Nurse home visits over 6 months increased the proportion of elderly patients achieving blood pressure <160/90 mmHg (36.5% vs 6.8%) and reduced systolic blood pressure (MD 3.31 mmHg, P=0.03).
RCT (n=718)
Yes
Absolute Event Rate: 36.5% vs 6.8%
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 > or =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 or =60 years.
García‐Peña et al. (Sat,) conducted a rct in Hypertension (n=718). Nurse home visits with health and lifestyle advice vs. Usual care was evaluated on Blood pressure <160/90 mmHg. Nurse home visits over 6 months increased the proportion of elderly patients achieving blood pressure <160/90 mmHg (36.5% vs 6.8%) and reduced systolic blood pressure (MD 3.31 mmHg, P=0.03).