Abstract
Objective: To explore the effect and associated factors of comprehensive community interventions for hypertension control based on remote ambulatory blood pressure monitoring(RABPM).Methods 1 000 patients with hypertension were selected from 41 community health centers in Guangzhou between January 2015 and September 2016 by multi-stage random sampling.All of them signed a contract with the community general practitioner and enjoyed the one-to-one contractual services,and received the comprehensive community interventions for hypertension control delivered by health mangers,family doctors,and the patient's family members based on the blood pressure levels measured by a new type of RABMP.The intervention effects were evaluated by the status of hypertension control,health behaviors and BMI of patients at the end of 6-month,12-month and 18-month intervention.Multivariate Logistic regression analysis was carried out to determine the factors associated with hypertension control outcome.Results: A total of 954 cases who completed the trial were included for further analysis.The 18-month follow-up showed the following results:At the end of 6-month intervention,although the mean diastolic blood pressure(DBP) of the patients changed a little(P>0.05),the mean systolic blood pressure(SBP) decreased significantly(P<0.05) compared with baseline.Compared with at the end of 6-month intervention,both mean DBP and SBP levels of them were much lowered when they finished 12-month intervention(P<0.05).When the 18-month intervention ended,the patients were found with both lower mean DBP and SBP levels compared with at the end of 12-month intervention(P<0.05),and were identified with lower rate of lack of exercise,lower mean BMI and longer mean duration of exercise(P<0.05) but similar prevalence of smoking and alcohol consumption(P>0.05) compared with baseline.The rate of hypertension control increased as the intervention went on(P<0.05).Multivariate Logistic regression analysis revealed that age,concomitant illness,smoking and BMI were associated factors for hypertension control outcome(P<0.05).Conclusion: Comprehensive interventions based on RABPM could effectively improve the hypertension control outcome of community-dwelling hypertensive patients.Age,concomitant illness,smoking and BMI of the patients could influence the management effect.
Translated title of the contribution | Application Effect and Associated Factors of Comprehensive Community Interventions for Hypertension Control Based on Remote Ambulatory Blood Pressure Monitoring |
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Original language | Chinese (Traditional) |
Pages (from-to) | 2343-2347 |
Number of pages | 5 |
Journal | Chinese General Practice |
Volume | 21 |
Issue number | 19 |
DOIs | |
Publication status | Published - 5 Jul 2018 |
Externally published | Yes |
Keywords
- Effect
- Health managament
- Hypertension
- Remote ambulatory monitoring
- Root cause analysis