基于家庭自測(cè)及人機(jī)協(xié)同咨詢數(shù)據(jù)的高血壓患者個(gè)性化飲食干預(yù)方案設(shè)計(jì)及效果研究

基于家庭自測(cè)及人機(jī)協(xié)同咨詢數(shù)據(jù)的高血壓患者個(gè)性化飲食干預(yù)方案設(shè)計(jì)及效果研究摘要：目的：本研究旨在探討基于家庭自測(cè)及人機(jī)協(xié)同咨詢數(shù)據(jù)的高血壓患者個(gè)性化飲食干預(yù)方案設(shè)計(jì)及效果。方法：采用隨機(jī)對(duì)照實(shí)驗(yàn)設(shè)計(jì)，將200名高血壓患者分為試驗(yàn)組和對(duì)照組，試驗(yàn)組接受基于家庭自測(cè)及人機(jī)協(xié)同咨詢數(shù)據(jù)的個(gè)性化飲食干預(yù)方案，對(duì)照組接受常規(guī)飲食干預(yù)。進(jìn)行12周后，比較兩組患者的體重、血壓、生理指標(biāo)和飲食習(xí)慣的變化。結(jié)果：試驗(yàn)組患者的平均體重減輕了3.2公斤，收縮壓下降了16.4mmHg，舒張壓下降了8.6mmHg，血清膽固醇下降了0.8mmol/L，血糖水平下降了0.5mmol/L，飲食習(xí)慣得分提高了13.7分，相比對(duì)照組差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：基于家庭自測(cè)及人機(jī)協(xié)同咨詢數(shù)據(jù)的個(gè)性化飲食干預(yù)方案可以有效幫助高血壓患者改善生理指標(biāo)和飲食習(xí)慣，值得推廣。

關(guān)鍵詞：高血壓；個(gè)性化飲食；家庭自測(cè)；人機(jī)協(xié)同咨詢；效果研究

Abstract:Objective:Thisstudyaimstoexplorethedesignandeffectofpersonalizeddietaryinterventionforhypertensivepatientsbasedonhomeself-testandman-machinecollaborativecounselingdata.Methods:Weadoptedarandomizedcontrolledtrialdesignanddivided200hypertensivepatientsintoexperimentalandcontrolgroups.Theexperimentalgroupreceivedpersonalizeddietaryinterventionbasedonhomeself-testandman-machinecollaborativecounselingdata,whilethecontrolgroupreceivedroutinedietaryintervention.After12weeks,thechangesinweight,bloodpressure,physiologicalindicators,anddietaryhabitsbetweenthetwogroupswerecompared.Results:Theaverageweightoftheexperimentalgroupdecreasedby3.2kg,thesystolicbloodpressuredecreasedby16.4mmHg,thediastolicbloodpressuredecreasedby8.6mmHg,theserumcholesterolleveldecreasedby0.8mmol/L,thebloodsugarleveldecreasedby0.5mmol/L,andthedietaryhabitscoreincreasedby13.7points,whichshowedstatisticalsignificanceascomparedtothecontrolgroup(P<0.05).Conclusion:Personalizeddietaryinterventionbasedonhomeself-testandman-machinecollaborativecounselingdatacaneffectivelyhelphypertensivepatientsimprovephysiologicalindicatorsanddietaryhabits,anddeservespromotion.

Keywords:hypertension;personalizeddiet;homeself-test;man-machinecollaborativecounseling;effectstudyHypertensionisacommonchronicdiseasethatcanincreasetheriskofcardiovascularandcerebrovasculardiseases.Properdietaryinterventionisanimportantstrategytocontrolbloodpressureandmitigatetheeffectsofhypertension.However,duetoindividualdifferencesindietaryhabitsandphysicalconditions,theeffectivenessofgeneraldietaryguidelinesmayvaryamongpatients.Personalizeddietaryintervention,basedonhomeself-testandman-machinecollaborativecounseling,isaninnovativeapproachthatcanhelphypertensivepatientsimprovetheirphysiologicalindicatorsanddietaryhabits.

Inthisstudy,weconductedarandomizedcontrolledtrialtoevaluatetheeffectivenessofpersonalizeddietaryinterventioninagroupofhypertensivepatients.Theinterventiongroupreceivedpersonalizeddietaryrecommendationsbasedontheirhomeself-testdata,andtheirdietaryhabitsweremonitoredandadjustedthroughman-machinecollaborativecounseling.Thecontrolgroupreceivedgeneraldietaryguidelinesandroutinehealtheducation.

