Volume 21 Issue 12
Dec.  2023
Turn off MathJax
Article Contents
GAO Ya, CHEN Ning, YUAN Ling, CHEN Hong, TAN Shuoyuan, HE Yibei, WU Qingyu, HOU Hongpan, WANG Zhaoxin, SHI Jianwei. Constructing a knowledge graph for health intervention in hypertension from the perspective of precise health management[J]. Chinese Journal of General Practice, 2023, 21(12): 2068-2073. doi: 10.16766/j.cnki.issn.1674-4152.003292
Citation: GAO Ya, CHEN Ning, YUAN Ling, CHEN Hong, TAN Shuoyuan, HE Yibei, WU Qingyu, HOU Hongpan, WANG Zhaoxin, SHI Jianwei. Constructing a knowledge graph for health intervention in hypertension from the perspective of precise health management[J]. Chinese Journal of General Practice, 2023, 21(12): 2068-2073. doi: 10.16766/j.cnki.issn.1674-4152.003292

Constructing a knowledge graph for health intervention in hypertension from the perspective of precise health management

doi: 10.16766/j.cnki.issn.1674-4152.003292
Funds:

 2022YFC3601505

 22692107200

  • Received Date: 2023-09-20
    Available Online: 2024-01-29
  •   Objective  Primary healthcare institutions face significant challenges in managing hypertension, necessitating practical and effective tools. Therefore, this study aims to construct a knowledge graph for hypertension health intervention offering valuable insights for precise health intervention.  Methods  A systematic search for hypertension related clinical guidelines and expert consensuses resulted in 5 Chinese guidelines, 3 Chinese expert consensus, and 9 English guidelines. Utilizing these guidelines and expert consensuses as the knowledge source for health interventions in hypertensive patients, a comprehensive list to form the initial batch of entities. Subsequently, an ontology framework was developed, encompassing three age groups (children and adolescents, adults, and the elderly), multiple coexisting diseases, special types of hypertension, and four health intervention modules (nutrition, exercise, psychology, and sleep). Based on the ontology framework, knowledge extraction was performed on the list of health intervention items, adhering to the principles of entity and attribute element extraction. The resulting annotated entity triples formed the data layer. Following knowledge fusion, the Neo4j graph database was used to store and display entity triples, ultimately generating a comprehensive knowledge graph was ultimately generated which can provide corresponding health intervention plans for various types of hypertension patients.  Results  The constructed knowledge graph of health intervention for hypertension visualizes the textual content derived from guidelines and expert consensus. It encompasses refined information on hypertension patients and offers specific intervention plans. This knowledge graph serves as a valuable tool for family physicians, enabling them to conduct long-term health intervention with greater convenience and precision for all the patients.  Conclusion  The knowledge graph of health inventions for hypertension provides an effective path for family physicians to access health intervention plans. It serves as a valuable resource for guiding community practice, providing effective guidance and support.

     

  • loading
  • [1]
    国家心血管病中心. 中国心血管健康与疾病报告2021[M]. 北京: 科学出版社, 2022: 1-8.

    National Center for Cardiovascular Disease. Report on cardiovascular health and diseases in China 2021[M]. Beijing: Science Press, 2022: 1-8.
    [2]
    国务院. 国务院关于国家基本公共服务标准(2021年版)的批复[A/OL]. (2021-02-18)[2023-09-15]. https://www.gov.cn/zhengce/content/2021-02/18/content_5587538.htm.
    [3]
    史威力, 王留义, 李明艳, 等. 基于慢病管理路径的社区高血压患者管理效果评价[J]. 中华全科医学, 2022, 20(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002729

    SHI W L, WANG L Y, LI M Y, et al. Effect evaluation of community hypertension patients' management based on chronic disease management pathway[J]. Chinese Journal of General Practice, 2022, 20(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002729
    [4]
    国家心血管病中心. 国家基层高血压防治管理指南[M]. 北京: 北京联合出版社, 2020: 10-11.

    National Center for Cardiovascular Disease. National clinical practice guidelines on the management of hypertension in primary health care in China[M]. Beijing: Beijing United Publishing House, 2020: 10-11.
    [5]
    葛亚如, 王承龙. 基于CiteSpace软件的国内外心脏康复的知识图谱分析[J]. 中华全科医学, 2022, 20(8): 1403-1407. doi: 10.16766/j.cnki.issn.1674-4152.002608

    GE Y R, WANG C L. Knowledge graph analysis of cardiac rehabilitation at home and abroad based on CiteSpace software[J]. Chinese Journal of General Practice, 2022, 20(8): 1403-1407. doi: 10.16766/j.cnki.issn.1674-4152.002608
    [6]
    何建平. 基于异构数据源的疾病知识图谱构建研究[D]. 武汉: 武汉大学, 2020.

    HE J P. Research on the construction of disease knowledge graph based on heterogeneous data sources: taking hypertension as an example[D]. Wuhan: Wuhan University, 2020.
    [7]
    国家卫生健康委员会疾病预防控制局, 国家心血管病中心, 中国医学科学院阜外医院, 等. 中国高血压健康管理规范(2019)[J]. 中华心血管病杂志, 2020, 48(1): 10-46. doi: 10.3760/cma.j.issn.0253-3758.2020.01.004

    Bureau of Disease Prevention and Control, National Health Commission of People's Republic of China, National Center for Cardiovascular Diseases, Chinese Academy of Medical Science & Peking Union Medical College, Fuwai Hospital, et al. National guideline for hypertension management in China (2019)[J]. Chinese Journal of Cardiology, 2020, 48(1): 10-46. doi: 10.3760/cma.j.issn.0253-3758.2020.01.004
    [8]
    中国老年医学学会高血压分会, 国家老年疾病临床医学研究中心中国老年心血管病防治联盟. 中国老年高血压管理指南2019[J]. 中国心血管杂志, 2019, 24(1): 1-23. doi: 10.3969/j.issn.1007-5410.2019.01.001

