怀孕高血压疾病后过渡护理的电子提醒:一个随机对照试验
Jourdan E Triebwasser1, Jennifer Lewey, Lauren Walheim
1Divisions of Maternal-Fetal Medicine and Cardiology, University of Pennsylvania Perelman School of Medicine, and the Department of Obstetrics & Gynecology, Pennsylvania Hospital, Philadelphia, Pennsylvania; and the Division of Maternal Fetal Medicine, University of Michigan, Ann Arbor, Michigan.
Obstetrics and gynecology
|June 9, 2023
概括
一个电子提醒器改善了产后心血管疾病风险咨询对于怀孕高血压疾病的患者. 然而,这项干预措施并没有增加预防性护理访问的出席率.
科学领域:
- 产科和妇科 产科和妇科
- 预防心血管疾病 预防心血管疾病
- 数字健康干预措施 数字健康干预措施
背景情况:
- 怀孕期间的高血压疾病会增加长期心血管疾病 (CVD) 的风险.
- 需要可扩展的干预措施来加强高风险个体在怀孕后的预防护理.
- 改善护理过渡对于在怀孕后管理慢性疾病至关重要.
研究的目的:
- 为了评估临床医生的自动电子提醒 (nudge) 的有效性.
- 增加对有妊娠高血压疾病病史的患者的护理过渡的产后咨询.
- 评估nudge对CVD风险和预防性护理利用的文档的影响.
主要方法:
- 进行了一项单中心,随机对照试验.
- 参与者包括妊娠高血压障碍的分娩个体.
- 干预组接受了电子推动和咨询提示;对照组接受了通常的护理.
主要成果:
- 推动组显示,在护理过渡方面,有较高的记录辅导率 (38.8%对26.2%).
- 对心血管疾病风险的咨询 (21.4% vs 8.4%) 和对未来怀孕的阿司匹林使用 (14.3% vs 1.9%) 也在推动组中增加.
- 在6个月内,预防性护理访问的出席率在各组之间没有显著差异.
结论:
- 及时向产科临床医生发出电子提醒,改善了对怀孕高血压疾病患者的护理过渡的产后咨询.
- 这项干预措施并没有导致预防性护理访问人数增加.
- 自动推动显示有望提高患者提供者关于长期健康风险的沟通.
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