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基于远程信息交互平台对高血压患者血压控制率干预效果研究 被引量:5

Significance of remote information exchanging platform to improve the goal attainment rate of hypertension patients
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摘要 目的通过现有通讯信息交互平台,对门诊高血压患者实施定期反馈追踪管理,探讨远程信息交互平台对提升高血压患者达标率的临床意义。方法选择2012年1月至2013年1月的423例大坪医院门诊高血压患者为受试对象,采用随机数字表法随机分成对照组(212例)和干预组(211例),对照组进行常规随访,干预组除采用常规诊疗措施外,通过现代通讯方式、网络信息平台建立高血压患者远程管理交互群,定期反馈追踪患者家测血压的动态变化,同时开展针对高血压的认知治疗;采用x^2对比患者服药依从性自觉性及达标率等,采用t检验对比评价两组患者干预后的血压情况。结果干预结束时,干预组在高盐饮食(减少到16.59%)、经常饮酒(减少到13.74%)、高糖饮食(减少到10.43%)、血脂异常(减少到19.91%)、吸烟(减少到27.96%)、平时情绪稳定人数(达到91.47%)、体质指数(减少到29.38%)和平时运动量(减少到36.02%)等指标与对照组相比差异有统计学意义(P〈0.05);高血压患者依从性提高,其中从医行为达到84.83%,与对照组的13.21%比较差异有统计学意义(x^2=8.54,P〈O.05);且干预组知晓率(94.79%)、治疗率(84.36%)、血压达标率(82.94%)与对照组知晓率(50.94%)、治疗率(40.09%)、血压达标率(27.83%)的差异有统计学意义(P〈0.05)。结论对高血压患者实施远程交互式血压管理可提高高血压达标率。 Objective To evaluate the clinical significance of improving the goal attainment rate by management of timely feedback of hypertension patients, which is carried out by using existing communication network. Methods Totally 423 hypertension patients who were hospitalized for treatment in Daping Hospital from Jan. 2012 to Jan 2013, the random numbers table was used to randomize the patients into 2 groups: control group (212 cases) and experiment group (211cases), the conventional treatment was used in control group. Besides the conventional treatment measures, the modern way of communication and network information platform was used by patients who timely feed back the blood pressure changing, and implement the cognitive treatment of hypertension at the same time in the experiment group. The Chi square test was used to compare the patient's medication compliance, the attainment rate and so on, the t test was used to compare the blood pressure in two groups of patients after the intervention. Results At the end of the intervention, the difference of heavy salt diet (reduced to 16.59%), regularly drinking (reduced to 13.74%), heavy sugar diet (reduced to 10.43%), abnormal blood lipid (reduced to 19.91%), smoking (reduced to 27.96%), the number of people who have a stable mood (up to 91.47%), body mass index (reduced to 29.38%) and exercise at ordinary times (reduced to 36.02%) were statistically significant (P〈 0.05). Hypertension patients compliance increased significantly, of which the medical behavior of 84.83%, compared with 13.21% in the control group, there was statistically significant difference (x^2 =8.54, P〈 0.05). And the awareness, treatment, success rate of blood pressure control were 94.79%, 84.36%, 82.94% in experimental group and 50.94%, 40.09%, 27.83% in control group, and the differences were statistically significant (P〈 0.05). Conclusion Use of the existing information interaction platform in order to strengthen the management of the blood pressure of hypertension patients and related cognitive behavioral intervention, the control of risk factors and treatment compliance have improved significantly. The remote interaction platform used to patients with hypertension management improve the attainment rate of high blood pressure.
出处 《中华健康管理学杂志》 CAS 2016年第4期308-312,共5页 Chinese Journal of Health Management
关键词 高血压 干预性研究 达标率 Hypertension Intervention studies Goal attainment rate
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