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The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients: A Randomized Controlled Trial.
- Source :
- Journal of Cardiovascular Nursing; Nov/Dec2018, Vol. 33 Issue 6, p509-517, 9p
- Publication Year :
- 2018
-
Abstract
- Background and Objective: The health behaviors of hypertensive stroke patients in China are not satisfactory. In this study, we tested the effect of a Health Belief Model Comprehensive Reminder System on health behaviors and blood pressure control in hypertensive ischemic stroke patients after occurrence and hospital discharge. Methods: A randomized, parallel-group, assessor-blinded experimental design yielded participation of 174 hospitalized hypertensive ischemic stroke patients. The intervention consisted of face-to-face and telephone health belief education, a patient calendar handbook, and weekly automated short-message services. Data were collected at baseline and 3 months after discharge. Results: Three months after discharge, the intervention group showed statistically, significantly better health behaviors for physical activity, nutrition, low-salt diet, and medication adherence. The intervention group also had statistically, significantly decreased systolic blood pressure and increased blood pressure control rate. Smoking and alcohol use behaviors were not affected. Conclusion: At 3 months, use of the Comprehensive Reminder System based on the Health Belief Model, yielded improvement in most health behaviors and blood pressure control in hypertensive ischemic stroke patients. Continued implementation of this intervention protocol is warranted to determine the long-term effect. Smoking and alcohol use behaviors need to be targeted with a different intervention. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLOOD pressure
CHI-squared test
STATISTICAL correlation
EXPERIMENTAL design
FISHER exact test
HEALTH behavior
HEALTH education
CARDIAC patients
INTERNET
MEDICAL cooperation
PATIENT education
QUESTIONNAIRES
RESEARCH
STATISTICAL sampling
STATISTICAL hypothesis testing
T-test (Statistics)
STATISTICAL reliability
RANDOMIZED controlled trials
PRE-tests & post-tests
BLIND experiment
HEALTH care reminder systems
EVALUATION of human services programs
DATA analysis software
HEALTH Belief Model
STROKE patients
DESCRIPTIVE statistics
MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 08894655
- Volume :
- 33
- Issue :
- 6
- Database :
- Supplemental Index
- Journal :
- Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 132624191
- Full Text :
- https://doi.org/10.1097/JCN.0000000000000496