定制远程患者管理以优化初级保健中的心血管风险管理:一项混合方法实施研究,为大规模实施提供信息
Margot Rakers1,2, Nicoline van Hattem3,4, Eric Hiddink3,4,5
1Department of Public Health and Primary Care, Leiden University Medical Center, 2333 ZA, Leiden, the Netherlands. m.m.rakers@lumc.nl.
BMC primary care
|July 3, 2025
概括
使用定制干预措施的远程患者管理 (RPM) 在心血管患者中显著降低了血压. 这种面板管理方法在大规模实施和有利的临床结果方面被证明是有效的.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 远程患者管理 (RPM) 对心血管风险管理至关重要,但面临实施障碍.
- 面板管理,利用综合数据,可以识别有风险的患者和个性化干预措施,以更好地管理心血管疾病 (CVD).
研究的目的:
- 评估一个名为"Connect@Heart"的多组件RPM干预的实施策略和临床结果.
- 评估量身定制的RPM干预措施的可行性和有效性,用于初级保健机构的心血管风险管理.
主要方法:
- 这是一项为期六个月的混合方法研究,涉及荷兰四个初级保健机构.
- 两组患者:BMI<25 (BP盒) 和BMI>25或CVD (生活方式盒) 具有量身定制的设备.
- 临床结果的线性混合效应模型和RE-AIM框架用于实施评估.
主要成果:
- 报名率高 (94%),有189名参与者.
- 两组血压显著降低 (例如,静脉血压在生活方式盒组的血压从142±16降低到131±14 mmHg,p<0.001).
- 持续的患者参与 (66%的每周测量) 和研究后持续的实践采用.
结论:
- 积极识别有风险的患者小组和定制的RPM干预措施是有效的实施策略.
- 这种方法对在心血管疾病管理中大规模实现有利的临床结果充满希望.
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