基于微信平台的脑卒中高危人群健康管理效果分析

Effect of WeChat platform-based health management in high-stoke-risk population

目的探讨微信平台+健康管理对脑卒中高危人群的应用效果,为脑卒中开展干预提供参考。方法2018年6月至2019年6月在江西省脑卒中高危人群院外筛查干预信息平台采用随机抽样的方法抽取宜春市彬江、高城和灵泉3个社区的脑卒中高危人群400例,随机分为对照组(n=200)与试验组(n=200),试验组实施基于微信平台的健康管理模式,对照组由基层项目医院实施管理,比较两组管理12个月后的脑卒中相关知识知晓情况、行为生活方式、体格检查结果、临床相关指标及预后结局。结果试验组脑卒中相关知识知晓率、不良行为生活方式改变率均高于对照组(P<0.01),而临床相关指标:血压、糖化血红蛋白、低密度脂蛋白胆固醇、体质量指数均低于对照组(P<0.01);预后结局:血压、血糖正常率高于对照组(P<0.01),脑卒中发病率(0.50%)低于对照组(3.50%),但差异无统计学意义(P>0.05)。结论试验组脑卒中高危人群实施基于微信平台的健康管理模式后,提高脑卒中相关知识知晓率,减少脑卒中暴露因素,改善临床相关指标,一定程度上减少脑卒中发病风险。

Objective To explore the application effect of WeChat platform+health management in high-stoke-risk population and provide reference for the intervention of stroke.Methods A total of 400 high-stoke-risk people in the three communities of Yichun,Binjiang,Gaocheng and Lingquan,were selected from the Jiangxi out-of-hospital screening intervention information platform for high-stoke-risk population,using random sampling method.They were randomly divided into the control group(n=200)and the experimental group(n=200).The experimental group were given the WeChat platform-based health management,and the control group were managed by primary hospitals.The awareness of stroke-related knowledge,behavior and lifestyle,physical examination results,clinical related indicators and prognostic outcomes were compared between the two groups after 12 months of management.Results The awareness rate of stroke-related knowledge and the rate of changes of poor behaviors and lifestyle in the experimental group were higher than those in the control group(P<0.01).The clinical related indicators in the experimental group,including blood pressure,glycosylated hemoglobin,low-density lipoprotein cholesterol,and body mass index,were lower than those in the control group(P<0.01).In terms of the prognostic outcome,the normal rates of blood pressure and blood sugar in the experimental group were higher than those in the control group(P<0.01).The incidence of stroke in the experimental group(0.50%)was lower than that in the control group(3.50%),without statistically significant difference(P>0.05).Conclusion The implementation of the WeChat platform-based health management model increases the awareness rate of stroke-related knowledge,reduces stroke exposure factors,improves clinical related indicators,and decreases the risk of stroke to a certain extent in the experimental group of high-stroke-risk population.