基于QQ平台的社区年青高血压患者管理模式研究  

The QQ Platform-based Community Management Model Use for Young Patients with Hypertension

作　　者：张淼[1] 刘敬华[2] 潘运波 

机构地区：[1]广东省深圳市福田区人民医院福南社康中心,广东深圳518033 [2]广东省深圳市福田区人民医院福田社康中心 [3]广东省深圳市福田区人民医院

出　　处：《中国医学创新》2014年第12期102-104,共3页Medical Innovation of China

基　　金：深圳市宝安区科学技术创新局立项项目(2013304)

摘　　要：目的:研究基于QQ平台的社区年青高血压患者管理模式,以便建立一种适合年青高血压患者经济、简便及有效的管理模式,规范各类QQ平台下的管理行为,创建各种问题模板,进一步在社康中心推广,从而提高社区年青高血压患者血压控制率。方法:选择笔者所在市四家社康中心2013年1月-2014年1月管理的35岁及以下高血压患者136例作为研究对象,根据患者自愿原则分为试验组与对照组,其中试验组75例愿意参加研究(签署知情同意书),采取QQ平台管理,对照组61例不愿意参加研究,依然采用常规电话及门诊随访管理。对比分析两组患者管理效果,包括管理前后防治知识知晓率、规范服药率、血压控制良好率。结果:试验组管理后防治知识知晓率、规范服药率、血压控制良好率均有明显提升,相较于管理前差异均有统计学意义(P<0.01)。对照组管理前后(除血压控制率)比较差异均无统计学意义(P>0.05)。管理后,试验组防治知晓率为90.67%、规范服药率为92.00%、血压控制良好率为78.67%,显著优于对照组的72.13%、70.49%、29.51%,组间比较差异均有统计学意义(P<0.01)。结论:针对社区年青高血压患者采取基于QQ平台的社区管理模式管理,可以明显提高患者防治知识知晓率、规范服药率、血压控制良好率,并且该管理模式简便、经济,值得社康中心推广应用。Objective：To study the QQ platform-based community management model for young patients with hypertension,so as to establish an economic,simple and effective management model suitable for young patients with hypertension,to regulate the management behaviors under various types of QQ platform,to create various problem templates, to further promote in the community health center,and thus to improve the blood pressure control rate of young patients with hypertension in the community. Method：136 patients with hypertension aged 35 years old and below were selected as the objects of study. They were managed in four community health centers in the city where the author lived from January 2013 to January 2014. According to the principle of voluntariness,the patients were divided into the experimental group and the control group. In the experimental group,75 cases of patients were willing to participate in the study（with informed consent）and given the QQ platform-based management,while in the control group,61 patients were unwilling to participate in the study,who were still given regular phone and outpatient follow-up managements. The management effects were compared and analyzed between two groups,included the awareness rate of prevention knowledge,the standardize medication rate, and good blood pressure control rate before and after management. Result：The awareness rate of prevention knowledge,the standardize medication rate,and good blood pressure control rate after management in the experimental group were obviously improved,with significant differences compared to those before management（P〈0.01）,but without significant differences in the control group（P〉0.05）. The awareness rate of prevention knowledge（90.67%）,the standardize medication rate（92.00%）, and good blood pressure control rate（78.67%）after management in the experimental group were significantly better than those in the control group（72.13%,70.49%and 29.51%）,and the difference between the two groups were statistically si

关 键 词：QQ平台 社康中心 高血压 年青患者 管理模式 研究 

分 类 号：R473.2[医药卫生—护理学]