移动医疗App对高血压患者自我管理行为的干预研究

Interventional Effect of Mobile Medical Application on Self-Management Behavior of Hypertensive Patients

目的评价基于移动医疗应用软件(App)管理的干预策略对高血压患者自我管理行为的干预效果。方法采用前瞻性配对研究方法。给予对照组常规门诊就诊指导和电话随访,试验组在此基础上纳入App管理。分别于干预前后,观察时间变化下两组相关观察指标及自我管理水平评分情况,并进行两组间和各组自身前后比较。结果 6个月后,两组患者自身前后对照,治疗率、血压达标率及自我管理等评分均优于干预前水平(P<0.05),两组组间对照,试验组优于对照组(P<0.05);试验组体重指数干预末期组间比较,差异有统计学意义(P<0.05)。结论社区高血压患者采用App管理方式与传统社区随访方式比较,治疗率更高、可以取得更好的降压治疗效果。

Objectives To evaluate the intervention effect of intervention strategies based on mobile medical Application management on self-management behavior of hypertensive patients.Method Prospective pairing methods were used in this study.The control group received routine outpatient visits and telephone follow-up,and the trial group included mobile Application management on this basis.Before and after the intervention,the observational indicators and self-management level scores of the two groups were observed under the time change,and the two groups were compared before and after intervention,between and within the groups.Result After 6 months,the treatment rate,blood pressure compliance rate and self-management score of the two groups were better than the baseline level(P<0.05).The trial group was better than control group(P<0.05).There was a statistically significant difference in body weight within the trial group in the end-stage(P<0.05).Conclusion Compared with traditional community follow-up,hypertension patients with mobile application management get higher treatment rate,better antihypertensive effect.