基于智能手机应用程序的干预措施来降低血压:系统审查和元分析
Makiko Abe1, Tetsuo Hirata2, Natsumi Morito2,3
1Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
概括
智能手机应用程序可以帮助降低血压 (BP),特别是无线测量功能. 这次审查评估了血压控制应用程序,发现六个月内内和腹血压显著降低.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 高血压管理 高血压管理
背景情况:
- 移动健康市场为健康管理提供了众多智能手机应用程序 (APP),但许多没有对降血压 (BP) 效果和测量准确性的验证.
- 这一缺陷凸显了在BP控制中使用数字技术的基于证据的指导方针的需要.
研究的目的:
- 系统地审查智能手机应用程序的验证研究,以控制血压,作为日本高血压学会指南的一部分.
- 评估基于应用程序的干预措施在降低血压水平方面的有效性.
主要方法:
- 在Ovid MEDLINE,Cochrane图书馆和Ichushi进行了系统的文献搜索.
- 包括的研究包括随机对照试验和观察性研究,比较智能手机应用程序干预与非数字医疗保健.
- 使用随机效应模型的元分析被用来估计对平均血压变化的聚合效应.
主要成果:
- 在选的7385项研究中,包括了76项涉及46,459名参与者的研究.
- 干预措施显示,六个月后,办公室缩血压 (-2.76 mmHg) 和腹缩血压 (-1.23 mmHg) 显著降低.
- 使用具有无线BP传输的应用程序的参与者与没有应用程序的参与者相比,表现出更大的BP降低.
结论:
- 基于智能手机应用程序的干预措施显示出改善血压水平的潜力.
- 具有经过验证的血压测量准确度和无线传输能力的应用程序可能会在高血压管理中提供更高的效率.
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