A systematic review of the effects of home blood pressure monitoring on medication adherence.
A systematic review of the effects of home blood pressure monitoring on medication adherence.
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DOI：
10.1111/j.1524-6175.2006.04872.x
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发表时间：
2006-03-01
期刊：
影响因子：
--
通讯作者：
Schoenthaler, Antoinette
中科院分区：
文献类型：
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作者：
Ogedegbe, Gbenga;Schoenthaler, Antoinette
家庭血压监测（HBPM）可以改善血压控制，但对其对药物依从性的影响知之甚少。作者对已发表的有关 HBPM 对药物依从性影响的文献进行了系统回顾。在审查的 440 份摘要和引文中，11 项随机对照试验符合预定标准。 11 项随机对照试验中有 6 项报告了药物依从性有统计学上的显着改善；其中 84% 是复杂的干预措施，涉及使用 HBPM 与其他增强依从性的策略相结合，例如护士、药剂师的患者咨询或电话连接系统；患者教育；以及使用定时用药提醒。与在医院诊所或非临床环境中进行的干预措施相比，在初级保健机构中进行的干预措施并不有效。关于 HBPM 对患者服药行为影响的数据好坏参半。未来的研究应该调查 HBPM 在初级保健实践中的独立影响，大多数高血压患者在初级保健实践中接受护理。
Home blood pressure monitoring (HBPM) improves blood pressure control, but little is known about its effects on medication adherence. The authors conducted a systematic review of the published literature on the effects of HBPM on medication adherence. Of 440 abstracts and citations reviewed, 11 randomized control trials met predefined criteria. Six of the 11 randomized controlled trials reported statistically significant improvement in medication adherence; 84% of these were complex interventions involving the use of HBPM in combination with other adherence-enhancing strategies such as patient counseling by nurses, pharmacists, or a telephone-linked system; patient education; and the use of timed medication reminders. Interventions conducted in primary care settings were not effective compared with those that occurred in hospital-based clinics or nonclinical settings. The data on the effects of HBPM on patients' medication-taking behavior are mixed. Future studies should investigate the independent effects of HBPM in primary care practices where the majority of hypertensive patients receive their care.