在美国成年人中改善DASH和血压的数字干预的影响
Hailey N Miller1, Sandy Askew2, Miriam B Berger2
1School of Nursing, Johns Hopkins University, Baltimore, MD (H.N.M.).
Hypertension (Dallas, Tex. : 1979)
|December 23, 2024
概括
数字健康干预 (DHI) 在12个月内对高血压患者的饮食方法来阻止高血压 (DASH) 坚持和血压的适度改善. 然而,它的表现并没有超过对照组,这表明需要对有效的DHI组件进行进一步研究.
科学领域:
- 心血管健康 心血管健康
- 数字健康干预措施 数字健康干预措施
- 高血压管理 高血压管理
背景情况:
- 停止高血压的饮食方法 (DASH) 是对高血压的推治疗方法.
- 对DASH的低坚持在管理高血压方面构成了挑战.
- 数字健康干预 (DHIs) 提供了一个潜在的解决方案,以提高遵守.
研究的目的:
- 为了评估与注意力控制器相比,虚拟交付的DHI的有效性.
- 评估高血压的成年人DASH坚持和血压的变化.
主要方法:
- 一个为期12个月的随机对照试验 (Nourish) 涉及301名高血压成年人.
- 主要结局:6个月DASH坚持度的变化.
- 二次结局:使用线性混合模型来测试静缩和静缩血压的变化.
主要成果:
- 在DHI和对照组之间,在6个月DASH遵守率没有显著差异.
- 与对照组相比,DHI组在12个月后显示出明显更大的DASH坚持变化.
- 6个月后血压变化在两组之间差异不大,尽管DHI组的基线下降.
结论:
- 在12个月的时间里,DHI导致DASH坚持和血压的适度改善.
- DHI没有显示出对注意力控制组的优越性.
- 需要进一步的研究来确定DHIs的有效成分,以持续改变高血压管理中的行为.
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