@文章{信息:doi/10.2196/21759，作者=“徐宏轩，龙焕宇”，标题=“基于智能手机App的高血压患者干预效果:系统评价和荟萃分析”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“10”，日=“19”，卷=“8”，号=“10”，页=“e21759”，关键词=“Hypertension”;智能手机;血压;移动;生活方式;依从性;智能手机应用;背景:高血压是导致心血管疾病的主要原因，是导致过早死亡的首要原因。高血压患者如果不遵守推荐的治疗策略，心脏病发作和中风的风险会更高，导致住院治疗，从而增加医疗保健费用。智能手机现在无处不在，它提供了一个方便的工具，通过使用针对生活方式管理的应用程序来帮助治疗高血压，这种基于应用程序的干预已经显示出有希望的结果。 In particular, recent evidence has shown the feasibility, acceptability, and success of digital interventions in changing the behavior of people with chronic conditions. Objective: The aim of this study was to systematically compile available evidence to determine the overall effect of smartphone apps on blood pressure control, medication adherence, and lifestyle changes for people with hypertension. Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines. Databases were searched to identify randomized controlled trials related to the influence of an app-based intervention in people with hypertension. Data extracted from the included studies were subjected to a meta-analysis to compare the effects of the smartphone app intervention to a control. Results: Eight studies with a total of 1657 participants fulfilled the inclusion criteria. Pooled analysis of 6 studies assessing systolic blood pressure showed a significant overall effect in favor of the smartphone intervention (weighted mean difference --2.28, 95{\%} CI --3.90-0.66). Pooled analysis of studies assessing medication adherence demonstrated a significant effect (P<.001) in favor of the intervention group (standard mean difference 0.38, 95{\%} CI 0.26-0.50) with low heterogeneity (I2=0{\%}). No difference between groups was demonstrated with respect to physical activity. Conclusions: A smartphone intervention leads to a reduction in blood pressure and an increase in medication adherence for people with hypertension. Future research should focus on the effect of behavior coaching apps on medication adherence, lifestyle change, and blood pressure reduction. ", issn="2291-5222", doi="10.2196/21759", url="http://mhealth.www.mybigtv.com/2020/10/e21759/", url="https://doi.org/10.2196/21759", url="http://www.ncbi.nlm.nih.gov/pubmed/33074161" }