Faculty of Nursing, Islamic University of Gaza, Palestine.
Eur J Cardiovasc Nurs. 2021 Jun 29;20(5):428-435. doi: 10.1177/1474515120938235.
Hypertension is one of the most prevalent long-term diseases seen in many countries, including Palestine. Patients with poorly controlled blood pressure are more likely to develop several complications. Therefore; it is imperative to control their blood pressure by improving their adherence to the treatment regimen.
The objective of this study was to evaluate the impact of using a mobile phone app on the level of adherence to treatment regimens among hypertensive patients in the Gaza Strip.
This study used an experimental design with a pre and post-intervention assessment. Using the Hill-Bone compliance to high blood pressure therapy scale, 191 participants completed the study: 94 in the control group and 97 in the intervention group. The intervention group used a phone app which reminds participants to take their medication, reminding them about their follow-up appointments and sending educational information about hypertension management. After 3 months of intervention, the level of adherence to treatment was reassessed. Results showed that participants in both groups showed a significant improvement in adherence levels, with higher improvements in the intervention group in the total score as well as all three domain scores: adherence to medication, diet and keeping appointments.
The use of a mobile phone app resulted in improvements in adherence to hypertension treatment. Thus, this study confirms the potential effectiveness of mobile technology in improving treatment adherence in hypertension and an opportunity to reduce cardiovascular mortality and morbidity. However, wider adoption has to be accompanied by ongoing evaluation and integration in public health systems.
高血压是许多国家（包括巴勒斯坦）最常见的长期疾病之一。血压控制不佳的患者更容易出现多种并发症。因此，通过提高患者对治疗方案的依从性来控制血压至关重要。
本研究旨在评估使用手机应用程序对加沙地带高血压患者治疗方案依从性水平的影响。
本研究采用实验设计，进行了干预前后评估。191 名参与者使用 Hill-Bone 高血压治疗依从性量表完成了研究：对照组 94 名，干预组 97 名。干预组使用手机应用程序提醒参与者服药、预约随访并发送高血压管理教育信息。干预 3 个月后，重新评估治疗依从性。结果显示，两组参与者的治疗依从性均显著提高，干预组在总分及药物、饮食和预约三个维度的得分均有更高的提高。
使用手机应用程序可提高高血压治疗的依从性。因此，本研究证实了移动技术在改善高血压治疗依从性方面的潜在有效性，并为降低心血管死亡率和发病率提供了机会。然而，更广泛的采用必须伴随着持续的评估和公共卫生系统的整合。
