一个试点项目,实施药剂师管理的远程血压监测服务
1Department of Pharmacy Practice, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock, AR, USA.
Journal of pharmacy practice
|September 19, 2024
概括
通过在线平台进行远程血压 (BP) 监测,显著改善了高血压管理. 使用家庭血压数据的药剂师主导的干预措施导致患者的血压大幅降低和更好的控制.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 临床血压 (BP) 读数单独往往不足以调整抗高血压药物.
- 家庭BP监测的障碍包括对设备的访问和数据可靠性.
- 远程监控为改善BP管理提供了一个潜在的解决方案.
研究的目的:
- 评估一个具有远程BP监控的在线平台是否能提高BP管理.
- 通过使用远程BP数据评估药剂师在促进临床干预中的作用.
- 确定对患者血压控制和药物优化的影响.
主要方法:
- 30名患有失控高血压的患者使用与在线平台连接的远程血压监测器.
- 临床药剂师监测了血压数据,并在六个月内每周联系患者.
- 干预措施遵循已批准的协议,包括药物调整和咨询.
主要成果:
- 观察到一个显著的平均缩血压降低39mmHg.
- 67%的患者实现了目标血压<140/<90 mmHg.
- 药剂师在57个案例中开始改变药物,并在24个案例中提供咨询.
结论:
- 患者表现出愿意使用家用血压监测设备.
- 药剂师驱动的远程监控程序有效优化高血压方案.
- 在家庭血压读数中实现了临床显著的降低,改善了整体血压控制.
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