一个由护士驱动的策略的虚拟适应,以改善艾滋病毒感染者的血压控制

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Melissa Klein Cutshaw¹, Kelley A Jones¹, Nwora Lance Okeke¹

¹Duke University School of Medicine, Durham, NC, USA.

HIV research & clinical practice

|March 18, 2025

概括

远程医疗策略显著改善了艾滋病毒感染者的血压控制. 这种由护士领导的干预,包括家庭监测和教育,增加了患者达到高血压目标的百分比.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
远程医疗远程医疗

背景情况:

艾滋病毒感染者面临更高的心血管疾病 (CVD) 风险.
有效的心血管疾病风险管理策略对于这一群体至关重要.
控制高血压是降低心血管疾病风险的关键组成部分.

研究的目的:

评估基于远程医疗的战略,以改善艾滋病毒感染者的高血压控制.
为了适应以前成功的面对面干预 (EXTRA-CVD) 进行虚拟交付.
评估评估和适应COVID-19对艾滋病毒感染成人心血管疾病自我管理和预防护理影响的可行性和有效性. (AAIM-High) 战略.

主要方法:

实施了一个多组件远程医疗战略 (AAIM-High).
组件包括护士主导的护理协调,家庭系统性血压 (SBP) 监测和教育资源.
这项研究涉及74名艾滋病毒感染者和并发性高血压患者,持续了12个月.

主要成果:

平均家庭SBP在12个月内下降了7.7mmHg.
实现目标SBP (<130 mmHg) 的患者比例从46.0%增加到72.5%.
虚拟的护士主导的干预表明高血压控制的显著改善.

结论:

基于远程医疗的策略可以有效地改善艾滋病毒感染者的高血压控制.
该AAIM-High干预提供了一个可扩展的模型,用于管理该人群中心血管疾病风险.
将护理提供适应虚拟平台对于全面的健康管理至关重要.

关键词:

艾滋病病毒艾滋病病毒艾滋病病毒心血管疾病心血管疾病这种高血压,高血压.预防预防预防远程医疗服务是远程医疗服务.

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