互联网+医疗背景下健康管理对青年高血压患者生活质量和血压控制的影响
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摘要
目的:研究互联网+医疗背景下健康管理对青年高血压患者生活质量和血压控制的影响。方法:选择2016年1月至2018年1月在海南医学院第一附属医院就诊的高血压患者100例,根据随机数表法分为对照组与观察组(每组各50例)。对照组采用医疗背景下健康管理模式,观察组在对照组基础上给予互联网干预,两组患者均干预12个月。统计两组患者高血压相关知识知晓情况、自我管理能力、血压情况及生活质量。结果:观察组对高血压相关知识知晓率高于对照组(P<0.05);观察组干预后自我管理能力评分高于对照组(P<0.05);观察组干预后血压低于对照组(P<0.05);观察组干预后生活质量水平均高于对照组(P<0.05)。结论:互联网+医疗背景下健康管理可改善青年高血压患者生活质量并提高血压控制率。
Objective: To study the effects of health management under Internet + medical treatment background on quality of life and blood pressure control of young patients with hypertension. Methods: A total of 100 patients with hypertension who were admitted to the hospital from January 2016 to January 2018 were selected and divided into a control group and an observation group(50 cases of each) according to the random number table method. The control group was given health management model under medical treatment background, and the observation group was given Internet intervention on the basis of control group, and the two groups were intervened for 12 months.The awareness of hypertension-related knowledge, self-management ability, blood pressure, and quality of life were compared between the two groups. Results: The awareness rate of hypertension-related knowledge in the observation group was higher than that in the control group(P<0.05). The self-management ability score in the observation group after intervention was higher than that in the control group(P<0.05). The blood pressure in observation group was lower than that in the control group(P<0.05). The quality of life level in the observation group was higher than that in the control group(P<0.05). Conclusion: Health management under Internet + medical treatment background can improve the quality of life and enhance blood pressure control in young patients with hypertension.
Objective: To study the effects of health management under Internet + medical treatment background on quality of life and blood pressure control of young patients with hypertension. Methods: A total of 100 patients with hypertension who were admitted to the hospital from January 2016 to January 2018 were selected and divided into a control group and an observation group(50 cases of each) according to the random number table method. The control group was given health management model under medical treatment background, and the observation group was given Internet intervention on the basis of control group, and the two groups were intervened for 12 months.The awareness of hypertension-related knowledge, self-management ability, blood pressure, and quality of life were compared between the two groups. Results: The awareness rate of hypertension-related knowledge in the observation group was higher than that in the control group(P<0.05). The self-management ability score in the observation group after intervention was higher than that in the control group(P<0.05). The blood pressure in observation group was lower than that in the control group(P<0.05). The quality of life level in the observation group was higher than that in the control group(P<0.05). Conclusion: Health management under Internet + medical treatment background can improve the quality of life and enhance blood pressure control in young patients with hypertension.
引文
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15.戴美琴,张永乐,周方文,等.微信健康教育模式对中青年高血压患者行为干预的应用[J].心脑血管病防治,2015,15(2):167-168.DAI Meiqin,ZHANG Yongle,ZHOU Fangwen,et al.Application of WeChat health education model in behavior intervention of young and middle-aged hypertensive patients[J].Prevention and Treatment of Cardio-Cerebral-Vascular Disease,2015,15(2):167-168.
16.刘爱花.微信教育对中青年高血压患者出院后自我管理能力的影响[J].中国药物与临床,2017,17(2):291-292.LIU Aihua.Effect of WeChat education on self-management ability of young and middle-aged hypertensive patients after discharge[J].Chinese Medicine and Clinical,2017,17(2):291-292.
2.Li D,Lv J,Liu F,et al.Hypertension burden and control in mainland China:Analysis of nationwide data 2003-2012[J].Int J Cardiol,2015,184:637-644.
3.Kim S,Lewis JR,Baur LA,et al.Obesity and hypertension in Australian young people:results from the Australian Health Survey 2011 to 2012:obesity and hypertension in young people[J].Intern Med J,2017,47(2):162-169.
4.Lurbe E,Redon J.Isolated systolic hypertension in young people is not spurious and should be treated:con side of the argument[J].Hypertension,2016,68(2):276-280.
