Effect of Home Blood Pressure Telemonitoring Plus Additional Support on Blood Pressure Control:A Randomized Clinical Trial  

作　　者：MENG Wen Wen BAI Yong Yi YAN Li ZHENG Wei ZENG Qiang ZHENG Yan Song ZHA Lin PI Hong Ying SAI Xiao Yong 

机构地区：[1]The Northern Medical District,Chinese PLA General Hospital,Beijing 100094,China [2]Cardiovascular Department,the Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China [3]National Clinical Research Center for Geriatric Diseases,Chinese PLA General Hospital,Beijing100853,China [4]Department of Epidemiology and Statistics,The Graduate School of the Chinese PLA General Hospital,Beijing 100853,China [5]Anesthesiology Department,the 80th Army Hospital of Chinese PLA,Weifang 261021,Shandong,China [6]Health Management and Research Institute,Chinese PLA General Hospital,Beijing100853,China [7]Nursing Department,Chinese PLA General Hospital,Beijing 100853,China

出　　处：《Biomedical and Environmental Sciences》2023年第6期517-526,共10页生物医学与环境科学（英文版）

基　　金：The Project of the National Ministry of Industry and Information Technology[2020-0103-3-1-1];The Project of Beijing Science and technology“capital characteristics”[Z181100001718007]。

摘　　要：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 the12th 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.

关 键 词：HYPERTENSION TELEMONITORING Blood pressure control Additional support 

分 类 号：R544.1[医药卫生—心血管疾病]