本文選題：高血壓　切入點(diǎn)：微信　出處：《中國全科醫(yī)學(xué)》2017年S2期 　論文類型：期刊論文

【摘要】：目的以微信為通信工具,探討以移動(dòng)互聯(lián)網(wǎng)為媒介的健康教育對在職高血壓患者自我管理的影響。方法選取2015年9月—2016年9月淮安市第一人民醫(yī)院體檢中心在職高血壓患者600例,隨機(jī)分為試驗(yàn)組(310例)通過微信群進(jìn)行健康教育,對照組(290例)常規(guī)健康教育和門診隨訪。6個(gè)月后對兩組動(dòng)態(tài)血壓、生活方式、服藥依從性、及血壓達(dá)標(biāo)率進(jìn)行評價(jià)比較。結(jié)果收集596例患者完整資料,其中試驗(yàn)組306例,對照組290例。6個(gè)月后,試驗(yàn)組24 h、白晝、夜間收縮壓、舒張壓均低于對照組(P0.05)。試驗(yàn)組干預(yù)后戒煙、限酒、增加運(yùn)動(dòng)、食鹽攝入評分均高于對照組(P0.05)。試驗(yàn)組干預(yù)后服藥依從率、血壓達(dá)標(biāo)率均高于對照組(P0.05)。結(jié)論微信方式移動(dòng)互聯(lián)網(wǎng)健康教育可促進(jìn)在職高血壓患者改善生活方式、提高服藥依從性,增加血壓控制達(dá)標(biāo)率,實(shí)現(xiàn)有效高血壓自我管理。
[Abstract]:To use WeChat as a communication tool, To explore the effect of health education mediated by mobile Internet on self-management of in-service hypertension patients. Methods 600 in-service hypertension patients were selected from September 2015 to September 2016 in the physical examination Center of the first people's Hospital of Huaian City. They were randomly divided into trial group (310 cases) and control group (290 cases) by WeChat group) routine health education and outpatient follow-up. After 6 months, ambulatory blood pressure, lifestyle, and drug compliance were observed in both groups. Results the complete data of 596 patients were collected, including 306 cases in the experimental group and 290 cases in the control group. After 6 months, the systolic blood pressure, diastolic pressure and systolic blood pressure in the experimental group were lower than those in the control group after 24 h, day, night, and diastolic blood pressure were lower than those in the control group (P 0.05). The scores of alcohol restriction, exercise, salt intake were higher than those of the control group (P 0.05A). The compliance rate and blood pressure of the experimental group were higher than those of the control group. Conclusion the mobile internet health education in WeChat mode can promote the improvement of life style in the patients with hypertension. Improve drug compliance and blood pressure control to achieve effective self-management of hypertension.
【作者單位】： 南京醫(yī)科大學(xué)附屬淮安第一醫(yī)院(淮安市第一人民醫(yī)院)心內(nèi)科;南京醫(yī)科大學(xué)附屬淮安第一醫(yī)院(淮安市第一人民醫(yī)院)腎內(nèi)科;
【分類號】：R544.1

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