高血压管理支持的开发和试点测试,使用EHR集成的远程监控和积极的患者消息
Stephen D Persell1,2, Yaw Peprah1, Ji Young Lee1
1Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
American journal of hypertension
|October 15, 2025
概括
使用远程患者监控 (RPM) 的自动化患者信息改善了高血压控制. 患有失控血压 (BP) 的患者在通过电子健康记录门户获得自动反后,血压显著下降.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 高血压治疗往往面临临临床医生和患者的惯性.
- 自动化患者消息系统显示了改善药物服药和血压 (BP) 管理的潜力.
- 与患者门户集成的远程患者监控 (RPM) 可以促进及时的BP反.
研究的目的:
- 使用远程患者监控 (RPM) 数据,试行用于高血压管理的自动化消息系统.
- 评估通过电子健康记录 (EHR) 门户网站提供的自动化BP反的可行性和影响.
- 为了评估家庭系统血压 (SBP) 和抗高血压药物使用的变化.
主要方法:
- 一项试点研究使用连接到EHR门户的自动化消息系统进行.
- 该系统根据家庭BP读数提供了个性化的信息,包括提醒,指导和积极加强.
- 资格标准包括最近在办公室血压升高 (≥140/90 mmHg) 的患者. 结果在9个月内进行了评估.
主要成果:
- 在285名符合条件的患者中,有70名患者 (25%) 参与了为期9个月的研究.
- 参与者平均收到13条自动化消息,其中85%的信息被查看.
- 患有未控制的基线主血压的患者显示,SBP平均值显著降低-12.5 mmHg,其中51%的患者增加了药物.
结论:
- 通过RPM和EHR门户网站进行自动反交付对于高血压管理是可行的.
- 该系统在降低血压方面表现出有效性,特别是在不受控制的高血压患者中.
- 这种方法提供了一个可扩展的解决方案,以解决高血压护理中的治疗惯性.
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