Yukselen Zeynep, Singh Yuvaraj, Malempati Sarat, Dasari Mahati, Arun Kumar Pramukh, Ramsaran Eddison
Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States.
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, United States.
World J Cardiol. 2023 Jun 26;15(6):324-327. doi: 10.4330/wjc.v15.i6.324.
Anti-hypertensive education is an important public health intervention to decrease the mortality and burden of the disease. Using digital technologies for education as a part of preventive measures for hypertension is a cost-effective approach and helps low-income communities and vulnerable populations overcome barriers to healthcare access. The coronavirus disease 19 pandemic further highlighted the need of new health interventions to address health inequalities. Virtual education is helpful to improve awareness, knowledge, and attitude toward hypertension. However, given the complexity of behavioral change, educational approaches do not always provide a change in behavior. Some of the obstacles in online hypertensive education could be time limitations, not being tailored to individual needs and not including the different elements of behavioral models to enhance behavior change. Studies regarding virtual education should be encouraged and involve lifestyle modifications emphasizing the importance of Dietary Approaches to Stop Hypertension diet, salt restriction, and exercise and should be used adjunct to in-person visits for the management of hypertension. Additionally, to stratify patients according to hypertension type (essential or secondary) would be useful to create specific educational materials. Virtual hypertension education is promising to increase awareness regarding risk factors and most importantly motivate patients to be more compliant with management helping to decrease hypertension related complications and hospitalizations.
抗高血压教育是一项重要的公共卫生干预措施,可降低疾病的死亡率和负担。将数字技术用于教育作为高血压预防措施的一部分是一种具有成本效益的方法,有助于低收入社区和弱势群体克服获得医疗保健的障碍。2019年冠状病毒病大流行进一步凸显了采取新的健康干预措施以解决健康不平等问题的必要性。虚拟教育有助于提高对高血压的认识、知识和态度。然而,鉴于行为改变的复杂性,教育方法并不总是能带来行为上的改变。在线高血压教育中的一些障碍可能是时间限制、未根据个人需求量身定制以及未纳入行为模型的不同要素以促进行为改变。应鼓励开展有关虚拟教育的研究,这些研究应涉及生活方式的改变,强调“终止高血压膳食疗法”饮食、限盐和运动的重要性,并且应作为高血压管理中面对面就诊的辅助手段。此外,根据高血压类型(原发性或继发性)对患者进行分层,将有助于创建特定的教育材料。虚拟高血压教育有望提高对危险因素的认识,最重要的是激励患者更好地配合管理,从而有助于减少与高血压相关的并发症和住院治疗。