Nurse-led hypertension management was well accepted and non-inferior to physician consultation in a Chinese population: a randomized controlled trial
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摘要The objective of this study is to evaluate if nurse-led repeated prescription (NRP) could ensure noninferior disease control and would be accepted in Chinese patients with controlled hypertension (HT) in primary care clinics. A 12-month follow-up non-inferiority randomized trial was conducted. The non-inferior margins for systolic and diastolic blood pressure were 6.6 mmHg and 3.7 mmHg, respectively. Eligible patients (>18 years of age) with HT were randomized to the NRP and usual care (UC) groups for their regular clinical follow-up. We used ANCOVA to study the difference-of-difference of the blood pressures between the two groups. The levels of patient acceptance and experience of NRP were assessed by the observed opt-out rate and a qualitative analysis. We found no statistically
significant differences in BP blood pressure between the NRP (N = 194) and UC (N = 199) groups. Only 4 of the participants in the NRP group opted out due to a preference for assessment by a physician. The interviewed participants (N = 12) felt positive about NRP, because they experienced more relaxed communication with the nurse and believed that the eligibility to join the NRP program was an indication of optimal BP control. We observed no adverse events. The findings show that NRP was well accepted and found to be non-inferior to physician consultation for HT management.
著者Yip BHK, Lee EKP, Sit RWS, Wong C, Li X, Wong ELY, Wong MCS, Chung RYN, Chung VCH, Kung K, Wong SYS
期刊名稱Scientific Reports
出版年份2018
月份7
日期9
卷號8
出版社Nature Publishing Group
文章號碼10302
國際標準期刊號2045-2322
電子國際標準期刊號2045-2322
語言美式英語

上次更新時間 2020-03-12 於 01:07