门诊门户的使用和在怀孕期间的血压管理
Athena Stamos1, Naleef Fareed1
1Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA.
概括
在高血压读数的孕妇中,门诊门户使用增加与血压降低相关. 在正常读数的人群中观察到稳定的血压,这表明门户参与和怀孕血压管理之间存在联系.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 怀孕期间的心血管健康
背景情况:
- 怀孕期间血压升高 (BP),包括妊娠高血压和妊娠前,对母亲和胎儿的健康构成重大风险.
- 门诊门户网站为患者参与和沟通提供了一个平台,可能会影响健康行为和结果.
- 门诊门户利用在怀孕期间对血压管理的具体影响仍未得到充分研究.
研究的目的:
- 调查在孕妇患者的门诊门户使用频率和血压 (血压) 水平 (心压和心压) 之间的关联.
- 为了确定这种关联是否在最初在范围之外的血压和在范围内的血压的孕妇之间有所不同.
主要方法:
- 利用来自学术医疗中心的电子和行政数据.
- 将孕妇分为"范围内的" (<140/90毫米升) 和"范围之外的" (≥140/90毫米升) 血压组.
- 采用随机效应线性回归模型来分析平均三个月BP和门户使用之间的关系,控制共变量.
主要成果:
- 随着门诊门户的使用在最初在"范围之外"的BP组中的患者中增加,观察到缩和腹缩BP的统计显著下降.
- 对于血压读数始终处于"范围内的"类别的孕妇来说,随着门户使用率的增加,血压水平保持稳定.
- 这些发现表明,在高风险怀孕中,门关闭和血压降低之间存在剂量依赖的关系.
结论:
- 门诊门户使用与孕妇血压结果的改善有关,特别是那些读数升高的人.
- 这些发现支持数字健康工具的潜力,以帮助管理妊娠高血压疾病.
- 需要进一步的研究来优化门诊门户设计和实施策略,以加强产前护理和血压控制.
相关概念视频
01:25Errors occurring during blood pressure monitoring
615
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
615
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
525
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
525
01:28Factors affecting Blood pressure
3.0K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.0K
01:15Assessment of blood pressure in brachial artery(one-step method)
560
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
560
01:30Blood Pressure
1.0K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.0K
01:18Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K