ABSTRACT
BACKGROUND: Within the context of uncontrolled blood pressure telemonitoring, the remote tracking of blood pressure and patient data, offers a transformative avenue. We aimed to perform a meta-analysis of the strategic redesign of healthcare services, harnessing information and communication technology (ICT) to enhance hypertension management and blood pressure control in primary care, providing timely interventions, and improving patient outcomes. METHODS: PubMed, Embase, and Cochrane databases were searched for RCTs comparing ICT with usual care in patients with uncontrolled hypertension. A random-effects model was used to calculate the risk ratios (RRs) and mean differences (MDs) with 95% confidence intervals (CIs). RESULTS: A total of twenty-eight studies and 13,111 patients were included, of whom 7,312 were randomized to ICT and 5,799 to usual care. Compared with standard care, ICT significantly reduced systolic blood pressure (MD -4.44 mmHg; 95% CI -5.55,-3.33; p<0.01) and diastolic blood pressure (MD -1.08 mmHg; 95% CI -1.71,-0.45; p<0.01). There was no significant difference between groups for adherence (RR 1.16; 95%CI 0.89-1.50; p=0.27). CONCLUSION: In this meta-analysis of RCTs of patients with uncontrolled hypertension, ICT was associated with a reduction in systolic and diastolic blood pressures, compared with usual care.
Subject(s)
Humans , HypertensionABSTRACT
Na pandemia de COVID-19, tanto o isolamento quanto o fechamento temporário das academias impactaram no cotidiano das pessoas, incluindo na prática de atividade física (AF). Essa é essencial para a saúde, por isso, devemos incentivá-la. Estudantes de Medicina com tempo escasso e falta de estímulo curricular para AF, tendem a subestimar sua importância. O seguinte relato busca descrever vivências e impactos da disciplina "Atividade Física na Promoção da Saúde" em uma instituição de ensino superior no ensino remoto, sua relação com enfermidades e discussões sobre políticas de saúde. Foi perceptível impacto positivo para estudantes e familiares. A adesão dos pacientes à AF está relacionada ao estímulo despertado pelo profissional pelas linhas terapêuticas voltadas ao estilo de vida. Assim, sendo o currículo das escolas médicas inestimável, deve-se valorizar os efeitos da AF para os indivíduos. A disciplina foi um bom exemplo da importância e êxito resultante da conscientização do futuro médico ainda em graduação.
During the COVID-19 pandemic, both the lockdown and the temporary closure of gyms had an impact on people's daily lives, including the practice of physical activity (PA). This is essential for good health, so we should encourage it. Medical students, with limited time and a lack of curricular encouragement for PA, tend to underestimate its importance. The following report seeks to describe the experiences and impact of the subject 'Physical Activity in Health Promotion' at a higher educa-tion institution in remote teaching, its relationship with illnesses and discussions on health policies. A positive impact on students and their families was clearly noted in class. Patients' adherence to PA is related to the stimulus provided by the professional through lifestyle-oriented therapeutic lines. Therefore, since medical schools' curricula is invaluable, the effects of PA on individuals should be valued. The subject was a good example of the importance and success of raising awareness among future doctors while they are still undergraduates.