风险人群中有效控制血压.
- 这一策略表明,高血压控制对公共卫生有益的巨大潜力.
- 通过基于家庭的方法优化血压可以减轻心血管疾病的风险.
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