Division of Community Medicine, Taipei City Hospital; Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
J Telemed Telecare. 2013 Jul;19(5):238-41. doi: 10.1177/1357633X13495476. Epub 2013 Jul 9.
We evaluated the effectiveness of a home telehealth service in hypertension control. Patients with hypertension were divided into two groups based on the frequency that they measured blood pressure (BP) at home: the regular group made >3 measurements per week and the irregular group made ≤ 20 measurements per month. Both groups were provided with home monitoring equipment (the Citizen Telemedical Care Service System, CTCS) which contained a computer and video communication device. A total of 160 participants were enrolled and 156 completed the 12-month study. There were 101 participants in the regular BP measurement group and 55 in the irregular group. There was a significant reduction in the average systolic BP from baseline after 6 months in the regular group (P < 0.001) and after 1 month in the irregular group (P < 0.001). There was no difference in average diastolic BP between the two groups. For both groups, the systolic BP control was good, especially for irregular group. The results suggest that patients who used CTCS tele-monitoring achieved better BP control than those who self-measured BP at home only.
我们评估了家庭远程医疗服务在高血压控制中的有效性。根据患者在家测量血压（BP）的频率，将高血压患者分为两组：常规组每周测量≥3 次，不规律组每月测量≤20 次。两组均提供家庭监测设备（Citizen Telemedical Care Service System，CTCS），包括计算机和视频通信设备。共有 160 名参与者入组，其中 156 名完成了 12 个月的研究。常规 BP 测量组有 101 名参与者，不规律组有 55 名。常规组在 6 个月后（P < 0.001）和不规律组在 1 个月后（P < 0.001），平均收缩压从基线显著下降。两组间平均舒张压无差异。对于两组患者，收缩压控制均较好，不规律组尤其如此。结果表明，使用 CTCS 远程监测的患者血压控制情况优于仅在家自我测量 BP 的患者。
