使用电子健康技术对高血压管理的自我有效性:初级保健中的随机对照试验
Rasmus Hermansson-Borrebaeck1,2, Andreas Fors3,4,5, Ulrika Bengtsson3,4
1Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Journal of clinical hypertension (Greenwich, Conn.)
|January 21, 2025
概括
这项研究发现,电子卫生干预措施显著提高了高血压患者的自我效能. 然而,更高的自我效率并没有直接改善血压控制或预测干预的有效性.
科学领域:
- 心脏病学 心脏病学
- 医疗卫生技术 技术 技术
- 行为科学 行为科学
背景情况:
- 自我有效性对于高血压管理中的自我护理至关重要.
- 电子卫生干预措施显示了提高自我效能的潜力.
研究的目的:
- 为了评估以人为中心的电子健康干预是否会影响高血压患者的自我效能.
- 检查自我效能与高血压管理结果之间的关系.
- 为了确定自我有效性是否预测了对电子健康干预措施的治疗反应.
主要方法:
- 多中心随机对照试验涉及862名高血压患者.
- 干预组使用了为期8周的电子健康自我管理系统.
- 在基线,8周和1年测量的一般自我有效性 (GSE) 尺度.
主要成果:
- 干预组的GSE平均得分显著增加 (p=0.042).
- 在自我有效性和血压控制之间没有发现显著的关联.
- 高血压和低血压改善的患者之间,自我有效性水平没有差异.
结论:
- 电子健康自我管理干预措施可以有效地提高高血压患者的自我效能.
- 在这种情况下,自我效能可能不是血压控制的直接预测因素.
- 需要进一步的研究来澄清自我有效性在预测高血压电子健康干预成功中的作用.
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