用户参与家庭血压监测:使用连接设备收集的真实数据的跨国队列
Jean-Simon Rech1,2,3, Nicolas Postel-Vinay4, Vincent Vercamer5
1Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, UMR-S 1136, Réseau Sentinelles.
Journal of hypertension
|September 24, 2024
概括
连接血压计的现实世界用户显示不一致的自我测量时间. 促进遵守指南或分析稀缺数据对于有效的高血压管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 连接式血压 (BP) 监测器为可靠的远程患者监测提供了潜在的潜力.
- 了解真实世界的用户与这些设备的互动对于优化它们的使用至关重要.
- 用户遵守推的自我测量计划显著影响数据质量.
研究的目的:
- 分析第一次使用连接BP监控器的用户的现实参与模式.
- 根据既定标准评估自我测量时间的一致性.
- 根据测量频率和时间确定不同的用户参与模式.
主要方法:
- 包括从2019年7月到2021年3月的22,177名首次使用连接BP监控器的成年人.
- 定义的持续使用者是使用该设备311-400天后的用户.
- 根据一年的测量时间一致性,向集群用户使用状态序列分析.
主要成果:
- 54%的用户在第一年持久使用,中位数遵守时间标准为25%.
- 发现了四种不同的用户模式:偶尔的稀疏测量 (44%),早期遵守 (34%),迟迟遵守 (9%) 和持续遵守 (13%).
- 很大一部分持久性使用者并没有始终遵循推的自我测量计划.
结论:
- 连接的BP监控器产生大量数据,但实际使用时间往往偏离了指导方针.
- 需要促进遵守推的血压监测时间表.
- 开发分析不太频繁或稀疏的自我测量数据的方法对于临床实用性很重要.
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