周产期远程血压监测 周产期远程血压监测
Adam K Lewkowitz1, Alisse Hauspurg
1Department of Obstetrics and Gynecology, Warren Alpert Medical School at Brown University, and the Center for Digital Health, Brown School of Public Health, Providence, Rhode Island; and the Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania.
自测血压 (SMBP) 计划可以改善怀孕期间的高血压管理,加强血压 (BP) 监测和促进健康公平. 这些远程计划提供了一种有希望的方法来减少孕产妇的病率和改善结果.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 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) 导致围产期死亡率和严重的孕产妇死亡率,原因是无法控制的高血压.
- 传统的血压 (BP) 监测依赖于亲临诊所的访问,限制产后监测.
- 自测血压 (SMBP) 程序提供远程血压监测和管理.
研究的目的:
- 审查有关产周SMBP计划及其有效性的文献.
- 为实施SMBP计划提供指导,考虑健康公平.
- 在HDP中确定SMBP计划的未来研究方向.
主要方法:
- 对围产SMBP计划的现有文献进行叙述性审查.
- 分析支持SMBP计划有效性的数据.
- 讨论实施策略和健康公平方面的考虑.
主要成果:
- SMBP计划在改善产后BP确定率方面表现有前途.
- 这些计划有可能在BP监测中增强种族和民族平等.
- 目前对临床重要结果,如孕产妇发病率的数据有限.
结论:
- SMBP计划是管理妊娠和产后高血压的宝贵工具.
- 实施需要仔细考虑健康公平性和潜在的长期影响.
- 需要对孕产妇发病率,长期结果和成本效益进行进一步研究.
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