Shasha Wang1, Ying Li2, Jishu Tian3, Xiaoqiong Peng1, Ling Yi1, Cuiping Du1, Changmei Feng1, Chunmei Liu4, Rong Deng1, Xianju Liang1. 1. Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing, China. 2. Department of Hematology, Chongqing Three Gorges Central Hospital, Chongqing, China. 3. Department of Nursing, Chongqing Three Gorges Central Hospital, Chongqing, China. 4. Department of First Aid, Chongqing Three Gorges Medical College, Chongqing, China.
Abstract
BACKGROUND: This study explores the effect of brain and heart health manager (BHHM)-led stroke secondary prevention on blood pressure, and in improving the self-management ability of stroke patients. The BHHM has not been reported. METHODS: A total of 200 stroke patients, who were discharged from our hospital, were randomized into two groups at a 1:1 ratio: intervention group and control group. Patients in the control group were followed up for six months via telephone, while patients in the experimental group were followed up for six months using the BHHM-led mHealth follow-up. The primary outcomes were systolic blood pressure (BP) and self-management ability at 3, 6, 9 and 12 months, while the secondary outcomes included medication adherence, the body mass index (BMI), and blood low-density lipoprotein. RESULTS: The systolic BP between these two groups at four time points (Ftime =8.734, Fgroup =172.075, and Finteraction =11.363) was statistically significant (P<0.05). The self-health management ability at four time points during follow-up period (Ftime =115.09, Fgroup =1,185.50, and Finteraction =108.22) was also significantly different between these two groups. Furthermore, there was a statistically significant difference in compliance with medication at six months (χ2=37.616, P=0.000). However, after one year, there were no significant differences in BMI (t=0.214, P=0.644), total cholesterol (t=0.56, P=0.837), and low-density lipoprotein (t=0.042, P=0.455). CONCLUSIONS: The BHHM-led mHealth follow-up is an effective method for managing BP and improving the self-care ability. Furthermore, this approach has no obvious effect on the management of BMI and blood low-density lipoprotein. A potential signal of efficacy with the intervention was observed. 2020 Cardiovascular Diagnosis and Therapy. All rights reserved.
BACKGROUND: This study explores the effect of brain and heart health manager (BHHM)-led stroke secondary prevention on blood pressure, and in improving the self-management ability of stroke patients. The BHHM has not been reported. METHODS: A total of 200 stroke patients, who were discharged from our hospital, were randomized into two groups at a 1:1 ratio: intervention group and control group. Patients in the control group were followed up for six months via telephone, while patients in the experimental group were followed up for six months using the BHHM-led mHealth follow-up. The primary outcomes were systolic blood pressure (BP) and self-management ability at 3, 6, 9 and 12 months, while the secondary outcomes included medication adherence, the body mass index (BMI), and blood low-density lipoprotein. RESULTS: The systolic BP between these two groups at four time points (Ftime =8.734, Fgroup =172.075, and Finteraction =11.363) was statistically significant (P<0.05). The self-health management ability at four time points during follow-up period (Ftime =115.09, Fgroup =1,185.50, and Finteraction =108.22) was also significantly different between these two groups. Furthermore, there was a statistically significant difference in compliance with medication at six months (χ2=37.616, P=0.000). However, after one year, there were no significant differences in BMI (t=0.214, P=0.644), total cholesterol (t=0.56, P=0.837), and low-density lipoprotein (t=0.042, P=0.455). CONCLUSIONS: The BHHM-led mHealth follow-up is an effective method for managing BP and improving the self-care ability. Furthermore, this approach has no obvious effect on the management of BMI and blood low-density lipoprotein. A potential signal of efficacy with the intervention was observed. 2020 Cardiovascular Diagnosis and Therapy. All rights reserved.
Entities:
Keywords:
Stroke; blood pressure; brain and heart health manager (BHHM); follow-up; self-management ability
Authors: Eric M Cheng; William E Cunningham; Amytis Towfighi; Nerses Sanossian; Robert J Bryg; Thomas L Anderson; Frances Barry; Susan M Douglas; Lillie Hudson; Monica Ayala-Rivera; Jeffrey J Guterman; Sandra Gross-Schulman; Sylvia Beanes; Andrea S Jones; Honghu Liu; Barbara G Vickrey Journal: Circ Cardiovasc Qual Outcomes Date: 2018-01
Authors: J Claude Hemphill; Steven M Greenberg; Craig S Anderson; Kyra Becker; Bernard R Bendok; Mary Cushman; Gordon L Fung; Joshua N Goldstein; R Loch Macdonald; Pamela H Mitchell; Phillip A Scott; Magdy H Selim; Daniel Woo Journal: Stroke Date: 2015-05-28 Impact factor: 7.914
Authors: Diogo C Haussen; Jonathan A Grossberg; Mehdi Bouslama; Gustavo Pradilla; Samir Belagaje; Nicolas Bianchi; Jason W Allen; Michael Frankel; Raul G Nogueira Journal: Stroke Date: 2017-10-10 Impact factor: 7.914
Authors: Anjail Z Sharrief; Evelyn Hinojosa; Gail Cooksey; Munachi N Okpala; Elenir B Avritscher; Claudia Pedroza; Mary Carter Denny; Joshua Samuels; Jon E Tyson; Sean I Savitz Journal: BMJ Open Date: 2019-02-19 Impact factor: 2.692
Authors: Chul Kim; Jidong Sung; Jong Hwa Lee; Won Seok Kim; Goo Joo Lee; Sungju Jee; Il Young Jung; Ueon Woo Rah; Byung Ok Kim; Kyoung Hyo Choi; Bum Sun Kwon; Seung Don Yoo; Heui Je Bang; Hyung Ik Shin; Yong Wook Kim; Heeyoune Jung; Eung Ju Kim; Jung Hwan Lee; In Hyun Jung; Jae Seung Jung; Jong Young Lee; Jae Young Han; Eun Young Han; Yu Hui Won; Woosik Han; Sora Baek; Kyung Lim Joa; Sook Joung Lee; Ae Ryoung Kim; So Young Lee; Jihee Kim; Hee Eun Choi; Byeong Ju Lee; Soon Kim Journal: Korean Circ J Date: 2019-11 Impact factor: 3.243
Authors: Faye Forsyth; Jonathan Mant; Clare J Taylor; Fd Richard Hobbs; Carolyn A Chew-Graham; Thomas Blakeman; Emma Sowden; Aaron Long; Muhammad Zakir Hossain; Duncan Edwards; Christi Deaton Journal: BJGP Open Date: 2019-11-26