在虚拟时代,血压远程医疗计划的可行性
Anirudh Sreekrishnan1, Maarten Lansberg2, Adam E Singer3
1Department of Neurology, USCF Medical Center, San Francisco, CA, United States of America.
概括
这项试点研究表明,医生领导的远程医疗计划可用于改善中风幸存者的血压 (BP). 需要六个月的监测才能实现显著的血压降低和更好的药物坚持.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 二次中风预防指南建议血压 (BP) 低于130/80mmHg.
- 在中风幸存者中实现目标血压的障碍是常见的.
- 为应对这些挑战,开发了一项由医生领导的BP远程医疗计划.
研究的目的:
- 评估一个新的医生领导的BP远程医疗计划的可行性.
- 评估该计划对中风幸存者的血压控制的影响.
- 为了检查这种患者群体对药物遵守的影响.
主要方法:
- 潜在的注册中风幸存者的高血压.
- 每天对血压进行监测,并通过远程医疗为医生提供咨询.
- 评估程序可用性和药物坚持使用验证的秤.
- 重复测量ANOVA分析基线,3个月和6个月的血压变化.
主要成果:
- 27名患者参加了试点研究.
- 在招募和6个月之间,观察到缩和腹缩血压的显著降低.
- 参与者报告了高的程序可用性,信心,并减少了药物坚持的障碍.
结论:
- 试点项目成功证明了远程医疗在中风幸存者的血压管理中的可行性.
- 至少需要六个月的干预才能实现统计学上显著的BP改善.
- 这些发现有助于设计未来的心血管健康远程监测计划,以帮助中风后患者.
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