Titre :
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Pragmatic randomized trial of home visits by a nurse to elderly people with hypertension in Mexico. Commentary. (2001)
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Auteurs :
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Carmen GARCIA-PENA ;
B.E.N. ARMSTRONG ;
Onofre MUNOZ ;
Sandra REYES-FRAUSTO ;
Andreas-E Stuck ;
Margaret THOROGOOD
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 30, n° 6, 2001)
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Pagination :
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1485-1492
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Langues:
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Anglais
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Mots-clés :
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Hypertension artérielle
;
Infirmier
;
Education santé
;
Condition vie
;
Epidémiologie
;
Evaluation
;
Efficacité
;
Personne âgée
;
Homme
;
Mexique
;
Amérique
;
Prévention santé
;
Promotion santé
;
Appareil circulatoire [pathologie]
;
Profession santé
;
Amérique centrale
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 5HXDQR0x. Diffusion soumise à autorisation]. 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>=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=60 years.
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