在中风或过渡性缺血性发作 (TASMIN5S) 后,对血压的自我监测:一项随机对照试验
R J McManus1,2, A Smith3, E Temple3
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. richard.mcmanus@phc.ox.ac.uk.
BMC cardiovascular disorders
|December 28, 2024
概括
在中风幸存者中,通过远程监测自我监测血压显示出可行性和高度坚持. 虽然这两组都改善了血压,但需要进一步的试验来确认有效性.
科学领域:
- 临床试验 临床试验
- 高血压管理 高血压管理
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在中风后控制低于最佳血压 (BP) 需要改进管理策略.
- 以前的中风或过渡性缺血性心脏病发作 (TIA) 患者需要有效的高血压监测.
- 远程监控提供了一个潜在的解决方案,用于加强该群体的BP管理.
研究的目的:
- 评估BP远程监测干预的有效性与中风/TIA幸存者的高血压管理常规护理.
- 评估数字行为干预措施的可行性和遵守性,以支持BP自我监测和治疗升级.
- 确定远程监测是否会导致中风或TIA病史患者的血压降低,而不是标准治疗.
主要方法:
- 一个未盲目的随机对照试验,将血压远程监测与12个英格兰初级保健机构的通常护理进行比较.
- 纳入标准:中风/TIA患者临床静脉血压为130-180 mmHg,接受稳定的抗高血压治疗.
- 干预涉及BP自我监测,数字行为支持,远程监测和临床医生对药物定位的反.
主要成果:
- 55名患者在研究结束之前因COVID-19大流行期间的资金撤回而被随机分配 (27个干预,26个控制).
- 随机化后的平均血压:130/75 mmHg (自我监测) 与134/73 mmHg (控制) 相比.
- 观察到对干预措施的高度坚持,93%的人使用了≥7个月.
结论:
- 在大流行之前,在中风/TIA患者中招募和提供干预是可行的.
- 在自我监测和常规护理组中,例行记录的血压有所改善.
- 数字干预措施,如血压自我监测,对于中风/TIA患者来说是可行的,需要进行最终评估.
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