Kết quả kiểm soát các yếu tố nguy cơ và chỉ số khối cơ thể ở người có nguy cơ tim mạch cao bằng giải pháp y tế từ xa (telemedicine)=Risk factor and body mass index control in patients with high cardiovascular risk receiving telemedicine care

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Tác giả: Thị Thu Hoài Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Khoa học và Công nghệ Việt Nam, 2025

Mô tả vật lý: tr.74-80

Bộ sưu tập: Metadata

ID: 478452

Thêm vào giỏ

Các chiến lược y tế từ xa đã được áp dụng trên thế giới để hỗ trợ nhóm người có nguy cơ tim mạch cao, nhưng hiệu quả của những can thiệp này trong việc cải thiện nguy cơ tim mạch ở các bệnh nhân tại Việt Nam vẫn chưa rõ ràng. Nghiên cứu này nhằm đánh giá kết quả kiểm soát yếu tố nguy cơ tim mạch và chỉ số khối cơ thể ở người có nguy cơ cao bằng giải pháp y tế từ xa. 112 bệnh nhân được chia hai nhóm: Nhóm can thiệp nhận một buổi tư vấn ban đầu và được hỗ trợ qua điện thoại trong ba tháng
nhóm chứng chỉ nhận một buổi tư vấn. Kết quả cho thấy, tuổi trung bình 56,8±6,8, 69% là nữ. Các chỉ số về cân nặng (-1,232 kg
p<
0,001), chu vi vòng eo (-0,789 cm
p=0,02), chỉ số khối cơ thể (-0,398 kg/m2
p<
0,001), huyết áp tâm trương (-1,233 mmHg
p=0,03), cholesterol toàn phần (-0,196 mmol/l
p=0,02) và lipoprotein trọng lượng phân tử thấp (LDL) cholesterol (-0,165 mmol/l
p=0,005) ở nhóm can thiệp đều giảm hơn nhóm chứng sau 12 tháng. Như vậy, ở những người lớn tuổi có nguy cơ tim mạch cao, giải pháp y tế từ xa với hỗ trợ qua điện thoại trong vòng 3 tháng đã mang lại những cải thiện về các yếu tố nguy cơ tim mạch. Những cải thiện này kéo dài sau một năm, cho thấy y tế từ xa có hiệu quả trong việc kiểm soát nguy cơ tim mạch.Telemedicine is increasingly used in the world to support people at high cardiovascular risk, but it has been unclear if these interventions in Vietnam are effective at improving cardiovascular risk. This study aims to evaluate the outcomes of controlling cardiovascular risk factors and body mass index in high-risk patients using telemedicine solutions. A total of 112 patients were divided into two groups: The intervention group received one consultation and telephone support over three months, while the control group received only one consultation. Results showed that the average age was 56.8±6.8 years, with 69% being female. After 12 months, the intervention group showed greater reductions than the control group in weight (-1.232 kg
p<
0.001), waist circumference (-0.789 cm
p=0.02), body mass index (BMI) (-0.398 kg/m²
p<
0.001), diastolic blood pressure (-1.233 mmHg
p=0.03), total cholesterol (-0.196 mmol/l
p=0.02), and low density lipoprotein (LDL) cholesterol (-0.165 mmol/l
p=0.005). Therefore, in older people with high cardiovascular risk, the addition of telemedicine solutions over a period of three months resulted in significant improvements in cardiovascular risk factors. These improvements persisted after a year, demonstrating the effectiveness of telemedicine.

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