时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
Assessment of whether this mHealth model affects clinically diagnosed anxiety or depression would require validated psychiatric instruments such as the Patient Health Questionnaire-9 (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7) scale.；Future research incorporating validated mental health assessment tools would illuminate whether improved cardiometabolic outcomes and perceived healthcare engagement translate to reduced clinically significant anxiety or depression symptoms.4.4Integration of mHealth with hierarchical careA defining characteristic of mHealth-HDTEP was its structural embedding within an operational hierarchical healthcare delivery system, avoiding the pitfalls of fragmented, stand-alone mobile applications.；The absence of data on these medication changes prevents us from evaluating whether observed improvements stemmed from the mHealth platform or from concurrent clinical decision-making.
方法
However, limited consultation time and insufficient health literacy may restrict the ability of healthcare providers to deliver sustained self-management support, leaving many patients with inadequate knowledge and skills for long-term disease management (19).To address these challenges, China has extensively promoted the hierarchical diagnosis and treatment system (HDTS) nationwide as a central healthcare reform strategy.；This system is organized around the principle of “minor illnesses managed in community settings, major illnesses treated in hospitals, and rehabilitation returned to communities” (20).；The study protocol was developed before study initiation, and reporting followed the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines.2.2Sample size calculationThe sample size was estimated based on the primary outcome, the EQ-5D-5L utility score, using a paired mean-difference framework (34): N=(Z_(α/2)+Z_β)2⋅σ2/δ2 Where (σ) denotes the anticipated standard deviation of the within-participant change in the EQ-5D-5L utility score.
核心结论
Effective self-management is a key component of hypertension control, and structured interventions focusing on dietary modification, physical activity, medication adherence, and behavioural change have demonstrated benefits for chronic disease management (18).；Previous studies have demonstrated that mHealth interventions may enhance patient engagement, health literacy, and self-management capabilities among individuals with chronic diseases (29, 30).；The Chinese version of the EQ-5D-5L has been translated and validated by the EuroQol Group, and previous studies have demonstrated its reliability and validity among Chinese patients with hypertension (40).2.5.2Secondary outcome measuresBlood pressure was assessed at baseline and at the 12-month follow-up by trained research personnel using a calibrated electronic sphygmomanometer.
局限
However, limited consultation time and insufficient health literacy may restrict the ability of healthcare providers to deliver sustained self-management support, leaving many patients with inadequate knowledge and skills for long-term disease management (19).To address these challenges, China has extensively promoted the hierarchical diagnosis and treatment system (HDTS) nationwide as a central healthcare reform strategy.；However, care governance, provider responsibilities, and the degree of technology integration within routine public healthcare pathways vary considerably across countries.；Recent evidence suggests, however, that the effectiveness of digitally supported hypertension management depends not only on the technology itself but also on the way digital tools are integrated with ongoing healthcare support.
对本项目的价值
中等价值：属「血管 / 心血管老化」方向；血管 / 心血管老化栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.6/5（★★★☆☆）
全文来源
PubMed PMC JATS（正文 55,397 字符，题名指纹 1.0，已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：移动医疗赋能的分级诊疗模型对老年人高血压管理与健康相关生活质量的效果：前瞻性前后对照干预研究
- 英文标题：Evaluation of a mobile health-enabled hierarchical care model for hypertension management and health-related quality of life among older adults: a prospective pre-post intervention study.
- 期刊与标识：Frontiers in public health · PMID 42973839 · DOI 10.3389/fpubh.2026.1964536 · PMC PMC13724544