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

摘要：

目的 对数字化支持工具在高血压患者自我管理中的应用开展范围综述，为临床护士开展数字化干预提供参考。方法 系统检索PubMed、Web of Science、Cochrane Library、CINAHL、SPORTDiscus、ACM Digital Library、中国知网和万方数据库，检索时限为建库至2026年6月20日，并对纳入文献进行归纳分析。结果 共纳入12篇文献。数字化支持工具主要应用于高血压患者血压监测、生活方式改善、疾病知识获取、用药管理和压力管理等自我管理内容；共提取9种核心功能，归纳为状态感知、决策适配、信息交互和能力建构4个层面；在功能组合方面，数据记录、提醒、反馈、目标与计划制订、健康知识传递构成高频共现的功能组合，叠加个性化、激励强化、风险应对指导和对话支持4种扩展功能。纳入研究的结局指标主要涉及行为与依从性、临床健康结局、心理认知及系统可用性。结论 数字化支持工具可为高血压患者自我管理提供支持，促进患者行为改变。未来仍需加强情境感知、功能协同机制研究和结局指标规范，以提升其长期管理效果和临床应用价值。

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