关键词: 数字化支持工具, 高血压, 自我管理, 行为改变, 慢性病护理

Abstract:

Objective To conduct a scoping review on the application of digital coaching in the self-management of patients with hypertension，providing a reference for digital interventions. Methods A comprehensive literature search was executed across the PubMed，Web of Science，Cochrane Library，CINAHL，SPORTDiscus，ACM Digital Library，CNKI，and Wanfang databases. The search encompassed literature from the inception of each database up to June 20，2026. The retrieved publications underwent systematic summarization and analysis. Results A total of 12 articles were included. Digital coaching was primarily applied to self-management content for hypertension patients，including blood pressure monitoring，lifestyle modification，disease knowledge acquisition，medication management，and stress management. 9 core functions of digital coaching were extracted and categorized into 4 levels：state awareness，decision adaptation，coaching interaction，and capability building. In terms of functional combinations，data recording，reminders，feedback，goal and plan setting，and health knowledge dissemination constituted frequently co-occurring functional combinations，with the addition of personalized guidance，motivational reinforcement，risk management support，and conversational support as extended functions. Outcome measures in the included studies primarily involved behavior and adherence，clinical health outcomes，psychological cognition，and system usability. Conclusion Digital coaching can provide a closed-loop support model for the self-management of patients with hypertension，promoting patient behavior change. Further research is needed to strengthen context awareness，study functional synergy mechanisms，and standardize outcome indicators to enhance long-term management effectiveness and clinical application value.

Key words: Digital Support Tools, Hypertension, Self-Management, Behavior Change, Chronic Disease Nursing