期刊
BIOMEDICAL AND ENVIRONMENTAL SCIENCES
卷 36, 期 6, 页码 517-526出版社
CHINESE CENTER DISEASE CONTROL & PREVENTION
DOI: 10.3967/bes2023.063
关键词
Hypertension; Telemonitoring; Blood pressure control; Additional support
This study demonstrated that home blood pressure telemonitoring (HBPT) plus additional support (patient education and clinician remote hypertension management) improved blood pressure control more than usual care (UC) in the Chinese population. This intervention resulted in greater reduction in blood pressure, better blood pressure control, higher proportion of dipper blood pressure patterns, lower blood pressure variability, and higher drug adherence.
Objective Current clinical evidence on the effects of home blood pressure telemonitoring (HBPT) on improving blood pressure control comes entirely from developed countries. Thus, we performed this randomized controlled trial to evaluate whether HBPT plus support (patient education and clinician remote hypertension management) improves blood pressure control more than usual care (UC) in the Chinese population. Methods This single-center, randomized controlled study was conducted in Beijing, China. Patients aged 30-75 years were eligible for enrolment if they had blood pressure [systolic (SBP) >= 140 mmHg and/or diastolic (DBP) >= 90 mmHg; or SBP >= 130 mmHg and/or DBP >= 80 mmHg with diabetes]. We recruited 190 patients randomized to either the HBPT or the UC groups for 12 weeks. The primary endpoints were blood pressure reduction and the proportion of patients achieving the target blood pressure. Results Totally, 172 patients completed the study, the HBPT plus support group (n = 84), and the UC group (n = 88). Patients in the plus support group showed a greater reduction in mean ambulatory blood pressure than those in the UC group. The plus support group had a significantly higher proportion of patients who achieved the target blood pressure and maintained a dipper blood pressure pattern at the 12th week of follow-up. Additionally, the patients in the plus support group showed lower blood pressure variability and higher drug adherence than those in the UC group. Conclusion HBPT plus additional support results in greater blood pressure reduction, better blood pressure control, a higher proportion of dipper blood pressure patterns, lower blood pressure variability, and higher drug adherence than UC. The development of telemedicine may be the cornerstone of hypertension management in primary care.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据