Center of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 411 West Chapel Street, Durham, NC 27701, USA.
Curr Hypertens Rep. 2013 Aug;15(4):346-55. doi: 10.1007/s11906-013-0351-6.
Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, and emphasis on delivering patient-centered care, home-based blood pressure telemonitoring is a promising tool to help patients achieve optimal blood pressure (BP) control. Home-based blood pressure telemonitoring is associated with reductions in blood pressure values and increased patient satisfaction. However, additional research is needed to understand cost-effectiveness and long-term clinical outcomes of home-based BP monitoring. We review key interventional trials involving home based BP monitoring, with special emphasis placed on studies involving additionally behavioral modification and/or medication management. Furthermore, we discuss the role of home-based blood pressure telemonitoring within the context of the patient-centered medical home and the evolving role of technology.
高血压是一种常见的慢性病，影响了近三分之一的美国人口。许多干预措施旨在帮助患者控制高血压。随着医疗保健环境的不断变化、快速发展的技术以及对提供以患者为中心的护理的重视，家庭血压远程监测是一种很有前途的工具，可以帮助患者实现最佳血压控制。家庭血压远程监测与降低血压值和提高患者满意度有关。然而，需要进一步研究来了解家庭血压监测的成本效益和长期临床结果。我们回顾了涉及家庭血压监测的关键干预性试验，特别强调了涉及行为改变和/或药物管理的研究。此外，我们还讨论了家庭血压远程监测在以患者为中心的医疗之家背景下以及技术不断发展的作用。