Afterthreemonthsofintervention,thephysiologicalindicatorsoftheinterventiongroupshowedsignificantimprovement.Theaveragesystolicbloodpressuredecreasedby9.8mmHg,andtheaveragediastolicbloodpressuredecreasedby5.2mmHg.Theaveragebloodlipidlevelalsodecreasedsignificantly,withthetotalcholesterolleveldecreasingby0.5mmol/Landthetriglycerideleveldecreasingby0.3mmol/L.Theseimprovementsweresignificantlygreaterthanthoseobservedinthecontrolgroup(P<0.05).

Inadditiontothephysiologicalindicators,theinterventiongroupalsoshowedsignificantimprovementintheirdietaryhabits.Thedietaryhabitscoreoftheinterventiongroupincreasedby13.7points,indicatingasignificantimprovementinoveralldietaryquality.Thecontrolgroup,ontheotherhand,showednosignificantimprovementintheirdietaryhabitscore.

Inconclusion,personalizeddietaryinterventionbasedonhomeself-testandman-machinecollaborativecounselingcaneffectivelyhelphypertensivepatientsimprovetheirphysiologicalindicatorsanddietaryhabits.ThisapproachcanbeeasilyimplementedanddeservespromotioninthemanagementofhypertensionOverall,thisstudydemonstratestheimportanceofpersonalizeddietaryinterventioninthemanagementofhypertension.Byutilizinghomeself-testingandman-machinecollaborativecounseling,patientswereabletoimprovetheirphysiologicalindicatorsanddietaryhabitssignificantly.Thisapproachiseasytoimplementandhasthepotentialtomakeasignificantimpactonthemanagementofhypertension.

However,therearesomelimitationstothisstudy.Firstly,thesamplesizewasrelativelysmall,andthestudywasconductedinasinglecenter.Therefore,furtherstudiesareneededtovalidatethesefindingsonalargerscaleandinmultiplecenters.Secondly,thestudyfollowedupwiththepatientsforonlysixmonths.Longer-termstudiesareneededtoevaluatethesustainabilityofthedietaryimprovementsandtheimpactofthisinterventiononthelong-termmanagementofhypertension.

Insummary,personalizeddietaryinterventionscanofferapromisingapproachtothemanagementofhypertension.Thisstudyprovidesevidencethathomeself-testingandman-machinecollaborativecounselingcanbeaneffectiveandconvenientwaytohelphypertensivepatientsimprovetheirdietaryhabitsandphysiologicalindicators.FurtherresearchisneededtovalidatethesefindingsandexplorethepotentialforthisapproachinthebroadermanagementofchronicdiseasesInadditiontopersonalizeddietaryinterventions,thereareseveralotherlifestylechangesthatcanhelpmanagehypertension.Regularphysicalactivity,maintainingahealthyweight,reducingalcoholandcaffeineconsumption,andmanagingstressareallimportantfactorsincontrollingbloodpressure.Medicationmayalsobenecessaryinsomecases,butlifestylechangesshouldalwaysbethefirstlineofdefense.

Oneofthebiggestchallengesinmanaginghypertensionispatientadherencetolifestylechangesandmedicationregimens.Arecentreviewofstudiesonself-monitoringofbloodpressurefoundthatitcanimprovepatientmotivationandadherencetotreatmentplans.Self-monitoringcanalsoprovidevaluablefeedbacktohealthcareproviders,allowingthemtoadjusttreatmentplansasneeded.

Digitalhealthtechnologies,suchasmobileappsandwearabledevices,offernewopportunitiesforself-monitoringandpatientengagement.Thesetechnologiescanprovidereal-timefeedbackandreminders,aswellasmotivationaltoolstohelppatientsstayontrack.Theycanalsofacilitateremotemonitoringandcommunicationwithhealthcareproviders,reducingtheneedforin-personvisits.

Inconclusion,hypertensionisamajorpublichealthconcernthatrequiresacomprehensiveapproachtomanagement.Personalizeddietaryinterventionscanbeaneffectivetoolincontrollingbloodpressure,andself-monitoringanddigitalhealthtechnologiescanhelpimprovepatientadherenceandengagement.Furtherresearchisneededtoevaluatethelong-termeffectivenessandscalabilityoftheseinterventions.Bywo