飞信在血液透析高血压患者健康干预中的应用效果

Application effect of Fetion in healthy intervention of hemodialysis patients with hypertension

目的研究飞信在血液透析高血压患者健康干预中的应用效果。 方法采用随机分组的方法，把研究对象分成干预组和对照组。干预组建立飞信群号，由专门的护士每周发送高血压健康知识、高血压患者生活饮食应该注意的问题及健康行为习惯等方面的知识,对照组患者实行一般的常规指导方法。干预时间6个月到2年不等，平均干预时间1.21年。干预后对比两组高血压知识掌握情况、生活习惯改变、血压降低和体质指数的变化情况。 结果干预前后干预组高血压知识知晓率有明显提高，生活习惯明显改善，差异均有统计学意义（P〈0.05）；干预组收缩压［（141.86±12.36）mmHg比（135.67±13.13）mmHg］和舒张压［（92.35±8.97）mmHg比（89.12±9.06）mmHg］明显下降，差异均有统计学意义（t值分别为4.632,3.978；P均〈0.05）；干预后干预组高血压知识知晓率明显高于对照组，干预组生活习惯明显好于对照组，干预组比对照组收缩压、舒张压下降更明显，差异均有统计学意义（P〈0.05）。 结论飞信在血液渗透高血压患者健康干预中应用具有较好的效果，值得推广。

Objective To study the application effect of Fetion in healthy intervention of heodialysis patients with hypertension. Methods The patients were randomly divided into the intervention group and thecontrol group. Fetion group was established in the intervention group, and nurses send knowledge regarding high blood pressure, noticeable problems of diet and life habits as well as healthy behaviors every week, while the control group received conventional guiding. The intervention time lasted from 6 months to 2 years, with the average of 1.21 year. Two groups＇ knowledge of high blood pressure, change of habits, reduction of pressure and change of body mass were compared after intervention. Results The rate of awareness of high blood pressure knowledge in the intervention group was significantly higher after the intervention than before （P 〈 0.05 ）. Their life habits were also obviously improved than before （P 〈 0.05 ）. In the interception group, the systolic pressure （ 135.67 ± 13. 13 ）mm Hg and diastolic blood pressure （ 89. 12 ± 9.06 ） mm Hg were significantly lower after the intervention than before （ t = 4. 632, 3. 978, respectively; P 〈 0. 05 ）. After intervention, the rate of awareness in intervention group was higher than that that in the control group （P 〈 0.05 ） ; the life habit in intervention group was better than that in the control group （P 〈 0. 05 ） ; the systolic and diastolic blood pressure were more obviously lower in the intervention group than those in the control group （ P 〈 0.05）. Conclusions It is effective to apply Fetion in the healthy intervention hemodialysis patients with hypertension, which is worth popularizing.