护理专业的学生在当地社区服务并学习如何检查、改变和控制血压

Eyad Musallam, Amanda N Changet
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摘要

背景:高血压目前影响着1.03亿美国人,是心血管疾病、中风和心力衰竭的主要危险因素。美国心脏协会(AHA)发起了Check。改变。控制。程序(CCC程序)。该项目是一个以证据为基础的高血压管理项目,利用血压自我监测,使患者/参与者能够掌握自己的心血管健康。项目:遵循服务学习的伙伴关系模式,迈阿密大学和美国心脏协会提议实施“服务和学习如何检查、改变和控制:以社区为基础的干预改善血压控制”,以改善俄亥俄州米德尔敦和汉密尔顿城市不同群体居民的血压。参与者:15名护理专业学生作为志愿者健康导师。每个护理专业的学生招募了5名18岁以上的社区成员,每个月检查两次血压,持续4个月。80名社区成员被招募并参加了为期4个月的项目。结果:在项目结束时,超过一半的参与者(n = 41)血压有所改善(收缩压或舒张压下降)。三分之一的1级/高血压参与者(n = 10)通过比较参与者的第一次血压读数和最后一次血压读数,从未控制(bb0或= 130/80)变为控制(<或= 129/79)。结论:该项目取得了非常积极的效果,这让我们看到了该项目在更大范围内应用的必要性。为了更大规模地应用这一方案,需要与社区卫生和保健中心等社区组织建立伙伴关系。这些伙伴关系将提供高质量的医疗保健服务。学生们将能够在一个安全、充满活力、开放和热情的社区中心与参与者见面。
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Nursing students serve and learn how to check, change, and control blood pressure in the local community
Background: High blood pressure is currently affecting 103 million people in the United States and is a major risk factor for cardiovascular disease, stroke, and heart failure. The American Heart Association (AHA) launched Check. Change. Control. Program (CCC program). The program is an evidence-based hypertension management program that utilizes blood pressure self-monitoring to empower patients/participants to take ownership of their cardiovascular health.Project: Following the Partnership Model for Service Learning, Miami University and The AHA propose implementing the “Serve and Learn How to Check, Change, and Control: A Community-Based Intervention to Improve Blood Pressure Control” to improve the BP of a diverse group of residents in Middletown and Hamilton cities in Ohio.Participants: Fifteen nursing students served as volunteer health mentors. Each nursing student recruited five community members over the age of 18 and checked their blood pressure two times every month for four months. 80 community membered were recruited and joined the project for four months.Results: At the end of the program, more than half of the participants (n = 41) had blood pressure improvement (decrease in systolic or/a diastolic). On third of Tier 1/ HYPERTENSION participants (n = 10) have moved from uncontrolled (> or = to 130/80) to controlled (< or = to 129/79) based on comparing the participants’ 1st blood pressure reading to their last.Conclusions: The extremely positive effects of this project are an eye-opening on the need of applying the program on a larger scale. To apply this program on a larger scale, partnerships with community organizations such as community health and wellness centers are needed. These partnerships will provide quality access to healthcare. The students will be able to meet participants where they are in their communities in a safe, vibrant, open and welcoming centers.
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