    Branch of Chinese Geriatrics Society, National Clinical Research Center for Geriatric Diseases-Chinese Alliance of Geriatric Cardiovascular Disease. 2019 Chinese guidelines for the management of hypertension in the elderly Hypertension[J]. Chinese Journal of Cardiovascualr Medicine, 2019, 24(1): 1-23. doi: 10.3969/j.issn.1007-5410.2019.01.001
    [9]
    国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发成人高脂血症食养指南(2023年版)等4项食养指南的通知[A/OL]. (2023-01-18)[2023-09-15]. http://www.nhc.gov.cn/sps/s7887k/202301/0e55a01df50c47d9a4a43db026e3afc3.shtml.
    [10]
    中华医学会妇产科学分会妊娠期高血压疾病学组. 妊娠期高血压疾病诊治指南(2020)[J]. 中华妇产科杂志, 2020, 55(4): 227-238.

    Hypertensive Disorders in Pregnancy Subgroup, Chinese Society of Obstetrics and Gynecology, Chinese Medical Association. Diagnosis and treatment of hypertension and pre-eclampsia in pregnancy: a clinical practice guideline in China(2020)[J]. Chinese Journal of Obstetrics and Gynecology, 2020, 55(4): 227-238.
    [11]
    高血压肾病诊治中国专家共识组成员. 高血压肾病诊断和治疗中国专家共识(2022)[J]. 中华高血压杂志, 2022, 30(4): 307-317.

    Member of the Chinese Expert Consensus Group on the Diagnosis and Treatment of Hypertensive Nephropathy. Chinese expert consensus on the diagnosis and treatment of hypertensive nephropathy (2022)[J]. Chinese Journal of Hypertension, 2022, 30(4): 307-317.
    [12]
    高血压心率管理多学科共识组. 中国高血压患者心率管理多学科专家共识(2021年版)[J]. 中国全科医学, 2021, 24(20): 2501-2507, 2519.

    Multidisciplinary Consensus Group on Hypertension Heart Rate Management. Multidisciplinary expert consensus on heart rate management in chinese hypertensive patients (2021)[J]. Chinese General Practice, 2021, 24(20): 2501-2507, 2519.
    [13]
    刘靖, 卢新政, 陈鲁原, 等. 中国中青年高血压管理专家共识[J]. 中华高血压杂志, 2020, 28(4): 316-324.

    LIU J, LU X Z, CHEN L Y, et al. Expert consensus on the management of hypertension in young and middle-aged Chinese population[J]. Chinese Journal of Hypertension, 2020, 28(4): 316-324.
    [14]
    MAGEE L A, SMITH G N, BLOCH C, et al. Guideline No. 426: Hypertensive disorders of pregnancy: diagnosis, prediction, prevention, and management[J]. J Obstet Gynaecol Can, 2022, 44(5): 547-571.e1. doi: 10.1016/j.jogc.2022.03.002
    [15]
    BANERJEE D, WINOCOUR P, CHOWDHURY T A, et al. Management of hypertension in patients with diabetic kidney disease: summary of the Joint Association of British Clinical Diabetologists and UK Kidney Association (ABCD-UKKA) Guideline 2021[J]. Kidney Int Rep, 2022, 7(4): 681-687. doi: 10.1016/j.ekir.2022.01.004
    [16]
    RABI D M, MCBRIEN K A, SAPIR-PICHHADZE R, et al. Hypertension Canada' s 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children[J]. Can J Cardiol, 2020, 36(5): 596-624. doi: 10.1016/j.cjca.2020.02.086
    [17]
    American Diabetes Association Professional Practice Committee. 10. Cardiovascular disease and risk management: standards of medical care in diabetes-2022[J]. Diabetes Care, 2022, 45(Suppl 1): S144-S74.
    [18]
    UMEMURA S, ARIMA H, ARIMA S, et al. The Japanese society of hypertension guidelines for the management of hypertension (JSH 2019)[J]. Hypertens Res, 2019, 42(9): 1235-1481.
    [19]
    National Institute for Health and Care Excellence. Hypertension in adults: diagnosis and management[A/OL]. (2022-03-18)[2023-09-15]. https://www.ncbi.nlm.nih.gov/books/NBK547161/.
    [20]
    WILLIAMS B, MANCIA G, SPIERING W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension[J]. Eur Heart J, 2018, 39(33): 3021-3104.
    [21]
    WHELTON P K, CAREY R M, ARONOW W S, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J]. Circulation, 2018, 138(17): e426-e83.
    [22]
    DE SIMONE G, MANCUSI C, HANSSEN H, et al. Hypertension in children and adolescents[J]. Eur Heart J, 2022, 43(35): 3290-3301.
    [23]
    中国营养学会. 中国居民膳食指南2022[M]. 北京: 人民卫生出版社, 2022: 246-72.

    Chinese Nutrition Society. Chinese dietary guidelines 2022[M]. Beijing: People' s Medical Publishing House, 2022: 246-72.
    [24]
    张娜, 朱文丽, 张曼, 等. 《中国学龄儿童膳食指南(2022)》解读[J]. 中国学校卫生, 2022, 43(6): 805-808.

    ZHANG N, ZHU W L, ZHANG M, et al. Interpretation on dietary guidelines for Chinese school-aged children(2022)[J]. Chinese Journal of School Health, 2022, 43(6): 805-808.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)  / Tables(3)

    Article Metrics

    Article views (456) PDF downloads(49) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return