在临床和家庭测量之间的血压变化:对护理质量评估的影响
L J Zimmermann1, A Weaver2, M Gottlieb3
1Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Journal of evaluation in clinical practice
|November 2, 2025
概括
与在家监测相比,临床血压 (BP) 读数显示出显著的变化. 在家进行血压监测可以更可靠地评估高血压控制和治疗决策.
科学领域:
- 心脏病学和高血压管理管理
- 数字健康和移动健康应用程序
- 临床测量和可变性分析
背景情况:
- 高血压影响了近一半的美国成年人,其中很大一部分缺乏足够的控制.
- 临床内血压 (BP) 测量的挑战包括偏差和生理变异性,阻碍有效的治疗指导.
研究的目的:
- 通过移动应用程序获得的临床测量和家庭读数之间的血压 (BP) 变异性进行比较.
- 评估测量位置对高血压控制状态确定的影响.
主要方法:
- 一项回顾性观察性研究,将临床BP与来自移动应用程序的家庭BP数据进行比较 (2024年4月 - 2025年5月).
- 使用标准偏差 (SD),高血压控制状态 (静心血压<140 mmHg和腹心血压<90 mmHg) 以及日内/周内波动的血压变化分析.
主要成果:
- 临床内血压测量显示平均静脉血压SD为12.6mmHg.
- 与临床测量相比,在家的读数显示了与临床测量相比,高血压控制状态显著不同 (差异高达29.8%).
- 在同一天内,家庭静脉血压SD为8.8 mmHg,在6周内增加到11.1 mmHg.
结论:
- 仅仅依赖临床内血压测量可以导致不准确的高血压管理,由于显著的时间变化.
- 在家用血压监测提供了更可靠的血压控制率评估,影响治疗决策.
- 通过在家监测提高血压测量的可靠性对于准确的高血压管理和质量指标评估至关重要.
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