产后远程家庭血压监测:新的前沿
Tiffany Corlin1, Nandini Raghuraman2, Roxane M Rampersad2
1Department of Obstetrics, Gynecology, and Women's Health, University of Minnesota, Minneapolis, MN (Drs Corlin and Sabol).
AJOG global reports
|August 10, 2023
概括
远程监控有效地管理产后高血压,降低母亲的风险和医疗保健成本. 这种方法改善了血压控制,减少了种族差异,并为患者和提供者提供了满意度.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妊娠高血压疾病 (HDP) 是孕产妇发病和死亡的主要原因,超过50%的妊娠相关死亡发生在分娩后.
- 目前的指导方针建议进行密集的产后血压监测,这有助于增加医疗保健成本.
- 现有的医疗保健接入障碍不成比例地影响着有色人种的孕妇患者,加剧了与HDP相关的差异.
研究的目的:
- 评估远程血压监测作为产后高血压障碍 (HDP) 管理的可行替代方案.
- 评估远程医疗在改善血压控制和减少孕产妇发病率和死亡率方面的有效性.
- 检查远程监测的潜力,以减轻在孕产妇医疗保健中的种族不平等.
主要方法:
- 对现有研究和临床意见的审查,关于妊娠高血压疾病的分娩后远程血压监测计划.
- 对计划可行性的分析,包括招聘,同意,参与,坚持和保留率.
- 评估患者和提供者满意度,成本效益以及对种族差异的影响.
主要成果:
- 远程监控程序显示了高的患者满意度,并且在没有不必要的负担的情况下,通常是可以接受的.
- 在各种研究中,招聘,坚持和保留等可行性措施令人鼓舞.
- 远程医疗为面临接入障碍的患者提供了一个解决方案,有可能降低医疗保健成本并改善结果.
结论:
- 远程分娩后血压监测的广泛采用有望改善风险人群的识别和护理.
- 这种方法可以显著降低短期高血压相关的发病率和死亡率,并带来长期益处.
- 远程监测是传统后续护理的可靠,有效和节省成本的替代方案,减少了种族差异.
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