Influence of Health Education by Nurses on Effects of Blood Pressure Control in Hypertensive Patients: A Clinical Controlled Trial_Chinese Journal of Evidence-Based Medicine

Authors：

 LAIJin-yuan , XIAOXian ,  YOUGui-ying ^* ,  XUYing ^* , WANGJia-lin , LIAOHang , SHIDi , ZHANGXin , WANGYong

Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

YOUGui-ying, Email: guiying_you@163.com; XUYing, Email: 1419850448@qq.com

Keywords：

Hypertension; Health education; Pressure control; Clinical controlled trial

DOI：

10.7507/1672-2531.20140109

Video：

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Objective For better health interventions, blood pressure control and reducing risk of cardiovascular events, we explored the effects of health education by nurses on hypertension patients after discharging. Methods Hypertensive discharging-patients from the department of cardiology of the West China Hospital of Sichuan University were enrolled from January to October in 2011. They were divided into two groups, including a health education group and a control group. The patients in the health education group were given all-side care, health guidance, education lectures and telephone follow-up by nurses. The control group got no intervention. After one year follow-up, the information about situation of blood pressure control, new-onset cardiovascular events and changes of life habits were collected from the two groups. SPSS 19.0 was used to perform statistic analysis. Results A total of 300 discharged hypertensive cases were included, with 150 cases in each group. The systolic blood pressure of patients in the health education group was significantly lower than that of the control group (P < 0.05). Both blood control rates and the habit of low salt intake in the health education group were also better than those of the control group (both P < 0.05). There was no significant difference in changes of smoking, drinking, physical exercise and new-onset cardiovascular events between the two groups. Conclusion Health education by nurses could effectively improve the management of blood pressure in patients with hypertension.

Citation： LAIJin-yuan, XIAOXian, YOUGui-ying, XUYing, WANGJia-lin, LIAOHang, SHIDi, ZHANGXin, WANGYong. Influence of Health Education by Nurses on Effects of Blood Pressure Control in Hypertensive Patients: A Clinical Controlled Trial. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 655-658. doi: 10.7507/1672-2531.20140109 Copy

1.	?李鎰沖, 王麗敏, 姜勇, 等. 2010年中國成年人高血壓患病情況.中華預防醫學雜志, 2012, 46(5):409-413.
2.	Mancia G, Fagard R, Narkiewicz K, et al. 2013 Practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC):ESH/ESC Task Force for the Management of Arterial Hypertension. J Hypertens, 2013, 31(10):1925-1938.
3.	Liu K, He S, Hong B, et al. Over time, do anthropometric measures still predict diabetes incidence in chinese han nationality population from chengdu community? Int J Endocrinol, 2013, 2013:239376.
4.	莊玉春, 王明明, 余愛華, 等.高血壓患者的飲食及用藥指導.中國醫藥指南, 2010, 8(25):160-161.
5.	中國營養學會.中國居民膳食營養素參考攝入量(簡要本).北京:中國輕工業出版社, 2001.
6.	Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure:the JNC 7 report. JAMA, 2003, 289(19):2560-2572.
7.	Parati G, Stergiou GS, Asmar R, et al. European Society of Hypertension practice guidelines for home blood pressure monitoring. J Hum Hypertens, 2010, 24(12):779-785.
8.	陳尹, 胡世蓮, 李幼平, 等.全球藥物干預治療單純性高血壓指南的系統評價.中國循證醫學雜志, 2012, 12(10):1180-1194.
9.	陳尹, 胡世蓮, 李幼平, 等.全球藥物干預治療高血壓合并其他疾病指南的系統評價.中國循證醫學雜志, 2012, 12(12):1446-1462.
10.	安翠平, 李貴連, 李寶全, 等.腎臟早期損傷尿液檢測指標研究進展.河北醫藥, 2013, 6(35):915-917.
11.	Hellemons ME, Kerschbaum J, Bakker SJ, et al. Validity of biomarkers predicting onset or progression of nephropathy in patients with Type 2 diabetes:a systematic review. Diabet Med, 2012, 29(5):567-577.
12.	林超萍, 劉嘉勇, 呂婉嫻, 等.尿免疫球蛋白G、輕鏈及微量清蛋白在繼發性腎臟疾病早期診斷的臨床價值.國際檢驗醫學雜志, 2011, 12(32):1287-1288.
13.	Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med, 1997, 336(16):1117-1124.
14.	Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure control:main results of the PREMIER clinical trial. JAMA, 2003, 289(16):2083-2093.
15.	Appel LJ, Brands MW, Daniels SR, et al. Dietary approaches to prevent and treat hypertension:a scientific statement from the American Heart Association. Hypertension, 2006, 47(2):296-308.
16.	Primatesta P, Falaschetti E, Gupta S, et al. Association between smoking and blood pressure:evidence from the health survey for England. Hypertension, 2001, 37(2):187-193.
17.	Fuchs FD, Chambless LE, Whelton PK, et al. Alcohol consumption and the incidence of hypertension:The Atherosclerosis Risk in Communities Study. Hypertension, 2001, 37(5):1242-1250.
18.	Xin X, He J, Frontini MG, et al. Effects of alcohol reduction on blood pressure:a meta-analysis of randomized controlled trials. Hypertension, 2001, 38(5):1112-1117.

