什么是适当控制高血压? 当前的考虑 当前的考虑
Donald E Casey1,2,3,4,5, Alexander J Blood6,7,8,9,10,11, Stephen D Persell12,13,14
1Jefferson College of Population Health, Philadelphia, PA.
Mayo Clinic proceedings. Innovations, quality & outcomes
|July 29, 2024
概括
高血压 (HBP) 影响了近一半的美国成年人,但控制率仍然很低. 实现更好的血压 (BP) 控制需要综合护理,解决社会决定因素和生活方式变化.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 据估计,高血压 (HBP) 影响了大约45%的美国成年人.
- 有效的血压控制对于预防心血管疾病,中风,脏疾病和痴呆症至关重要.
- 目前的血压控制率很低,只有约30%的人达到指导方针的目标<130毫米升的缩血压.
研究的目的:
- 突出精确血压测量和动脉样硬化心血管疾病风险评估的重要性.
- 强调指导方针导向的生活方式修改与药物治疗对最佳血压管理的作用.
- 倡导综合,以团队为基础的护理方法,解决健康的社会决定因素,以改善血压控制.
主要方法:
- 对临床实践指南和支持BP控制策略的证据的审查.
- 强调精确的血压测量和全面的心血管风险评估.
- 在以团队为基础的护理模式中,整合健康的社会决定因素和共享决策.
主要成果:
- 高质量的证据支持在不同人群中实现,统一的HBP控制.
- 综合方法可以同时减少多个可修改的动脉样硬化心血管疾病风险因素.
- 改善人口层面的心血管,和大脑健康需要协调地重新优先考虑资源.
结论:
- 有效的HBP管理需要准确的测量,风险评估,生活方式修改和药物治疗.
- 通过以团队为基础的护理来解决健康的社会决定因素对于改善血压控制率至关重要.
- 需要协调,利益相关者驱动的努力,以改善全国范围内的心血管,和大脑健康.
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