临床决策支持系统使用家庭血压读数来管理高血压患者:范围审查
Aminath Shiwaza Moosa1,2, Jun Jie Benjamin Seng1,3, Chirk Jenn Ng1,2,4
1SingHealth Polyclinics, Singapore, Singapore.
Journal of medical Internet research
|October 3, 2025
概括
临床决策支持系统 (CDSS) 显示出使用家庭血压 (HBP) 读数来管理高血压的前景. 然而,开发和实施中的差距需要解决,以获得最佳的有效性和用户满意度.
科学领域:
- 医疗信息学 医疗信息学
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家庭血压 (HBP) 监测对于高血压管理至关重要.
- 医生在获取,整合和解释临床决策的HBP数据方面面临着挑战.
- 现有的高血压管理临床决策支持系统 (CDSS) 显示异质性和差距.
研究的目的:
- 进行范围审查,总结使用高血压读数用于高血压管理的CDSS研究.
- 确定这些CDSS的框架,组件,临床结果,用户体验和实施过程.
主要方法:
- 使用PubMed,Embase和Scopus数据库进行了全面的范围审查.
- 研究包括在门诊环境中使用CDSS与HBP监测相结合的高血压成年患者.
- 数据提取集中在理论框架,CDSS组件,临床结果,用户体验和实施上.
主要成果:
- 包括33项研究,主要是来自美国 (49%) 的随机对照试验 (64%).
- 大多数CDSS都是计算机化的 (64%),使用带有警报触发器 (91%) 的基于规则的算法.
- 研究报告说,改善了血压 (86%) 和药物调整 (84%),但发现了可用性和访问性挑战.
结论:
- CDSS为高血压管理提供了潜在的好处,但需要进一步开发和实施改进.
- 未来的研究应该优先考虑整合强大的框架,准则调整,改进数据整合和增强可用性.
- 解决这些差距对于最大限度地提高CDSS有效性,采用和高血压护理用户满意度至关重要.
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