1. ?李鎰沖, 王麗敏, 姜勇, 等. 2010年中國成年人高血壓患病情況.中華預防醫學雜志, 2012, 46(5):409-413.
2. Mancia G, Fagard R, Narkiewicz K, et al. 2013 Practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC):ESH/ESC Task Force for the Management of Arterial Hypertension. J Hypertens, 2013, 31(10):1925-1938.
3. Liu K, He S, Hong B, et al. Over time, do anthropometric measures still predict diabetes incidence in chinese han nationality population from chengdu community? Int J Endocrinol, 2013, 2013:239376.
4. 莊玉春, 王明明, 余愛華, 等.高血壓患者的飲食及用藥指導.中國醫藥指南, 2010, 8(25):160-161.
5. 中國營養學會.中國居民膳食營養素參考攝入量(簡要本).北京:中國輕工業出版社, 2001.
6. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure:the JNC 7 report. JAMA, 2003, 289(19):2560-2572.
7. Parati G, Stergiou GS, Asmar R, et al. European Society of Hypertension practice guidelines for home blood pressure monitoring. J Hum Hypertens, 2010, 24(12):779-785.
8. 陳尹, 胡世蓮, 李幼平, 等.全球藥物干預治療單純性高血壓指南的系統評價.中國循證醫學雜志, 2012, 12(10):1180-1194.
9. 陳尹, 胡世蓮, 李幼平, 等.全球藥物干預治療高血壓合并其他疾病指南的系統評價.中國循證醫學雜志, 2012, 12(12):1446-1462.
10. 安翠平, 李貴連, 李寶全, 等.腎臟早期損傷尿液檢測指標研究進展.河北醫藥, 2013, 6(35):915-917.
11. Hellemons ME, Kerschbaum J, Bakker SJ, et al. Validity of biomarkers predicting onset or progression of nephropathy in patients with Type 2 diabetes:a systematic review. Diabet Med, 2012, 29(5):567-577.
12. 林超萍, 劉嘉勇, 呂婉嫻, 等.尿免疫球蛋白G、輕鏈及微量清蛋白在繼發性腎臟疾病早期診斷的臨床價值.國際檢驗醫學雜志, 2011, 12(32):1287-1288.
13. Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med, 1997, 336(16):1117-1124.
14. Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure control:main results of the PREMIER clinical trial. JAMA, 2003, 289(16):2083-2093.
15. Appel LJ, Brands MW, Daniels SR, et al. Dietary approaches to prevent and treat hypertension:a scientific statement from the American Heart Association. Hypertension, 2006, 47(2):296-308.
16. Primatesta P, Falaschetti E, Gupta S, et al. Association between smoking and blood pressure:evidence from the health survey for England. Hypertension, 2001, 37(2):187-193.
17. Fuchs FD, Chambless LE, Whelton PK, et al. Alcohol consumption and the incidence of hypertension:The Atherosclerosis Risk in Communities Study. Hypertension, 2001, 37(5):1242-1250.
18. Xin X, He J, Frontini MG, et al. Effects of alcohol reduction on blood pressure:a meta-analysis of randomized controlled trials. Hypertension, 2001, 38(5):1112-1117.

Chinese Journal of Evidence-Based Medicine

Influence of Health Education by Nurses on Effects of Blood Pressure Control in Hypertensive Patients: A Clinical Controlled Trial

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