Health education interventions for older adults with hypertension: A systematic review and meta-analysis
作者地址
Department of Social Medicine and Health Management, School of Public Health, Lanzhou University, Lanzhou, China
通讯作者
Kehu Yang; Xuemei Han
来源期刊
Public health nursing
摘要
Objective: The study aimed to evaluate the effectiveness of health education intervention for the control of blood pressure (BP) in older adults with hypertension.
Methods: Five databases were searched in March 2018 for randomized controlled trials to manage hypertension in older adults by health education. The primary outcomes were changes in systolic and diastolic BP. RevMan5 was used for meta-analysis.
Results: Seven articles with 1,105 participants were included. In them, 393 (35.56%) older adults participated in health education interventions in the form of courses, and 226 (20.45%), in health education sessions. The meta-analysis suggested an overall reduction in systolic BP after health education courses (SMD, standardized mean difference = 4.80, 95% CI: 7.01-2.59, p < .05). Similar results were observed after health education sessions (SMD = 11.73, 95% CI: 17.63-5.82, p < .05). The diastolic BP reduction showed no difference after the health education course (p = .09). The random effects meta-analysis suggested an overall reduction in diastolic BP after health education sessions (SMD = 5.39, 95% CI: 7.98-2.79, p < .05).
Conclusion: Although different health education methods had different effects on hypertension control, overall, educational interventions can potentially lead to improved BP control.
资助信息
China Medical Board (CMB 17-279); the Fundamental Research Funds for the Central Universities (16LZUJBWTD013, 18LZUJBWZX006, and lzujbky-2018-14); and Gansu Soft science project (18CX1ZA043)
资助机构
中华医学会
;
财政部和教育部
;
甘肃省统计局
WOS学科分类
Public
;
Environmental & Occupational Health
;
Nursing
WOS关键词
PATIENT EDUCATION
;
BLOOD-PRESSURE
;
MANAGEMENT
;
CARE
;
REDUCTION
;
BEHAVIORS
;
KNOWLEDGE
;
PROGRAM
附件
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423 Health education interventions for older adults with hypertension A systematic review and meta-analysis.pdf
1.01 MB
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