移动医疗慢性病管理系统对广西农村地区原发性高血压患者疾病管理能力及生活质量的影响  

Effects of mobile health care-based chronic disease management system on disease management ability and quality of life of patients with essential hypertension in Guangxi rural areas

作　　者：黄英华[1] 韦光武 何新桂 赵艳丽 梁冰玉 张海英 李虹 HUANG Ying-hua;WEI Guang-wu;HE Xin-gui;ZHAO Yan-li;LIANG Bing-yu;ZHANG Hai-ying;LI Hong(Department of Chronic Diseases,Chongzuo Center for Disease Control and Prevention,Chongzuo 532200,China;School of International Education,Guangxi Medical University,Nanning 530021,China;School of General Practice,Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西崇左市疾病预防控制中心慢病科,崇左市532200 [2]广西医科大学国际教育学院,南宁市530021 [3]广西医科大学全科医学院,南宁市530021

出　　处：《广西医学》2021年第7期834-837,853,共5页Guangxi Medical Journal

基　　金：广西自然科学青年基金(2014GXNSFBA118150)。

摘　　要：目的探讨移动医疗慢性病管理系统对广西农村地区原发性高血压患者疾病管理能力及生活质量的影响。方法将320例广西农村地区原发性高血压患者随机分为观察组和对照组,各160例。对照组采用高血压常规健康指导,观察组采用基于移动医疗的慢性病管理系统进行管理干预。比较两组患者干预后6个月的血压控制率、疾病知识知晓率、门诊就诊率、疾病管理能力及生活质量。结果(1)干预后,观察组患者的血压控制率、疾病知识知晓率、门诊就诊率均高于对照组(均P<0.05)。(2)干预后,观察组患者的饮食管理、运动管理、用药管理、血压测量、日常生活管理、情绪管理及疾病管理能力总评分均高于对照组(均P<0.05)。(3)干预后,观察组患者的简明健康质量量表各维度评分均高于对照组(均P<0.05)。结论基于移动医疗的慢性病管理系统可提高广西农村地区原发性高血压患者的疾病认知水平及疾病管理能力,有利于患者的血压管理,并提高患者生活质量。Objective To explore the effects of the mobile health care-based chronic disease management system on disease management ability and quality of life of patients with essential hypertension in Guangxi rural areas.Methods Totally 320 patients with essential hypertension from Guangxi rural areas were randomly divided into observation group(n=160)and control group(n=160).The control group received conventional health guidance regarding hypertension,and the observation group received management intervention using the mobile health care-based chronic disease management system.The blood pressure control rate,disease knowledge awareness rate,outpatient visit rate,disease management ability,and quality of life were compared between the two groups six months after intervention.Results(1)After intervention,patients in the observation group exhibited higher blood pressure control rate,disease knowledge awareness rate and outpatient visit rate than the control group(all P<0.05).(2)After intervention,patients in the observation group achieved higher total scores for diet management,sport management,medication management,blood pressure measurement,daily life management,emotion management and disease management abilities as compared with the control group(all P<0.05).(3)After intervention,patients in the observation group yielded higher scores for all dimensions of the 36-Item Short Form Health Survey scale than the control group(all P<0.05).Conclusion The chronic disease management system based on mobile health care can improve the cognitive level of the disease and the ability of disease management in patients with essential hypertension in Guangxi rural areas,which contributes to blood pressure management and improves quality of life in the patients.

关 键 词：原发性高血压 移动医疗 慢性病管理系统 血压控制 疾病管理能力 生活质量 农村地区 广西 

分 类 号：R544.11[医药卫生—心血管疾病] R197.1[医药卫生—内科学]