j JMIR出版物评估尼泊尔农村高血压控制的基于流动卫生的女性社区卫生卡塔尔世界杯8强波胆分析志愿者项目的可行性和可接受性:横横性研究%A Ni,Zhao %A Atluri,Namratha %A Shaw,Ryan J %A Tan, jinggru %A Khan,Kinza %A Merk,Helena %A Ge,Yunfan %A Shrestha,Shrinkhala %A Shrestha,Abha %A Vasudevan,Lavanya %A Karmacharya,Biraj %A Yan,Lijing L %+加德满都大学,BP公路,Panauti 45209,尼泊尔加德满都,977 11 490497,birajmk@gmail.com %K高血压%K女性社区卫生志愿者%K mHealth %D 2020 %7 9.3.2020 %9原创论文%J JMIR mHealth Uhealth %G英语%X背景:高血压是心血管疾病的一个主要可改变的危险因素,心血管疾病是世界上主要的死亡原因。南亚国家的高血压患病率比世界其他地区高得不成比例。在包括尼泊尔在内的许多南亚国家,在初级保健环境中筛查高血压仍然是一项挑战。尼泊尔位于喜马拉雅山脉地区,对其农村公民获得初级卫生保健和提供服务构成了重大的地理挑战。这一障碍增加了尼泊尔农村人获得高血压筛查和治疗的成本和不便。结果,尼泊尔的高血压患病率在过去25年里增加了两倍,达到22.4%-38.6%。尼泊尔卫生和人口部依靠女性社区保健志愿人员将保健中心和社区联系起来,提供基本保健服务。尼泊尔的这些志愿人员中有50 000多人接受了基本保健培训,并被指派负责产妇和儿童保健。 Due to limited health care resources, adopting new methods to control hypertension is an urgent need in Nepal. Several recent studies in Nepal have recommended extending the role of female community health volunteers to include hypertension management through blood pressure monitoring and home-based education. Objective: The goal of this study was to assess if a mobile health–based female community health volunteer approach of combining the traditional community health volunteer program with digital technologies would be feasible and acceptable in rural Nepal. Methods: In this study, we recruited 17 female community health volunteers and extended their role from maternal and child health to hypertension management through screening blood pressures. Results: All 17 female community health volunteers successfully measured 1113 rural Nepalis’ blood pressures, identified 169 hypertensive patients, and collected health behaviors data of the 169 hypertensive patients. Among the 169 patients, 70% of them had a mobile phone, and 92% were interested in receiving health-related information via a mobile phone. Among those who were interested in receiving information via a mobile phone, 84% preferred voice calls, and 7% and 1% preferred texting and apps, respectively. Conclusions: Results from this study indicate that a digital health intervention that leverages feature-phones combined with female community health volunteers may be an acceptable and pragmatic way to implement an evidence-based program to reduce hypertension in rural Nepal. %M 32149712 %R 10.2196/15419 %U http://mhealth.www.mybigtv.com/2020/3/e15419/ %U https://doi.org/10.2196/15419 %U http://www.ncbi.nlm.nih.gov/pubmed/32149712
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