数字消息在一般实践中对血压控制的影响:来自Wirral地区BP@Home计划的观察
Antonios A Argyris1, David Baker2, Paul Charnley3
1Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Liverpool, UK.
实施新的血压 (BP) 电话消息服务改善了高血压管理. 这个数字系统增加了新的高血压诊断,并加强了城市地区的高血压控制.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 家庭血压监测 (HBPM) 对于诊断和管理高血压至关重要.
- BP的远程消息系统为医疗保健提供者提供HBPM读数的数字传输,提高高血压管理.
- 在BP@Home计划支持HBPM的采用.
研究的目的:
- 评估BP新型电信服务对城市环境中的高血压指标的影响.
- 评估数字通信如何影响高血压诊断和控制率.
主要方法:
- 在英国Wirral地区的GP平台内实施了一种新的集成BP短信系统.
- 临床医生审查了数字传输的HBPM读数,并提供治疗建议.
- 在20个月的时间内,分析了10,010名患者的数据.
主要成果:
- 在不同的初级保健网络中,每1000名高血压患者中,HBPM使用率从14.4到26.8不等.
- 在64.3%的患者中,实现了整体血压控制.
- 使用HBPM与较高的新高血压诊断率 (Beta:0.11,p=0.021) 和改善的血压控制 (Beta:0.48,p<0.001) 有关.
结论:
- 全系统实施BP远程消息,增加了新的高血压诊断,改善了高血压控制.
- 数字高血压消息显示在社区高血压管理方面具有前景.
- 未来的研究应该探索数字BP消息在减少心血管疾病和改善临床结果中的作用.
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相关概念视频
Errors occurring during blood pressure monitoring
Several factors...
Factors affecting Blood pressure
Physiological Factors:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Blood Pressure
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
