Moon Soul Graduate School of Future Strategy, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 34141, Korea.
Keyu Internal Medicine Clinic, Daejeon 35250, Korea.
Int J Environ Res Public Health. 2021 Jun 27;18(13):6892. doi: 10.3390/ijerph18136892.
Coronavirus disease 2019 (COVID-19) has put hypertensive patients in densely populated cities at increased risk. Nurse-coordinated home blood pressure telemonitoring (NC-HBPT) may help address this. We screened studies published in English on three databases, from their inception to 30 November 2020. The effects of NC-HBPT were compared with in-person treatment. Outcomes included changes in blood pressure (BP) following the intervention and rate of BP target achievements before and during COVID-19. Of the 1916 articles identified, 27 comparisons were included in this review. In the intervention group, reductions of 5.731 mmHg (95% confidence interval: 4.120-7.341; < 0.001) in systolic blood pressure (SBP) and 2.342 mmHg (1.482-3.202; < 0.001) in diastolic blood pressure (DBP) were identified. The rate of target BP achievement was significant in the intervention group (risk ratio, RR = 1.261, 1.154-1.378; < 0.001). The effects of intervention over time showed an SBP reduction of 3.000 mmHg (-5.999-11.999) before 2000 and 8.755 mmHg (5.177-12.334) in 2020. DBP reduced by 2.000 mmHg (-2.724-6.724) before 2000 and by 3.529 mmHg (1.221-5.838) in 2020. Analysis of the target BP ratio before 2010 (RR = 1.101, 1.013-1.198) and in 2020 (RR = 1.906, 1.462-2.487) suggested improved BP control during the pandemic. NC-HBPT more significantly improves office blood pressure than UC among urban hypertensive patients.
2019 年冠状病毒病（COVID-19）使人口密集城市的高血压患者面临更高的风险。护士协调的家庭血压远程监测（NC-HBPT）可能有助于解决这一问题。我们在三个数据库中筛选了从成立到 2020 年 11 月 30 日发表的英文研究。将 NC-HBPT 的效果与面对面治疗进行了比较。结果包括干预后血压（BP）的变化以及 COVID-19 前后血压目标的达标率。在确定的 1916 篇文章中，有 27 篇比较纳入了本综述。在干预组中，收缩压（SBP）降低了 5.731mmHg（95%置信区间：4.120-7.341；<0.001），舒张压（DBP）降低了 2.342mmHg（1.482-3.202；<0.001）。干预组的目标血压达标率显著（风险比，RR=1.261，1.154-1.378；<0.001）。随着时间的推移，干预的效果显示，2000 年之前 SBP 降低了 3.000mmHg（-5.999-11.999），2020 年降低了 8.755mmHg（5.177-12.334）。DBP 在 2000 年之前降低了 2.000mmHg（-2.724-6.724），在 2020 年降低了 3.529mmHg（1.221-5.838）。分析 2010 年之前（RR=1.101，1.013-1.198）和 2020 年（RR=1.906，1.462-2.487）的目标血压比值表明，在大流行期间血压控制有所改善。与 UC 相比，NC-HBPT 可更显著地改善城市高血压患者的诊室血压。
