医联体模式下基于微信平台的健康教育在门诊高血压病患者管理中的应用  

Effects of WeChat-based health education on management of hypertensive outpatients under medical consortium

作　　者：孙桂兰[1] 贺孟萍 徐元文 苏柳[1] 双黎莉 田媛 宋丽丽[1] 黄晋 张潇[1] 余振球[1] Sun Guilan;He Mengping;Su Liu;Shuang Lili;Tian Yuan;Song Lili;Huang Jin;Zhang Xiao;Yu Zhenqiu(Multidisciplinary Clinics,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Datun Community Health Service Center,Chaoyang District of Beijing,Beijing 100101,China Xu Yuanwen)

机构地区：[1]首都医科大学附属北京安贞医院多学科门诊,100029 [2]北京市朝阳区大屯社区卫生服务中心,100101

出　　处：《中华现代护理杂志》2020年第17期2355-2360,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨医联体模式下基于微信平台的健康教育在门诊高血压病患者管理中的应用效果。方法选择2018年11月—2019年4月于首都医科大学附属北京安贞医院多学科门诊及北京市朝阳区大屯社区卫生服务中心(所属社区为我院医联体)就诊的180例高血压病患者作为研究对象,按照就诊时间分为观察组(91例)和对照组(89例)。对照组采用常规健康教育方法,观察组按照医联体模式开展6个月的基于微信平台的健康教育。比较两组的自我管理能力(采用高血压病患者自我管理行为测评量表)、治疗依从性(采用高血压病治疗依从性评价量表)、24 h平均收缩压和舒张压、白昼平均收缩压和舒张压、夜间平均收缩压和舒张压的差异。结果干预后,观察组饮食管理、用药管理、病情监测、运动管理、工作与休息、情绪管理6个方面的得分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组的遵医服药行为、不良服药行为、日常活动管理行为及烟酒嗜好4个方面的得分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组24 h平均收缩压和舒张压、白昼平均收缩压和舒张压、夜间平均收缩压和舒张压均下降,与对照组比较,差异均有统计学意义(P<0.05)。结论医联体模式下微信平台提供了规范、一致、连续、有效的健康教育,可提高门诊高血压病患者的自我管理能力和治疗依从性,能够有效控制血压水平,实际应用效果良好。Objective To explore the effects of WeChat-based health education on management of hypertensive outpatients under medical consortium.Methods Totally 180 hypertensive patients who attended the Multidisciplinary Clinics of Beijing Anzhen Hospital,Capital Medical University,and Datun Community Health Service Center from communities under our medical consortium from November 2018 to April 2019 were selected and divided into the observation group(n=91)and the control group(n=89)according to the visit time.Patients in the control group received routine health education,while patients in the observation group received WeChat-based health education under medical consortium for 6 months.The self-management ability(using Hypertension Patients Behavior Rating Scale,HPSMBRS),treatment compliance(using Therapeutic Adherence Scale for Hypertensive Patients,TASHP),the 24 h average systolic and diastolic blood pressure,the average systolic and diastolic blood pressure at daytime,and the average systolic blood pressure and diastolic blood pressure at night were compared between the two groups.Results After the intervention,the diet management,medication management,disease monitoring,exercise management,work and rest and emotional management scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the medication-taking behavior,bad medication-taking behavior,daily activity management behavior and tobacco and alcohol addiction scores were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the 24 h average systolic and diastolic blood pressure,average systolic and diastolic blood pressure at daytime and average systolic and diastolic blood pressure at night decreased in the observation group,and the differences were statistically significant compared with the control group(P<0.05).Conclusions The WeChat platform under medical consortium provides standardized,consis

关 键 词：高血压 社区卫生中心 医联体 微信 健康教育 自我管理 

分 类 号：R473.5[医药卫生—护理学]