家庭血压监测及管理研究进展

doi:10.3761/j.issn.0254-1769.2023.22.016

摘要/Abstract

摘要：

高血压具有较高的全球患病率，是主要且可预防的心血管疾病危险因素。家庭血压监测在诊断高血压、调整治疗策略和长期随访中发挥重要作用，但家庭血压监测的普及和规范应用仍面临巨大挑战。该研究从家庭血压监测的适用情况、监测方案、应用现状、影响因素及管理形式等方面进行综述，为推动家庭血压监测实践指南的落实、优化家庭血压监测的应用提供参考。

关键词: 隐蔽性高血压, 血压计, 血压监测, 便携式, 综述, 护理

Abstract:

Hypertension has a high global prevalence rate，which is the main preventable risk factor for cardiovascular disease. Home blood pressure monitoring plays an important role in diagnosis，adjustment of treatment strategies and long-term follow-up of hypertension. However，there are still enormous challenges for the popularization and standardized application of home blood pressure monitoring. Therefore，this review article describes indication，standardized implementation protocol，current status and influencing factors of implementation and management forms of home blood pressure monitoring. It can provide a reference for promoting the implementation of practical guidelines for home blood pressure monitoring and optimizing the application of home blood pressure monitoring.

Key words: Masked Hypertension, Sphygmomanometer, Blood Pressure Monitoring, Portable, Review, Nursing Care

隋鸿平, 王蕊, 李婷婷, 史根芽, 姜桐桐, 史铁英, 夏云龙. 家庭血压监测及管理研究进展[J]. 中华护理杂志, 2023, 58(22): 2801-2805.

SUI Hongping, WANG Rui, LI Tingting, SHI Genya, JIANG Tongtong, SHI Tieying, XIA Yunlong. Research progress of application and management of home blood pressure monitoring[J]. Chinese Journal of Nursing, 2023, 58(22): 2801-2805.

