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1、Display Settings: AbstractFormat Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID ListApplySend to: Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager FormatCreate File 1 selected item: 22827968 FormatMeSH and Other Data E-mail Subject Additio
2、nal textE-mail SPAM filtering software noticeAdd to ClipboardAdd to CollectionsOrder articlesAdd to My BibliographyGenerate a file for use with external citation management software.Create FileBMC Health Serv Res. 2012 Jul 24;12:216.Effectiveness of interventions for hypertension care in the communi
3、ty - a meta-analysis of controlled studies in China.Lu Z, Cao S, Chai Y, Liang Y, Bachmann M, Suhrcke M, Song F.SourceNorwich Medical School, Faculty of Medicine and Health Science, University of East Anglia, Norwich, Norfolk, UK. Fujian.songuea.ac.uk.AbstractABSTRACT:BACKGROUND: Hypertension is a s
4、erious public health problem in China and in other developing countries. Our aim is to conduct a systematic review of studies on the effectiveness of community interventions for hypertension management in China.METHODS: China National Knowledge Infrastructure, PubMed, and references of retrieved art
5、icles were searched to identify randomised or quasi-randomised controlled studies that evaluated community hypertension care in mainland China. One reviewer extracted and a second reviewer checked data from the included studies.RESULTS: We included 94 studies, 93 of which were in Chinese language, t
6、hat evaluated the following interventions: health education, improved monitoring, family-support, self-management, healthcare management changes and training of providers. The study quality was generally poor, with high risk of biased outcome reporting and significant heterogeneity between studies.
7、When reported, the vast majority of the included studies reported statistically significantly improved outcomes in the intervention group. By assuming zero treatment effects for missing outcomes, the weighted reduction in the intervention group was 69 (95% CI: 49 to 89) mm Hg for systolic BP, and 38
8、 (95% CI: 26 to 50) mm Hg for diastolic BP. Exploratory subgroup analyses found no significant differences between different interventions.CONCLUSIONS: After taking account of possible reporting biases, a wide range of community interventions for hypertension care remain effective. The findings have
9、 implications for China and other low and middle income countries facing similar challenges. Because of significant heterogeneity and high risk of bias in the available studies, further well designed studies should be conducted in China to provide high quality evidence to inform policy decisions on
10、hypertension control.上海社区高血压疾病细节管理对高血压患者知识知晓率的影响研究Influence of Disease Details Management Program for Hypertension on Awareness of Hypertension Related Knowledge of Patients with Hypertension in Shanghai Community 推荐 CAJ下载 PDF下载 中国全科医学 , Chinese General Practice, 编辑部邮箱 2011年04期 目录页浏览给本刊投稿 【作者】 程旻娜；
11、李新建； 王玉恒； 卢伟； 【Author】 CHENG Min-na,LI Xin-jian,WANG Yu-heng,et al.Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China【机构】 上海市疾病预防控制中心心脑血管疾病防治科； 【摘要】 目的通过多中心的社区干预试验,评价社区高血压疾病细节管理对高血压患者相关知识知晓度的影响。方法在上海市4个中心城区的社区卫生服务中心中共招募1 442例高血压患者,分为细节管理组961例、日常管理组481例。细节管理组:设立社区健康管理专
12、员专岗,增进社区医生与患者的沟通,提高患者服药依从性,对患者进行生活方式指导,并为社区医生定期收集血压等相关信息并反馈;开发和应用社区管理信息平台和患者管理工具。日常管理组:采用常规的管理模式。结果细节管理组和日常管理组对高血压相关的各项知识知晓情况均较基线有所提高。干预后细节管理组的收缩压和舒张压均低于日常管理组,血压达标值、高血压患病危险因素、高血压防治原则等知晓度评分,细节管理组显著优于日常管理组,差异有统计学意义(P0.05)。细节管理组收缩压与知晓度评分总分的相关系数为-0.352(P=0.000),舒张压与知晓度评分总分的相关系数为-0.262(P=0.000)。结论上海社区高血压
13、疾病细节管理是提高高血压患者相关知识知晓度和血压控制水平的有效措施。更多还原【Abstract】 Objective To evaluate the effect of disease details management program for hypertension in community on awareness of hypertension related knowledge through community based multi-center trial of intervention. Methods Totally 1 442 patients from 4 commu
14、nities in urban Shanghai were enrolled and divided as intervention group(n=961) and usual group(n=481).The intervention programs for the intervention group included disease management by special care managers who enhance communication between physicians and patients,promote medication compliance and
15、 give guidance of health lifestyle for patients;collect the related information on blood pressure,etc.As well as feedback from patients for community practitioners;and community-based management information platforms and patient management tool were also developed and applied.Only regular management
16、 was given for the usual group. Results The awareness of knowledge on hypertension was improved in both the intervention and usual groups.The values of systolic blood pressure(SBP) and diastolic blood pressure(DBP) of the intervention group were lower than those in the usual group;the scores of awareness of normal bloo
