家庭医生签约并微信平台指导在社区老年高血压患者健康管理中的应用  

Application of Family Doctor Signing and We Chat Platform Guidance in Health Management of Elderly Patients with Hypertension

作　　者：杨廷旭[1] 薛丽英[2] 魏娟[1] 王晓辉[1] 康发财[1] 李茜[1] 马燕[1] 薛宝凤 YANG Ting-xu;XUE Li-ying;WEI Juan;WANG Xiao-hui;KANG Fa-cai;LI Qian;Ma Yan;Xue Bao-feng(Southeast community health service center of Jiuquan people＇s Hospital of Gansu Province, Jiuquan, Gansu, 735000;Worker＇s Hospital of Yumen Petroleum Administration Bureau of Gansu Province, Yumen, Gansu, 735200)

机构地区：[1]甘肃省酒泉市人民医院东南社区卫生服务中心,甘肃酒泉735000 [2]甘肃省玉门石油管理局职工医院,甘肃玉门735200

出　　处：《智慧健康》2018年第5期172-174,共3页Smart Healthcare

摘　　要：目的探讨家庭医生利用手机微信管理社区老年高血压患者的效果。方法 2015年1月至2016年1月在酒泉市肃州区东南社区卫生服务中心确证的高血压病患者343例,随机分为观察组和对照组,对照组家庭医生常规管理高血压患者,观察组加用手机微信开展高血压健康教育和医患互动,通过比较两组患者干预前后1年的高血压指标和疾病自我管理能力的变化,以评价微信管理效果。结果观察组患者干预后血压、血脂指标比较均显著优于对照组(P<0.05);8个维度的SF-36量表评分比较观察组评分均优于对照组(P<0.05);干预后对高血压相关知识的知晓率观察组明显优于对照组(P<0.01);经1年干预治疗后患者主动参与健康活动的情况、遵医复查情况、按时服药情况3个方面观察组明显优于对照组(P<0.01,P<0.05)。结论家庭医生结合微信管理老年高血压患者可有效地改善患者的高血压指标和疾病自我管理能力,应提倡家庭医生利用微信平台强化高血压患者的健康教育和医患互动。Objective To explore the effect of family doctor using mobile phone We Chat to manage elderly patients with hypertension.Methods From January 2015 to January 2016 in patients with hypertension confirmed 343 cases, were randomly divided into observation group and control group.Control group were managed with routine management by family doctor and the observation group were added mobile phone We Chat to carry out health education of hypertension and doctor-patient interaction, through the changes of two groups were compared before and after intervention 1 years of hypertension and disease index to evaluate the ability of self management, We Chat management effect. Results The patients in the observation group after the intervention of blood pressure and blood lipid indexes were significantly better than the control group（P〈0.05）. The 8 dimensions of SF-36 scores in observation group were better than that in control group（P〈0.05）.Intervention on hypertension related knowledge awareness rate of observation group was significantly better than the control group（P〈0.01）.After 1 years of intervention after treatment of patients with active participation in health activities, compliance review, take medicine on time, 3 aspects of the observation group was significantly better than the control group（P〈0.01, P〈0.05）. Conclusion Family doctor with We Chat management of elderly patients with hypertension can effectively improve blood pressure index and disease self-management ability, family doctors should advocate strengthening health education and doctor-patient interaction in patients with hypertension by using the We Chat platform.

关 键 词：家庭医生 手机微信 高血压患者管理 

分 类 号：R473.2[医药卫生—护理学]