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JAMA: Intelligent digital medical treatment for hypertension or treatment of depression in patients with diabetes

Depression is a global public health issue. According to statistics, depression is the main disabled factor of Brazil and Peru. In clinical practice, it is found that patients with diabetes and cardiovascular disease have a high risk of depression, and the common disease has further led to poor treatment compliance and prognosis, especially Latin America with poor medical conditions. In recent years, the application of intelligent digital medical treatment in clinical practice has continued to expand, and this trend has further accelerated since the COVID-19 epidemic. Recently, researchers have inspected the treatment effect of intelligent remote digital medical treatment for depression symptoms of diabetes and/or hypertension patients.

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Study in St. Paulma and Peruryma, Brazil, patients are being treated with hypertension and/or diabetes and have significant depression symptoms. At the acceptance of 6 weeks, 18 low -intensity depression intelligent digital medicine (440 patients in Saint Paul, 217 patients with Lima) or conventional care (440 patients with San Paulo, 215 patients with Lima). Digital medical care conducts patient intervention through evidence -based psychology methods, so that participants focus on activities that make them happy or meaningful. At the main end point of the study, the proportion of patients with a PHQ-9 score decreased by 50%compared with the baseline, and the secondary end point was that the PHQ-9 score was reduced by 50%compared with the baseline.

The average age of patients in the St. Paul in Brazil is 56.0 years, women account for 86.5%, the average age of patients in Perulima queue is 59.7 years, and women account for 81.5%. In the San Paulo queue, the main end of the digital intervention group reached 40.7%(159/391) at 3 months, while the conventional nursing group was 28.6%(114/399), the difference was 12.1%, and the correction ratio (or) was 1.6 to 1.6 Essence In the Lima queue, the main end of the digital intervention group reached 52.7%(108/205) at 3 months, while the conventional nursing group was 34.1%(70/205), the difference was 18.%, and the adjustment OR was 2.1. During the 6 -month follow -up, the differences between each group are no longer statistically significant.

Studies believe that patients with hypertension and or diabetes are accompanied by significant depression symptoms. Smart remote digital medical methods for 6 weeks can improve the clinical depression symptoms of patients in the short term (3 months), but the improvement effect disappears in half a year.

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Primitive source

Ricardo ARaya et al. Effect of a Digital Intervention on depression Symptoms in Patients with Comorbid Hypertension Or Diabetes in Brazil and PERU TWO RANDOMINID ClINIM.1.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.j.jjjjtelinica.

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