5.孟文文,皮红英.基于互联网的高血压管理新模式[J].解放军护理杂志,2017,34(8):52-54.MENG Wenwen,PI Hongying.A new model of hypertension management based on Internet[J].Nursing Journal of Chinese People’s Liberation Army,2017,34(8):52-54.
6.中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.Writing Group of 2010 Chinese Guidelines for the Management of Hypertension.2010 Chinese guidelines for the management of hypertension[J].Chinese Journal of Cardiology,2011,39(7):579-616.
7.杨碧萍,刘雪琴.高血压病人自我效能的调查分析[J].护理学报,2007,14(4):15-17.YANG Biping,LIU Xueqin.Investigation and analysis of self-efficacy of hypertension patients[J].Journal of Nursing,2007,14(4):15-17.
8.王齐增,邵健智,范云操,等.厄贝沙坦氢氯噻嗪联合富马酸比索洛尔对青年高血压的实效性研究[J].重庆医学,2015,44(35):4962-4964.WANG Qizeng,SHAO Jianzhi,FAN Yuncao,et al.Effectiveness study of irbesartan hydrochlorothiazide combined with bisoprolol fumarate on youth hypertension[J].Chongqing Medicine,2015,44(35):4962-4964.
9.唐一平,匡泽民,薛颖,等.青年高血压患者代谢异常及靶器官损害情况分析[J].中国医药,2015,10(7):961-965.TANG Yiping,KUANG Zemin,XUE Ying,et al.Metabolic abnormalities and target organ damage in young hypertensive patients[J].Chinese Medicine,2015,10(7):961-965.
10.罗小娟,陈翠霞,李秋琼,等.自我管理教育对中青年高血压病人健康行为及预后的影响[J].护理研究,2016,30(9):1061-1064.LUO Xiaojuan,CHEN Cuixia,LI Qiuqiong,et al.Effects of selfmanagement education on health behavior and prognosis of young and middle-aged patients with hypertension[J].Nursing Research,2016,30(9):1061-1064.
11.霍勇.重视我国中青年高血压患者的管理[J].中华高血压杂志,2016,24(4):320-323.HUO Yong.Emphasis on the management of young and middle-aged hypertensive patients in China[J].Chinese Journal of Hypertension,2016,24(4):320-323.
12.闫冠韫,陈洪恩,李舜,等.“互联网+”在社区高血压患者管理中的应用[J].医学与哲学,2017,38(22):78-80.YAN Guanyun,CHEN Hong’en,LI Shun,et al.Application of Internet+in the management of hypertension patients in community[J].Medicine&Philosophy,2017,38(22):78-80.
13.王力,陈康,魏文志,等.互联网+全程慢病管理模式对高血压慢病的疗效研究[J].河北医药,2018,40(12):1803-1806.WANG Li,CHEN Kang,WEI Wenzhi,et al.Effect of Internet plus chronic disease management mode on chronic disease of hypertension[J].Hebei Medical Journal,2018,40(12):1803-1806.
14.凌浩青,方丽,陈永群.基于移动网络干预对社区中青年高血压患者管理的研究[J].中国社会医学杂志,2015,32(5):390-393.LING Haoqing,FANG Li,CHEN Yongqun.Research on the management of young and middle-aged hypertension patients in community based on mobile network intervention[J].Chinese Journal of Social Medicine,2015,32(5):390-393.
15.戴美琴,张永乐,周方文,等.微信健康教育模式对中青年高血压患者行为干预的应用[J].心脑血管病防治,2015,15(2):167-168.DAI Meiqin,ZHANG Yongle,ZHOU Fangwen,et al.Application of WeChat health education model in behavior intervention of young and middle-aged hypertensive patients[J].Prevention and Treatment of Cardio-Cerebral-Vascular Disease,2015,15(2):167-168.
16.刘爱花.微信教育对中青年高血压患者出院后自我管理能力的影响[J].中国药物与临床,2017,17(2):291-292.LIU Aihua.Effect of WeChat education on self-management ability of young and middle-aged hypertensive patients after discharge[J].Chinese Medicine and Clinical,2017,17(2):291-292.