Graduate Program in Human Aging, School of Physical Education and Physiotherapy, University of Passo Fundo (UPF), Passo Fundo, RS, Brazil.
Graduate Program in Applied Computing, Institute of Exact Sciences and Geosciences, University of Passo Fundo (UPF), Passo Fundo, RS, Brazil.
Sci Rep. 2020 Apr 7;10(1):6009. doi: 10.1038/s41598-020-63057-w.
Brazil's Family Health Strategy (FHS) leads public health policies and actions regarding community health, addressing arterial hypertension (AH) in primary care settings. In this scenario, the use of communication technologies becomes appropriate for the monitoring of patients with AH. To preliminary verify the intervention approach and the effects of using an m-Health application on the health conditions of patients with AH for a future study, we conducted a non-randomized, controlled, non-blind trial (N = 39), comparing the use of a mobile health app (m-Health) with conventional AH monitoring over 3 months. During the study, we promoted health information workshops to engage patients from both intervention and control groups. Pre and post-intervention, we compared measurements of systolic and diastolic blood pressure; food frequency questionnaire; Appraisal of Self-Care Agency Scale; blood tests of hemogram, creatinine, uric acid, sodium, potassium, lipid profile, and glycemia. Improvements were identified in both groups due to the workshops, including the reduction in total and non-HDL cholesterol, healthier consumption of salads and sugary drinks, and increased self-care scores. Exclusively in the intervention group, which used the m-Health app, there was a change in systolic and diastolic pressure towards more adequate levels. In addition, the intervention group had improved levels of glucose and HDL cholesterol and reduced consumption of ultra-processed foods. In conclusion, the use of an m-Health app had positive effects on the health conditions of patients with AH under treatment within FHS, especially when combined with health information. On the context of FHS, the use of technology is encouraging supporting better health conditions.
巴西的家庭健康策略（FHS）引领着社区卫生方面的公共卫生政策和行动，针对基层医疗环境中的动脉高血压（AH）。在这种情况下，使用通信技术来监测 AH 患者是合适的。为了初步验证干预方法以及使用 m 健康应用程序对 AH 患者健康状况的影响，以便未来开展研究，我们进行了一项非随机、对照、非盲试验（N=39），比较了 3 个月内使用移动健康应用程序（m 健康）与常规 AH 监测对 AH 患者的影响。在研究过程中，我们开展了健康信息研讨会，以吸引干预组和对照组的患者参与。在干预前后，我们比较了收缩压和舒张压的测量值、食物频率问卷、自我护理能力评估量表、血常规、肌酐、尿酸、钠、钾、血脂和血糖的血液检查结果。由于研讨会的开展，两组患者的健康状况都有所改善，包括总胆固醇和非高密度脂蛋白胆固醇的降低、沙拉和含糖饮料的更健康摄入以及自我护理评分的提高。仅在干预组中，使用 m 健康应用程序的患者收缩压和舒张压都有所改善，更接近正常水平。此外，干预组的血糖和高密度脂蛋白胆固醇水平有所提高，超加工食品的摄入量有所减少。总之，在 FHS 中治疗的 AH 患者使用 m 健康应用程序对其健康状况有积极影响，特别是与健康信息相结合时。在 FHS 的背景下，技术的使用令人鼓舞，可以支持改善健康状况。
