在怀孕期间治疗高血压的数字生活方式应用程序:混合方法干预开发研究使用基于人的方法
Lucy Goddard1, Katherine Tucker1, Nerys M Astbury1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, United Kingdom, 44 01865 ext 289215.
JMIR formative research
|July 24, 2025
概括
这项研究开发了DAPHNY应用程序,以帮助患有慢性高血压的孕妇采取健康的生活方式行为. 该应用程序旨在通过数字支持改善妊娠结果和未来的心血管健康.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 慢性高血压影响1-5%的怀孕,增加不良结果和长期心血管疾病的风险.
- 有效的管理包括血压监测和药物治疗,生活方式行为至关重要.
- 支持患有慢性高血压的孕妇采取健康行为的最佳方法仍未得到充分研究.
研究的目的:
- 为了开发和优化数字生活方式干预,DAPHNY (怀孕高血压的饮食和活动) 应用程序.
- 支持怀孕期间患有慢性高血压的妇女采取健康行为.
- 为了改善怀孕结果和未来的心血管健康.
主要方法:
- 利用基于人的方法,文献审查和专家/患者的投入来开发干预措施.
- 与产妇专业人员开展了重点小组,并采访了受影响的妇女.
- 采用能力机会动机-行为模型作为理论基础和代应用程序改进.
主要成果:
- 开发了基于证据的DAPHNY应用程序,具有支持性消息,目标设定和进展报告等功能.
- 用户测试显示参与度可变;基于行动的页面 (例如,血压记录) 访问频率高于信息页面.
- 确定了用于高血压妊娠的参与和行为改变的关键应用程序功能.
结论:
- DAPHNY应用程序开发提供了关于支持慢性高血压孕妇健康行为的见解.
- 未来的代应该加强与卫生系统的参与和整合.
- 需要进行更大的研究来评估临床有效性和实施策略.
相关概念视频
Hypertension IV: Drug Therapy and Lifestyle Modifications
40
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
40
Hypertension V: Nursing Management
44
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.
44
Sites for measruring blood pressure
2.4K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
2.4K
Errors occurring during blood pressure monitoring
976
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...
976
Hypertension I: Introduction
76
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
76
Pre-Procedural Guidelines for Assessing Blood Pressure
628
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...
628


