互联网+微信群组健康教育对HDP患者产后自我管理能力及血压控制效果

Effect of the health education by internet combined with WeChat group for women with pregnancy-induced hypertension on their postpartum self-management ability and blood pressure control

目的:分析互联网+微信群组健康教育在妊娠期高血压(HDP)患者产后管理中的应用效果。方法:选取2022年4月-2023年3月于本院分娩的HDP患者92例,随机数字表法分为对照组46例(常规干预)和观察组46例(互联网+微信群组健康教育)。比较两组产后血压控制情况、自我管理能力、并发症发生情况及生活质量。结果:干预1、3个月时血压控制情况观察组(舒张压87.67±6.89、80.39±5.56,收缩压128.63±10.06、117.47±10.22)mmHg均优于对照组(91.36±8.66、84.37±7.61,133.54±11.29、124.26±10.66)mmHg,干预3个月时观察组自我管理行为测评量表情绪管理(22.56±3.68分)、饮食管理(36.34±2.41分)、用药管理(17.87±3.56分)、工作与休息管理(21.21±1.35分)评分及SF-36各维度评分均高于对照组高(20.44±4.45分、33.48±5.51分、16.38±2.44分、20.34±2.36分)(均P<0.05);干预期间观察组与对照组并发症发生率(2.2%、15.2%)未见差异(P>0.05)。结论:采用互联网+微信群组健康教育可增强HDP患者产后自我管理能力,有效控制血压,利于产后恢复与生活质量改善。

Objective:To analyze the application effect of the postpartum administration and management of the health education by internet combined with WeChat group for treating pregnant women with pregnancy-induced hypertension(PIH).Methods:A total of 92 pregnant women with PIH who had given birth in hospital from April 2022 to March 2023 were selected as the research objects.These women were divided into control group(46 cases with routine intervention)and observation group(46 cases with health education by internet combined with WeChat group)by random number table method.The postpartum blood pressure control,the self-management ability,the complications situation and the quality of life of the women were compared between the two groups.Results:The values of blood pressure control indexes of the women in the observation group,such as the diastolic blood pressure in 1 and 3 months after intervention(87.67±6.89mmHg and 80.39±5.56 mmHg)and the systolic blood pressure in 1 and 3 months after intervention(128.63±10.06 mmHg and 117.47±10.22mmHg)were significantly better than those(91.36±8.66 mmHg and 84.37±7.61 mmHg,and 133.54±11.29 mmHg and 124.26±10.66 mmHg)of the women in the control group.The scores of the emotional management(22.56±3.68 points),the diet management(36.34±2.41 points),the medication management(17.87±3.56 points)and the work and rest management(21.21±1.35 points)assessed by Self-management behavior scale,and the scores of the different dimension of SF-36 of the women in the 3rd month after intervention in the observation group were significantly higher than those(20.44±4.45 points,33.48±5.51 points,16.38±2.44 points and 20.34±2.36 points)of the women in the control group(all P<0.05).There was no significant difference in the incidence of complications(2.2%vs.15.2%)of the women between the two groups(P>0.05).Conclusion:The health education by internet combined with WeChat group for treating the pregnant women with PIH can enhance their postpartum self-management ability,can effectively control their blood pressure,and which is conducive to promoting the postpartum recovery and the quality-of-life improvement of the women.