开发和部署高血压患者远程监测程序101
Musab S Hommos1, Praneetha Elugunti2, Amanda M Pullee3
1Division of Nephrology and Hypertension, Mayo Clinic, Scottsdale, AZ.
Mayo Clinic proceedings. Innovations, quality & outcomes
|June 16, 2025
概括
对高血压的远程患者监测 (RPM) 可以显著降低血压和心率. 这个可行的计划可以改善高血压的管理,而不会让临床医生感到压倒.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压管理仍然是一个重大的公共卫生挑战.
- 远程患者监测 (RPM) 为改善心血管保健提供了一个有希望的方法.
- 开发和评估RPM程序对于优化患者的治疗结果至关重要.
研究的目的:
- 详细描述高血压患者远程监测 (RPM) 程序的创建和实施.
- 评估这个RPM程序在现实世界患者队列中的有效性.
主要方法:
- 在2023年1月至12月期间参加RPM高血压计划的101名患者的回顾性分析.
- 用描述性统计数据来总结临床数据.
- 独立的样本 t 测试和基平方测试用于统计比较.
主要成果:
- 平均血压从153/84降至126/75毫米升 (P<.001),心率从每分钟73降至70 (P=.03).
- 抗高血压药物的数量略有增加 (2.06至2.3,P=.02).
- 临床医生每周平均每患者收到1.1个消息.
结论:
- 开发和部署高血压的RPM程序是可行的和有效的.
- 在高血压患者的血压控制中,RPM显示出临床显著的改善.
- 该计划可以提高高血压的管理,而不会大幅增加临床医生的工作量.
相关概念视频
Errors occurring during blood pressure monitoring
984
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...
984
Hypertension V: Nursing Management
50
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
50
Pulse rhythm
940
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
940
Holter Monitor: 24-Hour Monitoring
321
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
321
Hypertension III: Clinical Manifestations and Diagnostic Studies
60
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
60
Special considerations while measuring blood pressure
828
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
828


