摘要
目的探讨基于互联网的中高危心血管病危险人群管理模式的效果。方法将346例具有中高危心血管病风险人群随机分为观察组和对照组。观察组采用基于互联网的管理模式,对照组采用传统慢病管理模式。2年后比较两组人群死亡率、心血管病发生率以及心血管病发病风险。结果健康管理后,观察组收缩压、血清总胆固醇水平和吸烟率均低于对照组,差异均有统计学意义(t分别=7.22、8.00,χ~2=2.14,P均<0.05)。观察组的高危心血管病危险人群占比低于对照组,低危心血管病危险人群占比高于对照组,差异均有统计学意义(χ~2分别=15.37、3.57,P均<0.05)。结论移动互联网技术在社区慢病管理中具有重要的作用,可以降低心血管病发病危险,降低收缩压、血清总胆固醇水平和吸烟率。
Objective To explore the effect of internet-based management model for moderate and high risk population of cardiovascular disease.Method A total of 346 cases with moderate and high risk of cardiovascular disease were randomly divided into observation group and control group.Observation group received internet-based management model,whereas the control group received traditional management model of chronic disease.The mortality,incidence of cardiovascular disease and cardiovascular risk between two groups were compared after 2 years. Results After health management,the systolic blood pressure,serum total cholesterol level and smoking rate of the observation group were lower than those of the control group(t=7.22,8.00 χ~2=2.14,P<0.05).Compared with the control group,the proportion of highrisk group was lower in the observation group,and the proportion of low-risk group was higher(χ~2=15.37,3.57,P<0.05). Conclusion Internet-based management plays an important role in chronic disease management in communities with decreasing the risk of cardiovascular disease,systolic blood pressure,serum cholesterol level and smoking rate.
引文
1中华医学会心血管病学分会,中华心血管病杂志编辑委员会,中国医师协会循证专业委员会,等.无症状成年人心血管病危险评估中国专家共识[S].中华心血管病杂志,2013,43(10):820-825.
2曾哲淳,吴兆苏,陈伟伟.基于移动互联网技术的中国人缺血性心血管病发病风险模型研究与评估工具的开发[J].心肺血管病杂志,2016,35(1):1-5.
3葛卫红,谢菡.慢病管理现状[J].药学与临床研究,2012,20(6):479-484.
4朱利芳,陈艳梅.医联体一家庭签约服务制家庭式慢病管理模式的应用效果分析[J].中国当代医药,2016,23(29):149-152.