居家血压远程监护技术对社区高血压管理效果的影响作用

胡一河; 董晨; 张正姬; 韦晓淋; 王波

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居家血压远程监护技术对社区高血压管理效果的影响作用

首发时间：2018-06-21

胡一河 ¹
胡一河(1961-),男,主任医师,慢性非传染性疾病预防与控制
董晨 ² 张正姬 ¹ 韦晓淋 ² 王波 ²

1、苏州大学公共卫生学院,苏州 215123
2、苏州市疾病预防控制中心,苏州 215004

摘要：目的：探索以无线传输电子血压计为基础形成的居家血压远程监护技术对社区高血压管理效果的影响作用，以此提供推广应用的依据。方法：通过多阶段随机抽样方法获取实验和对照各8家社区和各1000例高血压患者，于2014年7月至2016年6月，利用区域信息平台导出研究对象实验前和实验期2个观察期的血压信息，应用社区干预类实验研究方法进行比较分析，判断所求差异的统计学意义。结果：入选实验对象986例和对照对象992例，前者4次血压平均值由实验前的131.93 mmHg下降到实验期的131.37 mmHg，舒张压由81.71 mmHg下降到81.06 mmHg，差异均有统计学意义（P=0.008和P＜0.001）；同期对照对象收缩压分别为131.58 mmHg和131.78 mmHg，舒张压分别为80.35 mmHg和80.24mmHg，差异均无统计学意义（P=0.522和P=0.840）；干预对象实验期收缩压和舒张压较实验前下降差值（幅度）大于对照对象，差异有统计学意义（P=0.017和P＜0.001）；干预和对照对象前后两个观察期血压控制满意率分为75.05%、80.22%和81.85%和74.40%，干预对象实验期高于实验前（p=0.002），对照对象实验期低于实验前（p＜0.001）。结论：把居家远程血压监护技术作为一种社区高血压干预措施来组织实施，在降低干预对象血压值和提高血压控制率方面具有积极的促进作用。

关键词：慢性非传染性疾病家庭自测血压远程监护类实验研究社区管理效果

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The effect of home blood pressure telemonitoring on community hypertension management

Hu Yihe ^{1
2}
胡一河(1961-),男,主任医师,慢性非传染性疾病预防与控制
Dong Chen ¹ Zhang Zhengji ² Wei Xiaolin ² Wang Bo ²

1、School of Public Health, Soochow University, Suzhou 215123
2、Suzhou Center for Disease Prevention and Contro,Suzhou 215004

Abstract：Objective: To obtain firsthand information on the effect of home blood pressure telemonitoring with Wireless Sphygmomanometer for Community Hypertension Management, andpromote its application. Method: We obtained 8 intervening and 8 control communities and 1000 cases of hypertension patients with the multi-stage random sampling method; Collected blood pressure data of 2 groups of observed people which was measured separately before and during the intervening through the regional information system from July 2014 to June 2016; Then, compare two groups of data with experimental method in community and calculate the statistical significance differences for them. Results: Intervening subjects (986 cases) and contrast ones (992 cases) of hypertension patients were chosen separately; The four times average of SBP (Systolic Blood Pressure) for the experimental subjects reduced from 131.93 mmHg (before experiment session) to 131.37 mmHg (during experiment session), while DBP (Diastolic Blood Pressure) reduced from 81.71 mmHg to 81.06 mmHg, and this difference is under statistical significance (P=0.008 and P＜0.001); The four times average times SBP for the comparative subjects were 131.58 mmHg before experiment and 131.78 mmHg during experiment session, while DBP were 80.35 mmHg and 80.24 mmHg. This difference has no statistical significance (P=0.522 and P=0.840); The decrease of SBP and DBP between before and during experiment session for experimental subjects was more obvious than contrast objects, and the difference had statistical significance (P=0.017和P＜0.001); The satisfaction rates of controlling BP (Blood Pressure) before and during experiment sessionwere75.05% and80.22% in the experiment objects with statistically significant difference (P=0.002). For contrast objects, the rates reduced from 81.85% to74.40% with statistical significant difference (P＜0.001). Conclusion: It has positive effect on reducing BP and increasing the rate of blood pressure control of the intervention objects by using the technology of home blood pressure telemonitoring for Community Hypertension Management.

Keywords： NCD HBPM telemonitoring quasi-experiment community management effect

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1. 苏州市科学技术局课题（SS201424）

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胡一河，董晨，张正姬，等. 居家血压远程监护技术对社区高血压管理效果的影响作用[EB/OL]. 北京：中国科技论文在线 [2018-06-21]. https://www.paper.edu.cn/releasepaper/content/201806-103.

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论文编号	201806-103
论文题目	居家血压远程监护技术对社区高血压管理效果的影响作用
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