大流行时期的动脉高血压和远程医疗

Pronotti María V, S. Miguel, Casas Fernando, Medina Graciela, Saravia María Angélica, Avaca Horacio
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引用次数: 0

摘要

由SARS-COV-2病毒引起的大流行于2019年底在中国开始,并在全球迅速蔓延。它对高血压患者的巨大影响已经引起了医疗模式的变化,推动了虚拟医疗模式——远程医疗的发展。本工作的目的是评估血压测量技术(设备和程序),并在此基础上对高血压患者进行教育。材料和方法:对2020年7月至11月期间在社区医院通过远程医疗咨询的426名18岁以上患者进行描述性和观察性研究。询问患者使用的设备、测量技术以及是否了解将其定义为高血压的血压数据。结果:426例患者中,49%为62岁女性。92.95%的家庭配备血压计,其中电子臂占73%,电子腕占16.16%,手动占10.84%。只有53%的人有有效的血压监测仪。35%的人至少有2次血压记录,39.2%的人知道他们的血压值是正常的。这项观察性研究表明,没有多少患者拥有经过验证的压力表;此外,大多数受试者没有应用适当的技术,对高血压正常阈值的知晓率很低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arterial hypertension and telemedicine in times of pandemic
The pandemic caused by the SARS-COV-2 virus started in late 2019 in China and spread rapidly around the world. The great impact it had on hypertensive patients has generated a change in the medical care paradigm, giving impetus to a virtual care modality, telemedicine. The objective of this work is to evaluate the technique of blood pressure measurement (equipment and procedure), its knowledge in this regard and, based on this, educate the hypertensive patient. Material and methods: descriptive and observational study of 426 patients, over 18 years of age, who requested a consultation by telemedicine in a community hospital, during July and November 2020. The patient was questioned about the equipment used, the measurement technique and on the knowledge of the blood pressure figures that defined him as hypertensive. Results: Of 426 patients, 49% were 62-year-old women. 92.95% had a blood pressure monitor at home, of which 73% were electronic arm, 16.16% were electronic wrist and 10.84% manual. Only 53% had a validated blood pressure monitor. 35% of the total made at least 2 records and 39.2% knew their blood pressure values considered normal. This observational study demonstrates that not many patients own validated pressure meters; also, most of the subjects do not apply a proper technique and the understanding rate on normal thresholds for hypertension is low.
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