摘要
目的评估运用移动网络干预对社区中青年高血压管理的效果。方法随机选取浦东新区张江镇(2011年)30个居委的210例患有高血压的中青年患者,对其进行问卷调查、各项生化指标检测和血压测量对比,并对其跟踪随访2年,其中随机选取105例参加移动网络信息化干预高血压管理组,剩余105例为对照组。结果移动网络干预组患者的24h动态血压、日间和夜间收缩压和舒张压均低于对照组患者,两者比较差异有统计学意义(P<0.05)。干预组行为危险因素得到有效改变,干预组与干预前相比,在戒烟、限制饮酒、增加运动、减少食盐摄入等方面,差异均有统计学意义(P<0.05),与对照组相比,差异亦有统计学意义(P<0.05)。药物治疗依从性、血压控制达标率均提高,与对照组比较,差异具统计学意义(P<0.05)。结论中青年高血压人群在社区管理中,辅以移动网络信息化手段形成医患互动,使高血压病干预由被动变成主动,高血压管理与防治更合理、高效、便捷,更易被中青年患者接受。
Objectives To evaluate effect of intervention base on mobile network on the management of young and middle-aged hypertension patients. Methods 210 young and middle-aged hypertension patients were randomly se- lected from Zhangjiang Town of Pudong District. They were followed up with questionnaire survey, basic physical examination (including blood test, blood pressure test). 105 were assigned into intervention group and 105 control group.Results The 24-hour ambulatory blood pressure, systolic and diastolic blood pressure in the intervention group were lower than those in the control group and the differences were statistically significant (P〈0.05). Risk factors in the intervention group changed. Before and after intervention, differences in quitting smoking, alcohol re- striction, sports, salt restriction were statistically significant (P 〈0.05). Therapy compliance and blood pressure control rate for the intervention group increased after intervention. The differences were statistically significant (P〈 0.05).Conclusions In the management of young and middle-aged hypertension patients, measures accompanied with informationization based on mobile network would be helpful for better interaction between patients and doctors, positive intervention and make the management more reasonable, convenient and more acceptable for patients.
出处
《中国社会医学杂志》
2015年第5期390-393,共4页
Chinese Journal of Social Medicine
关键词
高血压
管理
家庭医生
社区干预
Hypertension
Management
Family doctor
Community intervention