摘要
目的探讨移动医疗D2C模式在基层社区高血压病防治中的作用,并研究移动医疗D2C模式应用于基层社区高血压病及慢性病管理中的深远意义。方法选取2014年1—6月镇江市江滨医疗集团京口区健康路社区卫生服务中心确诊并收治的高血压病患者103例,随机分为2组,A组为移动医疗慢病管理模式组(59例),B组为慢病传统管理模式组(44例)。其中A组运用D2C移动医疗模式对患者进行管理,B组进行常规门诊诊疗。比较2组高血压病患者在进行管理前和管理12个月后的高血压病控制效果;同时比较2组患者疾病知晓情况、并发症发生情况、满意度以及院外自我管理等情况。结果 A组末期收缩压、舒张压、体重指数、空腹血糖、甘油三酯均低于B组水平,差异有统计学意义(P<0.05)。2组患者疾病知晓情况、并发症、满意情况、院外管理情况相比较差异有统计学意义(χ~2=9.397、11.928、7.555、9.936,均P<0.05),说明A组的知晓情况、满意情况、院外管理情况优于B组,且并发症发生少。结论移动医疗D2C模式在基层社区高血压病管理中的应用加强了基层社区卫生机构对高血压病患者疾病的控制,提高了高血压病患者对高血压病知识的掌握,强化了高血压病患者自我管理的能力,减少了高血压病患者的并发症,获得患者对移动医疗的满意认可,最终塑成了高血压病患者的科学生活理念,提高了该社区高血压病患者的生活质量。
Objective This study is aimed to explore the role of mobile health D2C model on the prevention and management of hypertension in primary community hospital, and to study the far-reaching significance of D2C model in the management of hypertension and chronic disease in grass-roots community. Methods Patients diagnosed with hypertension and treated at community health service center in Health Road, Jingkou District, Zhenjiang City from January to June 2014 were randomly selected. Altogether 103 cases were randomly divided into two equal groups, and group A is mobile health chronic disease management model group（59 cases）and group B is traditional management model of chronic disease con- trol group（44 cases）. Comparison of two groups of patients before and after 12 months of management and control of hypertension was made between the two groups. The awareness of disease,the incidence of complications,the degree of satisfaction and the self-management outside the hospital of patients in group A and group B were also compared. Results The systolic blood pressure, diastolic blood pressure, body mass index, fasting blood glucose and triglyeeride in group A are all lower than the group B, and the differences were significant （ P 〈 0.05 ）. By comparing hypertension patients＇ awareness of hypertensive disease, the incidence of complications, the degree of satisfaction and the level of self-management outside the hospital in two groups, the ehi-square values were 9. 397,11. 928,7. 555,9. 936 respectively （ P 〈 0.05）, the difference was statistically significant. Showing that the hypertension patients of group A had better awareness of hypertensive disease, satisfaction, self-management ability outside the hospital, and had fewer complications. The disease control effect of group A was better than the group B. The patients applied with mobile health D2C model had better awareness of disease, satisfaction, self-management ability outside the hospital, and had fewer complications. Conclusion The application of mobile health D2C model in the management of chronic diseases in gross-roots community strengthened the control of chronic diseases, reinfbrced the ability of mastering knowledge and self-management of chronic disease patients, reduced the complications, obtained satisfactory recognition of patients with mobile health, and eventually developed scientific concept of life and improved quality of life of chronic diseases patients in the community.
出处
《中华全科医学》
2017年第7期1194-1197,共4页
Chinese Journal of General Practice
基金
中国学位与研究生教育研究课题(C-2015Y0603-126)
关键词
移动医疗
基层社区
高血压病
Mobile Health
Community hospital
Hypertensive disease
