降低血压变化-来自单臂概念验证前性试验的结果
Eyal Shemesh1,2, Deborah Reynolds3,4, Jasleen Sidhu3,4,5
1Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY, 10029, USA. eyal.shemesh@mssm.edu.
Scientific reports
|August 12, 2025
概括
高静脉压变化 (BPCoV) 可以通过远程行为干预来减少. 这种方法有望通过准偶发性不坚持来改善心血管健康.
科学领域:
- 心血管医学 心血管医学
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 被测为BPCoV的静脉压变化率升高与不良心血管结果有关.
- 偶尔不遵守医疗建议可能会导致血压显著变化.
- 对于专门旨在减轻高血压变化的干预措施的研究有限.
研究的目的:
- 评估远程传递的行为干预措施在降低高静脉压变化 (BPCoV) 的有效性.
- 为了确定患有过度BPCoV的患者是否可以成功地参与基于远程医疗的行为程序.
主要方法:
- 一个前性的,单臂,概念验证试验.
- 通过电子健康记录审查识别的BPCoV> 10%的患者.
- 参与者接受了血压监测器和为期3个月的远程行为干预.
主要成果:
- 平均BPCoV显著下降,从干预前的12.96%降至干预期间的7.02% (p<0.001).
- 所有测试的可变性指标都显示出显著的改善.
- 敏感性分析证实了在不同测量条件下干预措施的有效性.
结论:
- 远程传递的行为干预是一种可行的和有效的策略,可以减少高静脉压的变化.
- 这种干预措施显示出改善患者坚持治疗的潜力,并减轻与血压变化相关的心血管风险.
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