Wang Yangui, Tan Jinghua, Zhao Jin, Wang Tao, Ma Tingting, Shao Lili, Sun Wanju
Department of General Practice, Shanghai Pudong New Area People's Hospital, Shanghai, China.
Med Sci Monit. 2025 Mar 6;31:e946079. doi: 10.12659/MSM.946079.
BACKGROUND Hypertension is a growing global health concern, particularly among the elderly, and is a significant contributor to cardiovascular and cerebrovascular diseases. Managing hypertension in elderly patients is particularly challenging, requiring continuous monitoring and strict adherence to treatment protocols. This study aimed to evaluate the effectiveness of integrated management strategies that utilize wearable devices in enhancing hypertension management for elderly patients. MATERIAL AND METHODS A total of 400 elderly patients with primary hypertension from the People's Hospital of Pudong New Area, Shanghai, and the Heqing Community Health Service Center were selected from September 2022 to November 2023. These patients were randomly assigned to either an experimental group or a control group. The experimental group used a chronic disease management platform based on wearable devices, which enabled real-time monitoring and personalized interventions. The control group received traditional hypertension management. RESULTS The experimental group achieved significantly better outcomes across multiple areas compared to the control group, including improved medication adherence, enhanced blood pressure control, and better quality of life encompassing overall health, physical, social, and emotional functions. Additionally, the experimental group showed enhanced knowledge of hypertension and superior self-management abilities, covering aspects such as diet, medication, and emotional management. CONCLUSIONS This study highlights the potential of wearable device-based chronic disease management platforms in significantly improving hypertension control, treatment adherence, quality of life, and self-management capabilities among elderly patients. The findings suggest that such technology-driven solutions can address the challenges of hypertension management in elderly populations, providing a critical tool for long-term disease management.
背景 高血压是一个日益引起全球关注的健康问题,在老年人中尤为突出,并且是心血管和脑血管疾病的重要促成因素。对老年患者进行高血压管理尤其具有挑战性,需要持续监测并严格遵守治疗方案。本研究旨在评估利用可穿戴设备的综合管理策略在加强老年患者高血压管理方面的有效性。
材料与方法 2022年9月至2023年11月,从上海浦东新区人民医院和鹤庆社区卫生服务中心选取了400例原发性高血压老年患者。这些患者被随机分为实验组或对照组。实验组使用基于可穿戴设备的慢性病管理平台,该平台能够进行实时监测和个性化干预。对照组接受传统的高血压管理。
结果 与对照组相比,实验组在多个方面取得了显著更好的结果,包括提高了用药依从性、增强了血压控制,以及在整体健康、身体、社会和情感功能等方面有更好的生活质量。此外,实验组在高血压知识和自我管理能力方面有所增强,涵盖饮食、用药和情绪管理等方面。
结论 本研究强调了基于可穿戴设备的慢性病管理平台在显著改善老年患者高血压控制、治疗依从性、生活质量和自我管理能力方面的潜力。研究结果表明,这种技术驱动的解决方案可以应对老年人群高血压管理的挑战,为长期疾病管理提供关键工具。