在尼日利亚和加纳，高血压患者使用远程医疗技术进行生活方式改变的情况。

The use of telehealth technology for lifestyle modification among patients with hypertension in Nigeria and Ghana.

作者信息

Echieh Chidiebere Peter, Dele-Ojo Bolade Folasade, Ahmad Oseni Tijani Idris, Blankson Paa-Kwesi, Duodu Fiifi, Tayo Bamidele O, Alabi Biodun Sulyman, Sarpong Daniel F, Amoakoh-Coleman Mary, Boima Vincent, Ogedegbe Gbenga

机构信息

Clinical Translational Science, University of Arizona Health Sciences, Tucson, Arizona, USA.

Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar, Calabar, Nigeria.

出版信息

Digit Health. 2024 Nov 11;10:20552076241297035. doi: 10.1177/20552076241297035. eCollection 2024 Jan-Dec.

DOI:10.1177/20552076241297035

PMID:39534525

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11555726/

Abstract

INTRODUCTION

Sedentary lifestyle and consumption of an unhealthy diet are significantly associated with hypertension in Nigeria and Ghana. Increasing the uptake of physical activity and diet rich in fruits and vegetables has been a challenge in the region. This study aimed at assessing the effect of a mobile health intervention (mhealth) on physical activity, and fruits and vegetables intake in patients with hypertension in Nigeria and Ghana.

METHODS

The study was a quasi-experimental study conducted in Mamprobi Hospital (MH) in Ghana, and State University Teaching Hospital (EKSUTH) in Nigeria. One hundred and sixteen consenting adult patients with hypertension were consecutively recruited and given regular reminders on physical activity and intake of fruits and vegetables via mobile app (mnotify) for six months. All participants were followed up for six months and data collected at Baseline, three months and six months. Analysis was done using Stata 14 software (StataCorp. College Station, TX) assuming an alpha level of 0.05. Ethical approval was obtained from both countries and ethical standards were followed.

RESULTS

A total of 116 (53 from Ghana and 63 from Nigeria) patients with hypertension participated in the study. Respondents had a mean age of 61.0 ± 9.1 years, and were mostly females (64.7%). There was an increase in the level of physical activity which was significant by the third month ( < 0.0001) but became insignificant by the 6 month ( = 0.311). Fruits and vegetables intake also improved at 3 months ( = 0.054) and significantly at 6 months ( = 0.002).

CONCLUSION

The study found the use of telehealth as an effective tool for the delivery of adjunct therapy for lifestyle modification in the management of hypertension in Nigeria and Ghana. It is therefore recommended that telehealth be incorporated into the management of hypertension and other chronic diseases for better health outcome.

摘要

引言

在尼日利亚和加纳，久坐不动的生活方式以及不健康饮食与高血压显著相关。在该地区，增加体育活动以及富含水果和蔬菜的饮食的摄入量一直是一项挑战。本研究旨在评估移动健康干预（mhealth）对尼日利亚和加纳高血压患者的身体活动以及水果和蔬菜摄入量的影响。

方法

该研究是一项在加纳马姆普罗比医院（MH）和尼日利亚州立大学教学医院（EKSUTH）进行的准实验研究。连续招募了116名同意参与的成年高血压患者，并通过移动应用程序（mnotify）对其进行为期六个月的体育活动和水果及蔬菜摄入量的定期提醒。对所有参与者进行了为期六个月的随访，并在基线、三个月和六个月时收集数据。使用Stata 14软件（StataCorp.，美国得克萨斯州大学站）进行分析，假设显著性水平为0.05。获得了两国的伦理批准，并遵循了伦理标准。

结果

共有116名高血压患者（53名来自加纳，63名来自尼日利亚）参与了该研究。受访者的平均年龄为61.0±9.1岁，大多数为女性（64.7%）。身体活动水平有所提高，在第三个月时显著提高（<0.0001），但在第六个月时变得不显著（=0.311）。水果和蔬菜的摄入量在三个月时也有所改善（=0.054），在六个月时显著改善（=0.002）。