参考文献 39

[1]	陈欢, 侯朝铭, 高静, 等. 中文版高血压患者服药依从性量表测量学特性的系统评价[J]. 中华护理杂志, 2023, 58(2):171-178. DOI
	Chen H, Hou CM, Gao J, et al. Chinese version of the medica-tion adherence scale for patients with hypertension:a systema-tic review of psychometric properties[J]. Chin J Nurs, 2023, 58 (2):171-178.
[2]	国家心血管病中心. 中国心血管健康与疾病报告2021[M]. 北京: 科学出版社, 2022.
	National Center for Cardiovascular Diseases. Annual report on cardiovascular health and diseases in China 2021[M]. Beijing: Science Press, 2022.
[3]	刘松涛, 苏海. 不同血压测量方法对高血压类型诊断的差异[J]. 中华高血压杂志, 2021, 29(1):81-84.
	Liu ST, Su H. The difference of different blood pressure mea-surement methods in the diagnosis of hypertension types[J]. Chin J Hypertens, 2021, 29(1):81-84.
[4]	娄莹, 马文君, 王子君, 等. 中国高血压临床实践指南计划书[J]. 中华心血管病杂志, 2022, 50(7):671-675. PMID
	Lou Y, Ma WJ, Wang ZJ, et al. Writing protocols for the Chinese clinical practice guidelines of hypertension[J]. Chin J Cardiol, 2022, 50(7):671-675. DOI PMID
[5]	Parati G, Stergiou GS, Bilo G, et al. Home blood pressure moni-toring:methodology,clinical relevance and practical applica-tion:a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension[J]. J Hypertens, 2021, 39(9):1742-1767. DOI URL
[6]	Ministry of Health. Hypertension:MOH clinical practice gui-delines[M/OL].(2017-01)[2023-04-12]. https://www.moh.gov.sg/hpp/doctors/guidelines/GuidelineDetails/cpgmed_hypertension.
[7]	Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention,detection,evaluation,and management of high blood pressure in adults:executive summary:a report of the American college of cardiology/American heart association task force on clinical practice guidelines[J]. Hypertension, 2018, 71(6):1269-1324. DOI PMID
[8]	Pakistan Hypertension League. National hypertension guideline for the prevention,detection,evaluation & management of hy-pertension[M/OL].(2022-09)[2023-04-12]. https://phlpk.org/wpco.ntent/uploads/2022/09/3rd-Hypertension-Guideline-2018-PHL.
[9]	Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension global hypertension practice guidelines[J]. J Hypertens, 2020, 38(6):982-1004. DOI PMID
[10]	Williams B, Mancia G, Spiering W, et al. 2018 practice gui-delines for the management of arterial hypertension of the European Society of Hypertension and the European Society of Cardiology:ESH/ESC Task Force for the management of arterial hypertension[J]. J Hypertens, 2018, 36(12):2284-2309. DOI PMID
[11]	中华医学会, 中华医学杂志社, 中华医学会全科医学分会, 等. 高血压基层诊疗指南(2019年)[J]. 中华全科医师杂志, 2019, 18(4):301-313.
	Chinese Medical Association, Chinese Medical Journal,Gene-ral Practice Branch of Chinese Medical Association, et al. Guideline for primary care of hypertension(2019)[J]. Chin J General Practitioners, 2019, 18(4):301-313.
[12]	Umemura S, Arima H, Arima S, et al. The Japanese society of hypertension guidelines for the management of hyperten-sion(JSH 2019)[J]. Hypertens Res, 2019, 42(9):1235-1481. DOI
[13]	Rabi DM, McBrien KA, Sapir-Pichhadze R, et al. Hypertension Canada’s 2020 comprehensive guidelines for the prevention,diagnosis,risk assessment,and treatment of hypertension in adults and children[J]. Can J Cardiol,2020, 36(5):596-624. DOI URL
[14]	中国高血压联盟《家庭血压监测指南》委员会. 2019中国家庭血压监测指南[J]. 中华高血压杂志, 2019, 27(8):708-711.
	Home Blood Pressure Monitoring Guideline Committee of the Chinese Hypertension League. 2019 China family blood pres-sure monitoring guide[J]. Chin J Hypertens,2019, 27(8):708-711.
[15]	Hodgkinson JA, Stevens R, Grant S, et al. Schedules for self-monitoring blood pressure:a systematic review[J]. Am J Hyper-tens, 2019, 32(4):350-364.
[16]	Kyriakoulis KG, Ntineri A, Niiranen TJ, et al. Home blood pre-ssure monitoring schedule:optimal and minimum based on 2122 individual participants’ data[J]. J Hypertens, 2022, 40(7):1380-1387. DOI URL
[17]	Lin HJ, Pan HY, Chen CH, et al. Standardized home blood pressure monitoring:rationale behind the 722 protocol[J]. J Clin Hypertens (Greenwich), 2022, 24(9):1161-1173. DOI URL
[18]	Anbarasan T, Rogers A, Rorie DA, et al. Factors influencing home blood pressure monitor ownership in a large clinical trial[J]. J Hum Hypertens, 2022, 36(3):325-332.
[19]	Vallée A, Gabet A, Grave C, et al. Home blood pressure mo-nitoring in France:device possession rate and associated determinants,the Esteban study[J]. J Clin Hypertens(Green-wich), 2020, 22(12):2204-2213.
[20]	阿孜古丽·阿布力米提, 姚玉红, 阿依努尔古丽·阿布力米提, 等. 社区居民高血压患者家庭血压监测现状及疾病认知情况的调查分析[J]. 预防医学情报杂志, 2019, 35(8):900-904.
