基于电子健康的心血管疾病风险沟通的有效性:系统性审查和元分析
Yujia Jin1, Yunjing Qiu2, Qiushi Zhang1
1Nursing and Health School, Zhengzhou University, Zhengzhou, Henan, China.
NPJ digital medicine
|December 3, 2025
概括
电子健康干预显著改善了心血管疾病 (CVD) 风险沟通,增强了静脉压控制,体力活动和戒烟. 进一步的研究可以完善这些数字健康工具,以获得更好的人口健康结果.
科学领域:
- 数字健康数字健康
- 预防心血管疾病 预防心血管疾病
- 卫生沟通健康沟通
背景情况:
- 心血管疾病 (CVD) 构成了全球严重的健康负担.
- 有效的风险沟通对于心血管疾病预防策略至关重要.
- 电子健康技术为提供健康信息和干预提供新的平台.
研究的目的:
- 系统地审查和元分析基于电子健康的心血管疾病 (CVD) 风险沟通的有效性.
- 评估这些干预措施对各种健康相关结果的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 包括23个评估基于电子健康的CVD风险沟通干预措施的RCT.
主要成果:
- 在缩血压控制 (P=0.03),低密度脂蛋白水平 (P=0.02),体力活动 (P=0.003),戒烟 (P=0.004),疾病意识 (P=0.002) 和生活质量 (P=0.03) 中观察到显著改善.
- 对于透静血压,总胆固醇或整体风险得分没有发现显著影响.
结论:
- 基于电子健康的风险沟通显示出改善关键心血管疾病风险因素和健康相关结果的潜力.
- 未来的研究应该专注于标准化干预组件,优化使用行为变化框架的元素,并为各种人群制定有针对性的策略.
相关概念视频
Atherosclerosis III: Management
296
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
296
Coronary Artery Disease IV: Preventive Measures
575
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
575
Coronary Artery Disease I: Introduction
850
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
850
Assessment of the Cardiovascular System I: Subjective Data
738
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
738
Acute Coronary Syndrome IV: Interprofessional Care
200
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
200
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
382
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
382


