揭开差距:超越护理框架级别的高血压控制
Léna Silberzan1,2, Nathalie Bajos1, Michelle Kelly-Irving2
1INSERM, IRIS (UMR8156-U997), Aubervilliers, France.
Journal of clinical hypertension (Greenwich, Conn.)
|June 9, 2024
概括
高血压控制往往是顺序评估. 这项研究发现,19%的成年人在考虑未知但接受治疗的人时实现了血压控制,揭示了超出标准护理级联的替代控制模式.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 护理级联框架连续评估高血压意识,治疗和控制.
- 传统模型可能会忽略具有非顺序高血压管理途径的个体.
- 了解各种控制模式对于全面的高血压管理至关重要.
研究的目的:
- 为了评估超越标准的护理框架的高血压控制.
- 为了识别和描述高血压控制的替代模式.
- 探索与不同控制途径相关的人口和临床因素.
主要方法:
- 分析了来自法国CONSTANCES队列 (2012-2021) 的52,434名高血压成年人 (25-69岁).
- 血压 (BP) ≥140/90 mm Hg的评估和/或过去6个月的治疗.
- 将典型的"意识,治疗,控制"情景与其他已识别的控制模式进行比较.
主要成果:
- 在标准级联中,整体高血压控制率为13%.
- 当包括不知情但接受治疗和控制的个体时,控制增加到19%.
- 替代控制途径与女性性别,年龄较小,高等教育,北非起源和先前的心血管疾病 (CVD) 有关.
- 典型的控制途径与撒哈拉以南非洲的起源,糖尿病和超重/肥胖症有关.
结论:
- 标准的连续级联护理可能会低估高血压控制率.
- 某些人口和临床群体可能不适合传统的高血压控制模型.
- 识别替代控制模式对于包容性和有效的高血压管理策略至关重要.
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