Leah Spiro, Galen Cook-Wiens, Wei-Ti Chen, Nancy Jo Bush, Margo B. Minissian
{"title":"护士从业人员推动虚拟产后护理","authors":"Leah Spiro, Galen Cook-Wiens, Wei-Ti Chen, Nancy Jo Bush, Margo B. Minissian","doi":"10.1016/j.nurpra.2025.105476","DOIUrl":null,"url":null,"abstract":"<div><div>Hypertensive disorders of pregnancy account for 2.5% to 4.6% of readmissions within 6 weeks postpartum (PP). A standardized approach to hypertensive disorders of pregnancy using remote patient monitoring may improve outcomes through optimized PP blood pressure (BP) management. The feasibility of a standardized nurse practitioner (NP)–driven remote patient monitoring protocol was measured to optimize BPs in the immediate PP period and was successfully demonstrated in a pilot sample (n = 30) at 0.767 (CI = 0.577-0.885; <em>P</em> = .0027) using an exact binomial test. Overall participant adherence was 91.23%, and overall satisfaction was 92%. Future work to improve systems innovation for BP optimization in PP patients is needed.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105476"},"PeriodicalIF":0.0000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurse Practitioners Driving Virtual Postpartum Care\",\"authors\":\"Leah Spiro, Galen Cook-Wiens, Wei-Ti Chen, Nancy Jo Bush, Margo B. Minissian\",\"doi\":\"10.1016/j.nurpra.2025.105476\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Hypertensive disorders of pregnancy account for 2.5% to 4.6% of readmissions within 6 weeks postpartum (PP). A standardized approach to hypertensive disorders of pregnancy using remote patient monitoring may improve outcomes through optimized PP blood pressure (BP) management. The feasibility of a standardized nurse practitioner (NP)–driven remote patient monitoring protocol was measured to optimize BPs in the immediate PP period and was successfully demonstrated in a pilot sample (n = 30) at 0.767 (CI = 0.577-0.885; <em>P</em> = .0027) using an exact binomial test. Overall participant adherence was 91.23%, and overall satisfaction was 92%. Future work to improve systems innovation for BP optimization in PP patients is needed.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 9\",\"pages\":\"Article 105476\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S155541552500159X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S155541552500159X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Nurse Practitioners Driving Virtual Postpartum Care
Hypertensive disorders of pregnancy account for 2.5% to 4.6% of readmissions within 6 weeks postpartum (PP). A standardized approach to hypertensive disorders of pregnancy using remote patient monitoring may improve outcomes through optimized PP blood pressure (BP) management. The feasibility of a standardized nurse practitioner (NP)–driven remote patient monitoring protocol was measured to optimize BPs in the immediate PP period and was successfully demonstrated in a pilot sample (n = 30) at 0.767 (CI = 0.577-0.885; P = .0027) using an exact binomial test. Overall participant adherence was 91.23%, and overall satisfaction was 92%. Future work to improve systems innovation for BP optimization in PP patients is needed.