Pragmatic randomized trial of home visits by a nurse to elderly people with hypertension in Mexico
International Journal of EpidemiologyPublished 1 December 2001
Carmen García‐Peña, Margaret Thorogood, Ben Armstrong, Sandra Reyes-Frausto, Onofre Muñoz
Citations49
SJR quartileQ1
SJR score2.69
SNIP2.48
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TL;DR
Nurse home visits are effective in reducing blood pressure in hypertensive patients aged > or =60 years in Mexico City.
Abstract
BACKGROUND: In Mexico, hypertension is a major cause of disability and death in the elderly, but the most effective way to promote behaviour change in old people is unknown. Low resource interventions that are effective in normal healthcare settings are urgently needed. We report the results of a randomized trial of nurse-provided health and lifestyle advice during home visits to elderly people with hypertension in Mexico City. METHODS: Subjects were 718 people with hypertension aged > or =60 years, who were residents of Mexico City and were registered with the Family Medicine Clinics of the Mexican Institute of Social Security (IMSS). A randomized controlled trial was carried out in which the intervention group was offered nurse visits over 6 months with blood pressure checks and negotiated lifestyle changes. The control group continued to receive usual care. RESULTS: After 6 months, 36.5% of the intervention versus 6.8% of the control group had a blood pressure of or =60 years.
Keywords
MedicineNursing
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