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首页> 外文期刊>The journal of clinical hypertension. >Adherence to Blood Pressure Telemonitoring in a Cluster-Randomized Clinical Trial
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Adherence to Blood Pressure Telemonitoring in a Cluster-Randomized Clinical Trial

机译：集群随机化临床试验中对血压远程监测的依从性

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摘要

Hypertension is a leading cause of cardiovascular disease and death worldwide. Advances in technology have added telemedicine as a tool for managing hypertension. The effectiveness of telemedicine depends on patients' ability to adhere to schedules of home monitoring and case management. Participants with uncontrolled hypertension in the intervention arm of a randomized trial who completed 6months of follow-up were included in this analysis. They were asked to measure their blood pressure (BP) a minimum of 6 times per week using a telemonitor that transmitted the readings to their pharmacist case manager. Hypertensive patients in this study had high adherence to telemonitoring (73% took at least 6 BP readings per week) and phone visits (88% of expected visits were attended). In a multivariate analysis, older age, male sex, and some college education predicted better telemonitoring adherence. White non-Hispanic race/ethnicity predicted better adherence to phone visits with pharmacist case managers. Telemonitoring adherence and phone adherence were highly correlated; participants who did not send readings on schedule were more likely to skip at least one phone visit with their pharmacist case manager. The findings from this analysis indicate that hypertensive patients in this study were able to achieve and maintain high adherence to both the telemonitoring and the phone case management visits.
机译：高血压是全世界心血管疾病和死亡的主要原因。技术的进步增加了远程医疗作为控制高血压的工具。远程医疗的有效性取决于患者遵守家庭监护和病例管理时间表的能力。该分析包括了一项随机试验的干预组中不受控制的高血压参与者，这些参与者完成了6个月的随访。他们被要求使用远程监护仪每周至少测量6次血压，该远程监护仪将读数传输给药剂师病例经理。这项研究中的高血压患者高度重视远程监护（73％的人每周至少接受6次BP读数）和电话就诊（88％的预期就诊）。在多变量分析中，年龄，男性性别和一些大学学历预示着更好的远程监护依从性。白人非西班牙裔种族/族裔预测更好地坚持与药剂师个案经理进行电话拜访。远程监控的依从性和电话的依从性高度相关;未能按时发送读数的参与者更有可能跳过与药剂师个案经理的至少一次电话拜访。该分析的结果表明，该研究中的高血压患者能够实现并保持对远程监护和电话病例管理访视的高度依从性。

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