首页 血压远程监测技术 无症状高血压患者从急诊室出院:试点研究
Karen C Tran1,2, Meagan Mak3, Laura M Kuyper1
1Division of General Internal Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
JMIR formative research
|December 19, 2023
概括
家庭远程血压监测 (HBPT) 是一种可行的策略,用于在急诊室访问后管理血压升高的患者. 这项试点研究表明,HBPT改善了血压控制和患者满意度.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压影响了五分之一的加拿大人,是全球疾病和死亡的主要原因.
- 降低高血压控制与诸如有限的初级保健准入等因素有关,导致高血压 (BP) 经常访问急诊室 (ED).
- 一个试点项目,Telehealth for Emergency-Community Continuity of Care Connectivity via Home-Telemonitoring Blood Pressure (HBPT) 通过家庭远程监测血压 (HBPT) 进行了开发,以解决无症状高血压患者出院后的管理问题.
研究的目的:
- 为了进行家庭血压远程监测 (HBPT) 程序的可行性研究.
- 评估HBPT计划,用于从ED出院的无症状高血压患者.
主要方法:
- 招募的患者从城市三级护理医院退院,ED患有无症状的高血压.
- 为参与者提供了HBPT技术进行3个月的监测,每天通过应用程序读取血压,并转诊至高血压诊所.
- 监测临床医生审查了每天的数据,管理了患者的病情,并调整了抗高血压药物.
主要成果:
- 招募了46名患有严重高血压 (平均血压191/100毫米升) 的多民族患者,并随访了3个月.
- 资格率和招聘率分别为40%和88%;遵守监测是3个月后的41%.
- 71.4%的患者在3个月内实现了缩血压控制,85.7%的患者在3个月后实现了腹缩血压控制,平均血压改善了-13/-5 mm Hg. 大多数患者表示对数字工具的高满意度和易用性.
结论:
- 家庭远程血压监测 (HBPT) 是一种可行且有益的退院后管理策略,用于患有无症状高血压的患者.
- 目前正在进行一项随机试验,以进一步评估HBPT在血压控制方面的疗效.
关键词:
血压 血压 血压 血压紧急情况部门的急救部门.可行性研究可行性研究.监测健康监测健康监测器这种高血压,高血压.高血压药物药物高血压药物管理的管理管理的管理.手机电话手机电话手机电话监控 监控 监控 监控 监控 监控疾病发病率 疾病发病率死亡率 死亡率医生护理 医生护理试点研究试点研究主要护理是一级医疗保健.远程家庭监控监控远程医疗服务是远程医疗服务.远程监控 远程监控更多相关视频
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