在退伍军人卫生管理局实施视频血压检查
Margaret Carrico1, Cortney Frosch2, Kathleen Craig3
1Family Medicine, Tampa Veterans Administration Medical Center, Tampa, Florida, USA.
概括
视频血压检查 (VBPVs) 在退伍军人中有效管理高血压 (HTN),显著降低血压 (BP). 这种虚拟护理模式为慢性疾病管理提供了方便的,以退伍军人为中心的支持.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 高血压 (HTN) 影响了VA门诊机构中近一半的退伍军人.
- 有效的血压 (BP) 管理对于退伍军人的健康至关重要.
- 虚拟访问为增强HTN护理服务提供提供了机会.
研究的目的:
- 评估视频血压检查 (VBPVs) 对退伍军人的HTN管理的有效性.
- 评估VBPVs对退伍军人卫生管理局初级保健系统内血压控制的影响.
主要方法:
- 在以退伍军人为中心的医疗家庭模式中实施VBPV.
- 护士领导的血压读数观察,通过视频对患者进行教学和咨询.
- 两年间血压变化的分析和护士干预文档.
- 收集关于培训和计划有效性的反.
主要成果:
- 超过81,000名退伍军人参加了VBPV,超过44,000人被诊断患有HTN.
- 观察到静脉血压 (-10.6 mm Hg) 和静脉血压 (-4.61 mm Hg) 的平均显著降低.
- 药物管理是干预的主要重点 (77%).
- 护士报告了对VBPV计划的积极评价.
结论:
- 退伍军人中心医疗服务提供了一种可靠且方便的退伍军人中心护理方法.
- 这种虚拟模型促进了持续的护理,即使是在像COVID-19流行病这样的公共卫生危机期间.
- 护士主导的干预,包括生活方式咨询,是通过VBPVs通过HTN管理的有效组成部分.
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