中国重庆基于移动设备的家庭血压监测:一项可行性研究。
Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study.
机构信息
School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China.
Yuzhong Center for Disease Control and Prevention, Chongqing 400010, China.
出版信息
Int J Environ Res Public Health. 2019 Sep 10;16(18):3325. doi: 10.3390/ijerph16183325.
: Increasing attention is being paid to the role of the intelligent self-management of hypertension under the context of increasing prevalence but limited medical resources. However, heterogeneity in interventions and outcome measures has hindered the interpretation of research evaluating mobile health technologies for hypertension control, and little study of such technology has been performed in China. : This was a feasibility study aimed to understand patient and medical practitioners' acceptance and experience of a mobile-phone based platform for the management of hypertensive patients. : The model used behavioral incentives for daily blood pressure measurement and physician-facing prioritization of patients based on level of blood-pressure control. Patients were enrolled by purposive sampling. The platform was used for two-week blood pressure monitoring through WeChat, which simulated our future app. Qualitative interviews with patients and providers were conducted in time. : Twenty hypertensive patients and two providers were enrolled and used the platform throughout the two weeks. Patients reported daily home blood pressure monitoring to be simple, feasible and increased their health awareness. Specifically, patients self-reported that reminders, the daily frequency and time of monitoring, and positive reinforcement were important for maintaining adherence. Providers reported that they could manage patients more quickly and accurately, but reasonable feedback information was needed to avoid excessive increases in workload. : The adoption of mobile-based technology to monitor patient's blood pressure may provide a practical solution for managing patients in Chongqing, China. Patient health education and enhanced app functionality could improve patient compliance and satisfaction while reducing provider workload.
: 越来越多的人关注在医疗资源有限但高血压患病率不断增加的背景下,通过智能自我管理来控制高血压。然而,干预措施和结果测量指标的异质性阻碍了对移动医疗技术控制高血压的研究结果的解释,而在中国,对这类技术的研究很少。: 这是一项可行性研究,旨在了解患者和医务人员对基于手机的高血压患者管理平台的接受程度和使用经验。: 该模型使用行为激励措施来促进患者进行日常血压测量,并根据血压控制水平对医生进行患者优先级排序。通过有目的的抽样来招募患者。患者通过微信进行为期两周的血压监测,这模拟了我们未来的应用程序。在时间允许的情况下,对患者和提供者进行了定性访谈。: 共招募了 20 名高血压患者和 2 名医务人员,并在两周内使用该平台。患者报告称,日常家庭血压监测简单、可行,并提高了他们的健康意识。具体来说,患者自我报告称,提醒、监测的日常频率和时间、以及积极的反馈非常重要,可以帮助他们保持依从性。医务人员报告称,他们可以更快、更准确地管理患者,但需要合理的反馈信息,以避免工作负荷的过度增加。: 采用基于移动的技术来监测患者的血压,可能为管理中国重庆的患者提供了一种实用的解决方案。通过加强患者健康教育和应用程序功能,可以提高患者的依从性和满意度,同时减轻医务人员的工作负担。