The effect of the multimodal intervention on blood pressure in patients with first ischemic stroke: A randomized controlled trial.

IF 1.1 Q3 NURSING Belitung Nursing Journal Pub Date : 2023-01-01 DOI:10.33546/bnj.2432

Orapin Jullmusi, Jintana Yunibhand, Chanokporn Jitpanya

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引用次数: 1

Abstract

Background: Multimodal intervention is currently promoted to control blood pressure in patients with first ischemic stroke. However, a dearth of studies has examined the influence of the intervention among patients with ischemic stroke, particularly in Thailand.

Objective: This study aimed to determine the effect of the multimodal intervention on blood pressure in patients with first ischemic stroke.

Methods: A randomized controlled trial was conducted. Sixty participants were randomly selected from two tertiary hospitals in Thailand. Eligible participants were randomly assigned into an experimental group (n = 30) and a control group (n = 30). The experimental group was provided with the multimodal intervention, while the control group was given the usual care. Data were collected from May 2021 to October 2021 at baseline (pre-test), 4^th week, 8^th week, and 12^th week using the demographic data form and sphygmomanometer. The data were analyzed using the Chi-square test, t-test, and repeated measure analysis of variance (ANOVA).

Results: The participants' blood pressures after receiving the multimodal intervention were lower than those before receiving the multimodal intervention. Both systolic and diastolic blood pressure were statistically significantly decreased over time, starting from baseline to the 8^th week and 12^th week (p <0.001). In addition, the participants' mean scores of systolic blood pressure (F (1, 58) = 4.059, p = 0.049) and diastolic blood pressure (F (1, 58) = 4.515, p = 0.038) were lower than the control group.

Conclusion: The multimodal intervention is effective in controlling blood pressure. Therefore, nurses should educate patients with ischemic stroke to manage systolic and diastolic blood pressure, facilitate the patient's participation in the exercise program, and monitor the patients via telephone to continue blood pressure control.

Trial registry: Thai Clinical Trials Registry (TCTR) identifier number 20210318001.

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多模式干预对首次缺血性卒中患者血压的影响:一项随机对照试验。

背景:多模式干预目前被推广用于控制首次缺血性脑卒中患者的血压。然而，缺乏研究考察了干预对缺血性中风患者的影响，特别是在泰国。目的:本研究旨在确定多模式干预对首次缺血性脑卒中患者血压的影响。方法:采用随机对照试验。从泰国的两家三级医院随机选择了60名参与者。符合条件的参与者被随机分为实验组(n = 30)和对照组(n = 30)。实验组给予多模式干预，对照组给予常规护理。数据于2021年5月至2021年10月在基线(预测试)、第4周、第8周和第12周使用人口统计数据表和血压计收集。数据分析采用卡方检验、t检验和重复测量方差分析(ANOVA)。结果:接受多模式干预后，受试者血压明显低于接受多模式干预前。收缩压和舒张压随时间的变化均有统计学意义，从基线开始至第8周和第12周(p F (1,58) = 4.059, p = 0.049)，舒张压(F (1,58) = 4.515, p = 0.038)均低于对照组。结论:多模式干预对控制血压是有效的。因此，护士应教育缺血性脑卒中患者控制收缩压和舒张压，促进患者参与运动计划，并通过电话监测患者以持续控制血压。试验注册:泰国临床试验注册中心(TCTR)标识号20210318001。

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