基于微信健康教育对在职高血压患者生活方式和服药依从性的影响

Effects of WeChat health education on lifestyle and medication compliance of on-the-job hypertensive patients

目的探讨基于微信健康教育对在职高血压患者生活方式和服药依从性的影响。方法选取我院中心健康管理部于2018年1月~2019年1月体检诊断的高血压病患者186例,所有研究对象均是在职职工,随机分成对照组和观察组(n=93)。对照组予常规健康教育+门诊电话随访,观察组予微信健康教育和随访。半年后比较两组血压达标率、24h动态血压、知识掌握情况、生活方式的改变及服药依从性。结果观察组血压达标率、服药依从性均高于对照组,差异有统计学意义(P <0.05);半年后两组24h收缩压(SBP)和舒张压(DBP)均较前降低,差异有统计学意义(P <0.05),且观察组低于对照组,差异有统计学意义(P <0.05);半年后两组高血压基础知评分、自我健康管理的行为和习惯形成评分均较前升高,差异有统计学意义(P <0.05),且观察组高于对照组,差异有统计学意义(P <0.05)。结论采用微信群作为在职高血压患者的健康教育和随访平台,提高了患者的血压控制达标率和服药依从性,改善了患者的生活方式,值得推广。

Objective To explore the effects of WeChat health education on lifestyle and medication compliance of on-the-job hypertensive patients. Methods 186 patients with hypertension diagnosed by the Department of Health Management of our hospital from January 2018 to January 2019 were selected, all of whom were on-the-job staff and randomly divided into control group and observation group(n=93). The control group was followed up by conventional health education + outpatient telephone, and the observation group received WeChat health education and follow-up. After half a year, the blood pressure compliance rate, 24 h ambulatory blood pressure, knowledge acquisition, lifestyle change, and medication compliance were compared between the two groups. Results The blood pressure compliance rate and medication compliance rate were higher in the observation group than in the control group, and the differences were statistically significant(P < 0.05). After half a year, the 24 h systolic blood pressure(SBP) and diastolic blood pressure(DBP) of the two groups were lower than before with statistically significant differences(P < 0.05), and the observation group was lower than the control group with statistically significant difference(P < 0.05). After half a year, the basic knowledge score of hypertensions, as well as behavior and habit formation scores of self-health management were higher than before with statistically significant differences(P < 0.05), and the observation group was higher than the control group with statistically significant difference(P < 0.05). Conclusion WeChat group is used as a health education and follow-up platform for on-the-job hypertensive patients, which can increase the patient’s blood pressure control compliance rate and medication compliance rate, improve the patient’s lifestyle, and is worth promoting.