基于AISAS模式的“互联网+”管理对中青年高血压患者健康促进生活方式的作用

Effects of internet plus management based on AISAS mode on health-promoting lifestyles in young and middle-aged patients with hypertension

目的探讨基于注意力-兴趣-信息搜索-行动-信息分享(AISAS)模式的“互联网+”管理对中青年高血压患者健康促进生活方式的作用。方法本研究采用前瞻性随机对照试验,将2021年1月—2023年1月在南昌大学第一附属医院心血管内科住院治疗的212例中青年高血压患者按照随机数字表方法分为“互联网+”管理组和常规管理组,各106例。常规管理组给予常规管理干预,“互联网+”管理组采用基于AISAS模式的“互联网+”管理模式干预,时间各为12个月。在患者出院前1天、出院后6个月及12个月时,分别采用中文版健康促进生活方式量表(HPLP-IIC)评估健康促进生活方式水平;采用健康相关生活质量量表(SF-36)评价患者生活质量;采用高血压治疗依从性问卷(TASHP)评价患者治疗依从性。结果两组患者的HPLP-IIC、SF-36和TASHP评分均随出院时间增加而增加(均P<0.05)。出院后6个月和12个月时,“互联网+”管理组的HPLP-IIC评分、SF-36评分、TASHP评分分别为(117.58±16.43)和(134.37±20.25)分、(79.58±5.43)和(84.37±3.25)分、(101.84±6.32)和(115.37±4.25)分,均显著高于常规管理组的(96.25±13.74)和(108.05±14.73)分、(61.25±5.09)和(78.05±4.37)分、(81.05±5.37)和(94.68±3.37)分(均P<0.001);“互联网+”管理组的收缩压、舒张压分别为(128.52±4.02)和(126.81±2.34)mmHg(1 mmHg=0.133 kPa)、(81.84±6.32)和(79.37±4.25)mmHg,均显著低于常规管理组的(133.09±5.16)和(133.35±2.57)mmHg、(85.68±7.15)和(86.05±5.37)mmHg(均P<0.001);“互联网+”管理组收缩压、舒张压下降幅度[(-4.43±1.19)和(-6.14±2.01)mmHg、(-3.75±1.71)和(-6.22±2.38)mmHg]也均显著高于常规管理组[(-1.28±0.75)和(-1.02±0.26)mmHg、(-1.05±0.62)和(-0.68±0.29)mmHg](均P<0.001)。结论基于AISAS模式的“互联网+”管理模式可通过提高中青年高血压患者生活方式,提高其依从性和生活质量来控制血压。

Objective To explore the effects of“Internet plus”management based on attention-interest-search-action-share(AISAS)mode on health-promoting lifestyles in young and middle-aged patients with hypertension.Methods A prospective randomized controlled trial was used by this study,212 young and middle-aged patients with hypertension from Cardiovascular Medicine Department of the First Affiliated Hospital of Nanchang University were divided into"Internet plus"management group and routine management group according to the random number table method between January 2021 and January 2023,106 cases in each group.The regular management group were given regular management intervention,and the“Internet plus”management group were used the“Internet plus”management model intervention based on the AISAS model,each lasting 12 months.All patients were intervened for 12 months.At 1d before discharge,6 months and 12 months after discharge,health-promoting lifestyles were evaluated by Chinese version of Health Promotion Lifestyle Scale(HPLP-IIC),quality of life were evaluated by the 36-item shot-form health status survey(SF-36),and treatment compliance were evaluated by therapeutic adherence scare for hypertensive patients(TASHP).Results With discharge time,scores of HPLP-IIC,SF-36 and TASHP were significantly increased in both groups(all P<0.05).At 6 and 12 months after discharge,the scores of HPLP-IIC[(117.58±16.43)and(134.37±20.25)points],SF-36[(79.58±5.43)and(84.37±3.25)points]and TASHP[(101.84±6.32)and(115.37±4.25)points]in“Internet plus”management group were significantly higher than those in routine management group[HPLP-IIC:(96.25±13.74)and(108.05±14.73)points,SF-36:(61.25±5.09)and(78.05±4.37)points,TASHP:(81.05±5.37)and(94.68±3.37)points](all P<0.001),while systolic blood pressure(SBP)[(128.52±4.02)and(126.81±2.34)mmHg(1 mmHg=0.133 kPa)]and diastolic blood pressure(DBP)[(81.84±6.32)and(79.37±4.25)mmHg]were significantly lower than those in routine management group[SBP:(133.09±5.16)and(133.35±2.57)mmHg,DBP:(85.68±7.15)and(86.05±5.37)mmHg](all P<0.001).And,decrease of SBP[6 months:(-4.43±1.19)and(-6.14±2.01)mmHg]and DBP[6 months:(-3.75±1.71)and(-6.22±2.38)mmHg]in“Internet plus”management group were significantly higher than those in routine management group[SBP:(-1.28±0.75)and(-1.02±0.26)mmHg;DBP:(-1.05±0.62)and(-0.68±0.29)mmHg](all P<0.001).Conclusion The“Internet plus”management based on AISAS mode can control blood pressure by improving the lifestyle,compliance and quality of life of young and middle-aged hypertensive patients.