患者参与家庭血压监测
Ozan Unlu1,2,3,4, David Zelle1, Christopher P Cannon1,2,4
1Accelerator for Clinical Transformation, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA cardiology
|January 21, 2026
概括
在远程高血压计划中,家庭血压监测 (HBPM) 的患者参与度低于最佳. 为了改善高血压管理,需要创新,不那么繁重的监测方法.
科学领域:
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 家庭血压监测 (HBPM) 对于高血压管理至关重要.
- 现实世界患者与HBPM的参与模式尚不清楚.
研究的目的:
- 在远程高血压管理计划中评估患者对HBPM的参与.
- 在接受支持的大型患者队列中确定参与水平.
主要方法:
- 来自远程高血压管理计划的前性收集数据的回顾性队列研究.
- 从2018年9月到2022年6月,对3390名患有失控高血压的成年患者进行了分析.
- 每周HBPM频率分为没有,低,中,高参与度的分类.
主要成果:
- 总共注册了3390名患者,平均年龄为61岁,57.8%为女性.
- 基线参与度水平显示32.7%没有参与,14.3%低,18.2%中等和34.8%高参与度.
- 尽管提供免费设备,教育和导航员支持,但观察到患者参与度低于最佳水平.
结论:
- 在远程计划中,患者与HBPM的参与度低于最佳.
- 目前的支持方法可能不足以确保一致的HBPM.
- 需要创新和更方便的血压监测方法来提高患者参与度和改善高血压结果.
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