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高血压患者远程管理效果研究

  

  1. 1.天津市人民医院 肾脏病科,天津 300121;2.天津医科大学眼科医院 门急诊,天津 300384
  • 出版日期:2018-12-05 发布日期:2019-01-17
  • 通讯作者: 通信作者:马良,Email:rmyymaliang@163.com

Research on remote management effects of hypertensive patients

  1. 1.Department of Nephrology, Tianjin People's Hospital, Tianjin 300121, China; 2. Department of Emergency, Ophthalmology Hospital, Tianjin Medical University, Tianjin 300384, China
  • Online:2018-12-05 Published:2019-01-17
  • Contact: Corresponding author:Ma Liang,Email: rmyymaliang@163.com

摘要: 目的 通过信息网络平台对门诊高血压患者实施远程管理,研究该方法对提高患者血压达标率的意义。方法 选择2016年1月至2018年1月的1 294例门诊高血压患者为观察对象,随机分成对照组(646例)和干预组(648例),对照组进行常规随访,干预组除常规随访外,通过信息网络互动平台建立高血压远程管理,定期监测患者血压并结合血压变化及时给予医疗指导。比较两组生活干预、依从性、血压达标率及干预前后两组血压变化情况。结果 两组低盐饮食、控制体重、适度运动、戒烟、限制饮酒、心理平衡等干预后比较差异有统计学意义(P<0.01);两组依从性、血压达标率比较差异有统计学意义(P<0.01)。结论 通过信息网络平对高血压患者实施远程管理,可提高患者血压达标率。

关键词: 高血压, 社交网络, 达标率

Abstract: Objective  To implement remote management of outpatients with hypertension through an information network platform and to investigate the significance in improving the blood pressure compliance rate of patients. Methods  A total of 1 294 outpatients with hypertension from January 2016 to January 2018 were selected as observation objects and were randomly divided into control group (646 cases) and intervention group (648 cases). The control group was followed up routinely. The intervention group was excluded from routine followup. Through the WeChatbased information network interactive platform, patients were given with regular monitoring of blood pressure and timely medical guidance in conjunction with changes in blood pressure.  Comparison was made in the living intervention, compliance and blood pressure compliance rate between two groups. The blood pressure was detected between two groups before and after study. Results  The intervention group had statistically significant difference  in the lowsalt diet, weight control, moderate exercise, smoking cessation, alcohol restriction, psychological balance and other life interventions(P<0.01). The intervention group was in compliance with the patients' blood pressure. The rate was statistically significant when comparing with the control group (P<0.01). Conclusion  The remote management of hypertensive patients through information network can improve the blood pressure compliance rate.

Key words: hypertension, social networking, compliance rate