试点一项以团队为基础的远程医疗治疗高血压,专注于黑人患者
Srista Manandhar1, Sunit Chhetri1, Danielle Sutton2,3
1Departments of Internal and Cardiovascular Medicine, Atrium Health Wake Forest Baptist, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Pilot and feasibility studies
|July 7, 2025
概括
这项研究表明,以团队为基础的远程医疗计划可用于管理黑人患者的高血压,改善家庭血压监测和自我护理支持. 进一步的社区整合可以加强实施,以获得更好的健康结果.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 健康差异 在健康上的差异
背景情况:
- 远程医疗高血压管理显示,对黑人患者的有效性存在差异.
- 社会需求和自我照顾支持差距有助于这些差异.
- 评估了以团队为基础的远程医疗方法来应对这些挑战.
研究的目的:
- 评估用于高血压管理的新型远程医疗干预措施的可行性.
- 评估招聘,留住和遵守干预组件.
- 支持自我照顾技能,解决贫困人口的社会需求.
主要方法:
- 一项为期12周的单臂试点研究,涉及20名患有失控高血压的成年人.
- 干预包括每日家庭血压监测 (HBPM),指导药物治疗和护士领导的自我管理支持.
- 社区卫生工作者为食物和药物等需求提供了社会支持.
主要成果:
- 招聘高可行性 (28.9%符合条件) 和保留 (90%完成).
- 患者超过HBPM目标 (134.3%),几乎达到自我管理调用目标 (78.3%).
- 实现了社会支持的部分可行性,但在解决住房需求方面存在挑战.
结论:
- 基于团队的远程医疗干预在高血压管理中是可行的,特别是在招募,保留和HBPM方面.
- 自主管理支持显示出几乎完全的可行性,而社会支持需要进一步改进.
- 以社区为基础的战略对于优化远程医疗计划实施和减少健康差异至关重要.
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