微信平台的延续性护理干预在原发性高血压患者中应用价值研究

Application Value of Continuous Nursing Intervention of WeChat Platform in Patients with Essential Hypertension

目的探讨原发性高血压患者应用微信平台延续性护理干预的价值。方法随机选取2018年9月至2019年9月本院收治的原发性高血压患者78例,采用计算机完全随机分组法将其分为研究组(n=39)、对照组(n=39)。对照组应用常规护理干预,研究组应用微信平台的延续性护理干预,对比两组患者自我护理能力、健康行为、疾病知识掌握情况及生活质量。结果出院对比两组自我护理能力评分差异无统计学意义(P>0.05);研究组干预后1个月分、干预3个月后研究组的自我护理能力评分分别为(137.83±8.44)分、(140.12±8.15)分,明显高于对照组的(128.54±9.51)分、(129.63±8.03)分,差异有统计学意义(P<0.05)。出院时对比两组健康行为评分差异无统计学意义(P>0.05);研究组健康行为干预1个月、干预3个月评分分别为(152.50±10.40)分(154.60±9.20)分,高于对照组的(144.80±10.10)分、(141.10±8.10)分,有显著性差异(P<0.05);出院时对比两组疾病知识掌握评分无统计学意义(P>0.05);研究组疾病知识掌握评分干预1个月、干预3个月评分分别为(7.70±1.10)分(8.80±1.00)分,高于对照组的(6.20±1.10)分、(6.90±1.20)分,统计学意义存在(P<0.05)。干预前两组SF-36量表各维度评分无显著性差异(P>0.05);干预后研究组一般健康(87.59±3.11)分、躯体疼痛(87.74±3.51)分、精力(87.88±2.56)分、生理功能(88.74±2.47)分、生理职能(86.58±2.56)分、情感职能(88.75±2.84)分、精神健康(88.63±2.58)分、社会功能(87.79±2.69)分,均高于对照组的(83.68±3.09)分、(83.35±3.22)分、(83.26±2.47)分、(84.38±2.63)分、(82.29±2.81)分、(84.36±2.82)分、(84.37±2.66)分、(83.52±2.46)分,统计学意义存在(P<0.05)。结论原发性高血压患者应用微信平台的延续性护理,能够提高患者对自身的护理能力,促使患者养成良好的健康行为,并提高患者的生活质量值得在临床应用。

Objective To explore the value of continuous nursing intervention with WeChat platform in patients with essential hypertension.Methods We selected 78 patients with primary hypertension in September 2018 in September 2019 and were computer fully randomized into the study group(n=39)and the control group(n=39).The control group used the routine nursing intervention,and the study group applied the continued nursing intervention on the WeChat platform to compare the self-care ability,health behavior,disease knowledge mastery and quality of life of the two patients.Results There was no significant difference in the scores of self-care ability between the two groups after discharge(P>0.05);the scores of self-care ability of the study group one month after intervention and three months after intervention were(137.83±8.44)and(140.12±8.15)respectively,which were significantly higher than those of the control group(128.54±9.51),(129.63±8.03)(P<0.05).There was no significant difference in health behavior scores between the two groups at discharge(P>0.05);the scores of health behavior intervention for 1 month and 3 months in the study group were(152.50±10.40),(154.60±9.20)respectively,which was significantly higher than(144.80±10.10),(141.10±8.10)in the control group(P<0.05);there was no significant difference in the scores of disease knowledge mastery between the two groups at discharge(P>0.05);the scores of disease knowledge mastery in the study group at one month and three months of intervention were(7.70±1.10),(8.80±1.00)respectively,which were higher than those in the control group(6.20±1.10),(6.90±1.20)(P<0.05).Before the intervention,there was no significant difference in the scores of SF-36 between the two groups(P>0.05);after the intervention,the study group had general health(87.59±3.11),physical pain(87.74±3.51),energy(87.88±2.56),physiological function(88.74±2.47),physiological function(86.58±2.56),emotional function(88.75±2.84),mental health(88.63±2.58)and social function(87.79±2.69)points were higher than those in the control group(83.68±3.09),(83.35±3.22),(83.26±2.47),(84.38±2.63),(82.29±2.81),(84.36±2.82),(84.37±2.66)and(83.52±2.46),which were statistically significant(P<0.05).Conclusion The continuous care of WeChat platform for patients with primary hypertension can improve patients'own care ability,promote patients to develop good healthy behavior,and improve the quality of life of patients is worthy of clinical application.