新型冠状病毒肺炎疫情期间微信群管理对高血压患者血压控制率和服药依从性的影响

Effect of WeChat group management on blood pressure control rate and drug compliance of hypertension patients during the epidemic of coronavirus disease 2019

目的探讨新型冠状病毒肺炎(COVID-19)疫情期间采用微信群管理对高血压患者血压控制率和服药依从性的影响。方法连续选取2020年1月至12月在我科门诊就诊的原发性高血压患者428例,按1∶1的比例随机分为试验组和对照组。试验组214例,男110例、女104例,年龄(55.48±6.11)岁;对照组214例,男108例、女106例,年龄(56.52±5.19)岁。对两组患者分别建立微信群,试验组定期发布高血压的宣教内容、监督服药和生活方式等情况,对照组不主动宣教及监督。于干预1、3、6、12个月时计算血压控制率和药物持有率(MPR),比较两组患者血压控制率和服药依从性的差异。结果干预1、3个月时对照组和试验组患者的血压控制率[91.12%(195/214)vs 90.65%(194/214),86.67%(182/210)vs 89.62%(190/212)]及MPR(0.90±0.03 vs 0.90±0.05,0.85±0.04 vs 0.88±0.03)差异均无统计学意义(P均>0.05);干预6、12个月时试验组患者的血压控制率[81.73%(170/208)vs 88.57%(186/210),75.12%(154/205)vs 85.99%(178/207)]和MPR(0.74±0.04 vs 0.87±0.05,0.58±0.05 vs 0.85±0.03)均高于同时间对照组,差异均有统计学意义(P均<0.05)。结论COVID-19疫情期间,医师通过微信群对高血压患者进行管理能够提高患者的血压控制率和服药依从性,有助于加强患者的自我管理能力。

Objective To explore the effect of WeChat group management on blood pressure control rate and drug compliance of hypertension patients during the epidemic of coronavirus disease 2019(COVID-19).Methods A total of 428 consecutive patients with essential hypertension in our outpatient department from Jan.2020 to Dec.2020 were enrolled and randomly divided into experimental group and control group with a ratio of 1∶1.There were 214 patients in the experimental group,110 males and 104 females,with an average age of(55.48±6.11)years.There were 214 cases in the control group,108 males and 106 females,with an average age of(56.52±5.19)years.WeChat groups were established for the 2 groups separately.Information on education,supervised medication and lifestyle of hypertension was provided to the patients in the experimental group through WeChat,while no active intervention was given to the control group.The blood pressure control rate and medication possession ratio(MPR)were calculated at 1,3,6 and 12 months of intervention,and the differences between the 2 groups were compared.Results There were no significant differences in the blood pressure control rate(91.12%[195/214]vs 90.65%[194/214],86.67%[182/210]vs 89.62%[190/212])or MPR(0.90±0.03 vs 0.90±0.05,0.85±0.04 vs 0.88±0.03)between the 2 groups at 1 or 3 months of intervention(all P>0.05).At 6 and 12 months,the blood pressure control rate(81.73%[170/208]vs 88.57%[186/210],75.12%[154/205]vs 85.99%[178/207])and MPR(0.74±0.04 vs 0.87±0.05,0.58±0.05 vs 0.85±0.03)of patients in the experimental group were significantly higher than those in the control group(all P<0.05).Conclusion During the COVID-19 epidemic,WeChat group management of hypertension patients by doctors could improve patients’blood pressure control rate and drug compliance and strengthen patients’self-management ability.