远程监控和自主管理用于数字高血压管理:有没有一种首选方法?
Nicolas Postel-Vinay1, Roland Asmar2, Olivier Steichen3
1Assistance Publique Hôpitaux de Paris, Hypertension Unit, European Georges Pompidou Hospital, Paris, France.
mHealth
|August 4, 2025
概括
远程监控和自我管理为血压控制提供了明显的好处. 虽然远程监控显示出更快的结果,但自我管理可能会减少医疗保健专业人员的工作量和成本. 需要进一步的研究来了解它们的互补作用.
科学领域:
- 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
- 健康管理健康管理
背景情况:
- 远程监测和自我管理越来越多地用于控制血压 (BP).
- 缺乏对它们的效率和成本效益进行直接比较.
- 这两种方法都与标准的办公室BP管理方法进行了比较.
研究的目的:
- 审查目前关于远程监控与BP控制自我管理的优缺点的证据.
- 探索这些方法相互补充的潜力.
主要方法:
- 审查现有的元分析和研究,比较远程监控和自我管理与标准护理.
- 对成本效益和医疗保健专业人员工作量影响的分析.
- 考虑患者与医疗服务提供者关系的动态.
主要成果:
- 远程监测显示,比标准护理更快地降低血压,目标实现率更高.
- 数字健康干预措施 (例如,短信,应用程序) 比通常的护理更能改善血压,但具有很高的可变性.
- 自主管理的证据不那么令人信服,但有些工具成本更低,并减少了HCP的工作量.
- 远程监控可能会增加HCP的工作量和成本,而自主管理则会减少工作量和成本.
- 患者和医疗保健人员对自主和监测的期望需要进一步了解.
结论:
- 远程监控和自我管理都不是绝对优越的;它们有不同的优缺点.
- 远程监测和自我管理可以在控制血压方面相互补充.
- 2023年欧洲高血压学会的指导方针支持数字干预和自我标题.
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