互联网对社区高血压疾病立体化管理效果分析

Analysis of effectiveness of three-dimensional management of hypertension in community base on Internet

目的探讨互联网对社区高血压疾病的立体化管理效果.方法230例本社区高血压疾病患者,按自愿原则分为实验组(80例)及对照组(150例).对照组采取常规管理模式,实验组在对照组基础上采取互联网立体化管理.比较两组患者基线、随访1年、随访2年时的血压水平.结果单因素方差分析结果显示,实验组患者随访1、2年的收缩压分别为(138.25±11.33)、(128.78±10.50)mm Hg(1 mm Hg=0.133 kPa),均低于对照组同期的(143.97±17.87)、(144.33±17.62)mm Hg,差异均具有统计学意义(P<0.05).实验组患者随访1、2年的舒张压分别为(84.35±8.35)、(78.09±7.73)mm Hg,均低于对照组同期的(88.67±11.32)、(86.68±11.35)mm Hg,差异均具有统计学意义(P<0.05).且实验组患者的收缩压和舒张压随访2年<随访1年<基线.重复测量的方差分析结果显示,不同管理方式受试对象在不同时间点收缩压和舒张压均值的差异有统计学意义(P<0.05),分组与时间之间有交互作用(P<0.001);不同分组之间血压差异有统计学意义(P<0.001),两组受试对象血压的变化趋势不同.结论互联网立体化管理可明显改善社区高血压管理效果.

Objective To discuss the effectiveness of three-dimensional management of hypertension in community base on Internet.Methods A total of 230 patients with hypertension in our community were divided into experimental group(80 cases)and control group(150 cases)according to voluntary principle.The control group received conventional management model,and the experimental group received three-dimensional management on the basis of the control group.The blood pressure levels at baseline,1-year follow-up and 2-year follow-up were compared between the two groups.Results One-way ANOVA analysis showed that the systolic blood pressure at 1-year follow-up and 2-year follow-up were(138.25±11.33)and(128.78±10.50)mm Hg(1 mm Hg=0.133 kPa)respectively in the experimental group,which was lower than(143.97±17.87)and(144.33±17.62)mm Hg in the control group of the same period,and their difference was statistically significant(P<0.05).The diastolic blood pressure at 1-year follow-up and 2-year follow-up were(84.35±8.35)and(78.09±7.73)mm Hg in the experimental group,which was lower than(88.67±11.32)and(86.68±11.35)mm Hg in the control group of same period,and their difference was statistically significant(P<0.05).The systolic blood pressure and diastolic blood pressures at 2-year follow-up<those at 1-year follow-up<those at baseline in the experimental group.The results of variance analysis of repeated measurements showed that There were significant differences in mean systolic and diastolic blood pressure between subjects with different management methods at different time points(P<0.05).There was interaction between grouping and time(P<0.001).There was significant difference in blood pressure between different groupings.The change trend of blood pressure was different between the two groups.Conclusion Three-dimensional management of the Internet can significantly improve the effect of community hypertension management.