家庭血压远程监测的差异影响和决定因素:卡塔尔世界杯8强波胆分析安徽省街首市3年队列研究%阿薛，张群，刘学武%A，关荣%A，小秦%A，赵国成%A，王林海%A，王倩%A，沈德彬%A，兴荣%+安徽医科大学卫生服务管理学院，合肥梅山路81号，230032,86 13505612172,shenxr@ahmu.edu.cn %K血压%K家庭远程监测%K效果%K影响因素%K中国%D 2022 %7 11.10.2022 %9原创论文%J J医学互联网Res %G英语%X背景:家庭血压远程监测(HBPT)正在世界范围内迅速普及。当代研究主要记录了HBPT的短期效应(6-12个月)，关于其吸收的数据有限。目的:本研究旨在探讨HBPT的3年使用情况和决定因素，以及与收缩压、舒张压(SBP/DBP)和总血压(BP)控制率的相互作用。方法:HBPT记录来自中国安徽界首的5658名高血压患者的3年队列，数据来自该队列的随机样本(n=3005)的结构化住户调查。数据分析包括(1)整体组和起始月收缩压/舒张压不同的亚组患者的月活跃HBPT率和平均收缩压/舒张压的时间轴轨迹;(2)以SBP/DBP、BP控制率和HBPT年发病次数为因变量的多变量线性回归、logistic回归和百分位回归分析。结果:不同患者组HBPT后平均月收缩压/舒张压变化呈混合变化。收缩压的变化幅度为-43 ~ +39 mmHg，舒张压的变化幅度为-27 ~ +15 mmHg。 The monthly rates of active HBPT all exhibited a rapid and then gradually slower decline. When controlled for commonly reported confounders, times of HBPT in the last year were found to have decreasing correlation coefficients for SBP/DBP (from 0.16 to –0.35 and from 0.11 to –0.35, respectively) and for BP control rate (from 0.53 to –0.62). Conclusions: HBPT had major and “target-converging” effects on SBP/DBP. The magnitude of changes was much greater than commonly reported. BP, variation in BP, and time were the most important determinants of HBPT uptake. Age, education, duration of hypertension, family history, and diagnosis of hypertension complications were also linked to the uptake but at weaker strength. There is a clear need for differentiated thinking over the application and assessment of HBPT, and for identifying and correcting/leveraging potential outdated/new opportunities or beliefs. %M 36114000 %R 10.2196/37648 %U //www.mybigtv.com/2022/10/e37648 %U https://doi.org/10.2196/37648 %U http://www.ncbi.nlm.nih.gov/pubmed/36114000