摘要
目的通过微信小程序对老年高血压患者进行健康管理,观察其健康管理效率。方法2018年1月至12月就诊于解放军第305医院心血管内科门诊及体检中心的患者130例,因不能及时复诊、更改联系方式失访10例,共入组120例。男性68例,女性52例,年龄65~78(68.2±2.6)岁。按初次就诊时间依次分为2组,干预组(采用微信小程序进行多学科团队式健康管理)60例,常规组(接受门诊常规健康教育指导)60例,比较2组患者干预3、6个月后的收缩压、舒张压、人体成分参数、人体学参数、患者依从性和自我效能。采用SPSS 21.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ^2检验进行组间比较。结果与干预前比较,干预后3、6个月,2组患者收缩压和舒张压均降低;与常规组比较,干预组收缩压和舒张压显著降低(P<0.05),干预组6个月的体质量指数、腰围、腰臀比、体脂率、内脏脂肪面积、腹部肥胖阶段均降低,服药依从性和自我效能提高,差异有统计学意义(P<0.05)。结论应用微信小程序进行多学科团队式健康管理,有利于控制血压,改善体脂分布,改善老年高血压患者自我效能,提高服药依从性。
Objective To observe efficiency of health management for elderly hypertensive patients through WeChat applet.Methods Out of 130 elderly hypertensive patients admitted to the Outpatient Cardiology Clinic and Physical Examination Center in Chinese PLA Hospital No.305 from January to December 2018,10 were lost to follow-up due to inability to return to the clinic or change of contact information.120 were enrolled for the study[68 males and 52 females;aged 65-78(68.2±2.6)years].They were divided into two groups according to the first visit time successively:the intervention group(n=60)who received multidisciplinary health management using WeChat applet and the routine group(n=60)who received routine health education.The two groups were compared at 3 and 6 months in systolic blood pressure,diastolic blood pressure,body composition parameters,anthropological para-meters,patient compliance and self-efficacy.SPSS statistics 21.0 was used for data analysis.According to different data type,t test orχ^2 test was used for data comparison between the two groups.Results At 3 and 6 months as compared with pre-intervention,systolic and diastolic blood pressures were reduced in both groups.Systolic and diastolic blood pressures were more significantly reduced in the intervention group than in the routine group(P<0.05).Body mass index,waist circumference,waist-to-hip ratio,percentage of body fat,visceral fat area,and abdominal obesity were all reduced in the intervention group.Medication compliance and self-efficacy were improved in the intervention group with statistically significant difference(P<0.05).Conclusion Employment of WeChat applet for health management is conducive to controlling blood pressure,improving body fat distribution,improving medication compliance and self-efficacy in the elderly patients with hypertension.
作者
马建新
张金萍
崔莲
王光辉
霍文静
刘丽丽
方玮
马建慧
MA Jian-Xin;ZHANG Jin-Ping;CUI Lian;WANG Guang-Hui;HUO Wen-Jing;LIU Li-Li;FANG Wei;MA Jian-Hui(Cadre Ward,Chinese PLA Hospital No.305,Beijing 100017,China;Department of Medical Administration,Chinese PLA Hospital No.305,Beijing 100017,China;Department of Basic Medicine,Nursing School Affiliated to Capital Medical University,Beijing 100070,China)
出处
《中华老年多器官疾病杂志》
2020年第12期895-899,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
基金
军队保健专项(17BJZ07,18BJZ44)。