	A Ziguli,. A Bulimiti, Yao YH, A Yinuerguli,. A Bulimiti, et al. Investigation and analysis of home blood pressure monitoring status and disease cognition in community residents with hypertension[J]. J Prev Med Inf, 2019, 35(8):900-904.
[21]	周忠贤, 费丽萍, 田海艳, 等. 社区高血压患者家庭血压监测行为及影响因素分析[J]. 预防医学, 2021, 33(11):1142-1145.
	Zhou ZX, Fei LP, Tian HY, et al. Analysis of family blood pressure monitoring behavior and influencing factors of patients with hypertension in community[J]. J Prev Med, 2021, 33(11):1142-1145.
[22]	Tang O, Foti K, Miller ER, et al. Factors associated with phy-sician recommendation of home blood pressure monitoring and blood pressure in the US population[J]. Am J Hyper-tens, 2020, 33(9):852-859.
[23]	熊佳铭, 余红雨, 苏瑾, 等. 老年慢性病患者移动医疗照护体验的Meta整合[J]. 中华护理杂志, 2022, 57(13):1641-1649. DOI
	Xiong JM, Yu HY, Su J. Meta-synthesis of qualitative research on the experience of elderly patients with chronic disease participating in telemedicine[J]. Chin J Nurs, 2022, 57(13):1641-1649. DOI
[24]	Nessler K, Krztoń-Królewiecka A, Suska A, et al. The quality of patients’ self-blood pressure measurements:a cross-sectional study[J]. BMC Cardiovasc Disord, 2021, 21(1):539. DOI
[25]	Zuo HJ, Ma JX, Wang JW, et al. Assessing the routine-practice gap for home blood pressure monitoring among Chinese adults with hypertension[J]. BMC Public Health, 2020, 20(1):1770. DOI
[26]	Bryant KB, Green MB, Shimbo D, et al. Home blood pressure monitoring for hypertension diagnosis by current recom-mendations:a long way to go[J]. Hypertension, 2022, 79(2):e15-17.
[27]	Dugelay G, Kivits J, Desse L, et al. Implementation of home blood pressure monitoring among French GPs:a long and winding road[J]. PLoS One, 2019, 14(9):e0220460. DOI URL
[28]	Vickneson K, Rogers A, Anbarasan T, et al. Factors influencing participation and long-term commitment to self-monitoring of blood pressure in a large remote clinical trial:the treatment in morning versus evening(TIME) study[J]. J Hum Hypertens, 2022, 36(12):1099-1105. DOI
[29]	郑晶, 黄凯涛, 张小琴, 等. 维持性血液透析合并高血压患者的家庭血压监测现况及影响因素[J]. 实用医学杂志, 2021, 37(16):2147-2151.
	Zheng J, Huang KT, Zhang XQ, et al. The current status and affecting factors of blood pressure monitoring at home in maintenance hemodialysis patients with hypertension[J]. J Pract Med, 2021, 37(16):2147-2151.
[30]	Sun YX, Mu JJ, Wang DW, et al. A village doctor-led multi-faceted intervention for blood pressure control in rural China:an open,cluster randomised trial[J]. Lancet, 2022, 399(10339):1964-1975. DOI URL
[31]	Zhang D, Huang QF, Li Y, et al. A randomized controlled trial on home blood pressure monitoring and quality of care in stage 2 and 3 hypertension[J]. Hypertens Res, 2021, 44(5):533-540. DOI PMID
[32]	董婧, 庄一渝. 环境智能在护理领域中的应用进展[J]. 中华护理杂志, 2022, 57(13):1655-1659. DOI
	Dong J, Zhuang YY. Progress on the application of ambient intelligence in the field of nursing[J]. Chin J Nurs, 2022, 57(13):1655-1659. DOI
[33]	田雨同, 张艳, 侯小花, 等. “互联网+护理服务”平台的构建及应用研究[J]. 中华护理杂志, 2020, 55(10):1537-1542. DOI
	Tian YT, Zhang Y, Hou XH. Research on the construction and application of Internet Nursing Service Platform[J]. Chin J Nurs, 2020, 55(10):1537-1542.
[34]	Postel-Vinay N, Bobrie G, Savard S, et al. Home blood pres-sure measurement and digital health:communication techno-logies create a new context[J]. J Hypertens, 2018, 36(11):2125-2131. DOI PMID
[35]	段春翠, 唐海沁, 马程程. 高血压患者远程家庭血压监测及基层管理模式实践[J]. 中国临床保健杂志, 2020, 23(2):210-212.
	Duan CC, Tang HQ, Ma CC. The practice of home blood pressure telemonitoring and primary management model for hypertension patients[J]. Chin J Clin Health, 2020, 23(2):210-212.
[36]	Litvin CB, Ornstein SM. Development and initial use of an evidence-based home blood pressure monitoring mHealth platform[J]. J Med Syst, 2023, 47(1):53. DOI PMID
[37]	Muldoon MF, Einhorn J, Yabes JG, et al. Randomized feasibi-lity trial of a digital intervention for hypertension self-mana-gement[J]. J Hum Hypertens, 2022, 36(8):718-725. DOI
[38]	Avegno KS, Roberson KB, Onsomu EO, et al. Evaluating a telephone and home blood pressure monitoring intervention to improve blood pressure control and self-care behaviors in adults with low-socioeconomic status[J]. Int J Environ Res Public Health, 2023, 20(7):5287. DOI URL
[39]	Persell SD, Peprah YA, Lipiszko D, et al. Effect of home blood pressure monitoring via a smartphone hypertension coaching application or tracking application on adults with uncontro-lled hypertension:a randomized clinical trial[J]. JAMA Netw Open, 2020, 3(3):e200255. DOI URL