紧密型医联体模式下基于微信平台健康教育提高社区门诊原发性高血压患者认知效果研究

The study of health education under the close medical consortium model based on the WeChat platform in improving the cognitive effect of patients with essential hypertension

目的:探讨紧密型医联体模式下基于微信平台健康教育提高社区门诊原发性高血压患者认知效果观察。方法:选取2020年1月~2020年12月治疗和跟踪管理的80例高血压患者作为实验组,同时选取2018年1月~2018年12月治疗和管理的80例高血压患者作为对照组进行回顾性分析,实验组给予紧密型医联体模式下基于微信平台的健康教育,对照组给予传统健康教育,比较两组健康教育前后血压、疾病知识知晓率及治疗依从性。结果:健康教育前两组患者24 h、白昼、夜间平均BP水平无显著性差异(P>0.05),健康教育后实验组患者24 h、白昼、夜间平均BP水平下降幅度较对照组患者更显著(P<0.05);健康教育前两组患者高血压相关知识知晓率无显著性差异(P>0.05),健康教育后实验组患者高血压相关知识知晓率提高较对照组更显著(P<0.05);健康教育前两组患者治疗依从性(遵医服药行为、不良服药行为、日常活动管理行为、烟酒嗜好)评分无显著性差异(P>0.05),健康教育后实验组患者治疗依从性评分提高幅度较对照组更显著(P<0.05)。结论:紧密型医联体模式下基于微信平台的健康教育可以有效控制社区门诊原发性高血压患者的血压,提高患者疾病认知及管理、治疗的依从性,值得推广。

Objective:To explore and analyze health education under the close medical consortium model based on WeChat platform in improving the cognitive effect of patients with essential hypertension in community clinics.Methods:80 patients with hypertension who were treated and followed up from January 2020 to December 2020 as the experimental group,and 80 patients with hypertension who were treated and followed up from January 2018 to December 2018 were chosen as the control group,with retrospective analysis made.The experimental group was given health education under the close medical consortium model based on the WeChat platform,while the control group was given traditional health education,with the blood pressure,disease knowledge awareness rates and treatment compliance compared between the two groups before and after the health education.Results:Before the health education,there was no significant difference in the average BP levels of patients in the two groups at 24h,day and night(P>0.05).After health education,the average BP level of patients in the experimental group at 24 h,day and night decreased more significantly than those in the control group(P<0.05).There was no significant difference in the awareness rate of hypertension-related knowledge between the two groups before health education(P>0.05).After health education,the awareness rate of hypertension-related knowledge of patients in the experimental group increased more significantly than that in the control group(P<0.05).There was no difference in scores of treatment compliance(medicine compliance behavior,bad medication behavior,daily activity management)before health education(P>0.05).After health education,the treatment compliance scores of the experimental group were improved more significantly than those of the control group(P<0.05).Conclusion:Health education under the close medical consortium model based on the WeChat platform can effectively control the blood pressure of patients with primary hypertension in community clinics,and improve patients’disease awareness and compliance with management and treatment,worthy of promotion.