Effects of a Comprehensive Reminder System Based on the Health Belief Model for Patients Who Have Had a Stroke on Health Behaviors, Blood Pressure, Disability, and Recurrence From Baseline to 6 Months: A Randomized Controlled Trial.
| Autor: | Meng-Yao Wang, Meng-Jie Shen, Li-Hong Wan, Miao-Miao Mo, Zhen Wu, Li-Li Li, Neidlinger, Susan H. |
|---|---|
| Předmět: |
ALMANACS
ANALYSIS of variance BLOOD pressure CHI-squared test COMPARATIVE studies STATISTICAL correlation FUNCTIONAL assessment DRUGS HEALTH attitudes HEALTH behavior HYPERTENSION INTERVIEWING MEDICAL cooperation HEALTH outcome assessment PATIENT compliance PUBLIC hospitals QUESTIONNAIRES RESEARCH RESEARCH funding STATISTICAL sampling SCALE analysis (Psychology) SPHYGMOMANOMETERS TELEPHONES TIME DISEASE relapse TEXT messages QUANTITATIVE research STATISTICAL reliability RANDOMIZED controlled trials PATIENT discharge instructions PRE-tests & post-tests REPEATED measures design BLIND experiment HEALTH care reminder systems DATA analysis software HEALTH Belief Model STROKE patients DESCRIPTIVE statistics |
| Zdroj: | Journal of Cardiovascular Nursing; Mar/Apr2020, Vol. 35 Issue 2, p156-164, 9p |
| Abstrakt: | Background: The health behaviors and blood pressure control of patients with hypertension who have had a stroke are unsatisfactory. A protocol of a comprehensive reminder system has been published, and the results of 3 months of implementation have demonstrated improved patient health behaviors and blood pressure control. The continuity of the intervention effect on these variables after 3 months was not clear. Objective: The aim of this study was to determine the impact of a comprehensive reminder system intervention on health behaviors, medication adherence, blood pressure, disability, and stroke recurrence in patients with hypertension who have had a stroke from baseline to 6 months after discharge. Method: A multicenter, assessor-blinded, randomized controlled trial was conducted with 174 patients with hypertension who have had a stroke. The intervention consisted of health belief education, a calendar handbook, weekly short message services, and telephone interviews. Data were collected at baseline and at 3 and 6 months after discharge. Results: Repeated-measures analysis of variance and single-effect analysis revealed that, compared with the control group, improvements of health behaviors, medication adherence, blood pressure, and disability of participants in the intervention group were superior. From 3 to 6 months after discharge, these trends remained or continually improved, whereas a downward trend was observed in the control group. There were only 2 stroke recurrences within 6 months, and no statistically significant difference between groups was found. Conclusion: The comprehensive reminder system improved patients' health behaviors and medication adherence and reduced blood pressure and disability; the effect extended to 6 months after discharge. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
| Externí odkaz: |
|