“移动互联网+”导向的达标管理模式在老年高血压患者中的应用  

Application of"Mobile Internet+"oriented compliance management model in elderly patients with hypertension

作　　者：张庆娜[1] 汪苗 徐冬菊 蒋品[1] 李若男 ZHANG Qingna;WANG Miao;XU Dongju;JIANG Pin;LI Ruonan(The First Affiliated Hospital of Anhui Medical University,Hefei,230022,China)

机构地区：[1]安徽医科大学第一附属医院干部心内科,安徽省合肥市230022 [2]皖南医学院护理学院

出　　处：《护理实践与研究》2023年第11期1594-1599,共6页Nursing Practice and Research

基　　金：安徽省教育厅2019年度高校优秀青年人才支持计划项目(编号:gxyqZD2019039)。

摘　　要：目的探讨“移动互联网+”导向的达标管理模式在高血压患者中的应用效果。方法选择2019年12月—2020年12月在安徽省某三甲医院干部心内科就诊的108例高血压患者,按照组间基本特征具有可比性的原则分为对照组49例和观察组59例。对照组给予病区常规自我管理干预模式,观察组采用“移动互联网+”导向的达标管理模式。随访3个月,比较两组患者血压达标率、自我管理水平、自我效能、疾病知识知晓情况。结果干预结束后,观察组患者血压达标率为83.05%,高于对照组的61.22%,差异有统计学意义(P<0.05);观察组自我管理水平中饮食管理、用药管理、工作与休息管理、运动管理、病情监测评分高于对照组,自我效能均分、疾病知识掌握评分高于对照组,差异均有统计学意义(P<0.05)。结论对高血压患者而言,“移动互联网+”导向的达标管理模式在提高患者的自我管理能力、自我效能、血压控制率、疾病知识掌握等方面有较好的效果,具备可行性与实用性,是适应时代背景的一项健康教育新举措。Objective To explore the application effect of the"Mobile Internet+"oriented compliance management model in patients with hypertension.Methods 108 hypertensive patients who visited the Cardiology Department of a Class III Grade A hospital in Anhui Province from December 2019 to December 2020 were selected and divided into a control group of 49 cases and an observation group of 59 cases based on the principle of comparability of basic characteristics between groups.The control group was given the routine self-management intervention model of the ward,the observation group was given the"Mobile Internet+"oriented standard management model.Follow up for 3 months and compare the blood pressure compliance rate,self-management level,self-efficacy,and disease knowledge awareness between the two groups of patients.Results After the intervention,the blood pressure compliance rate of the observation group patients was 83.05%,which was higher than 61.22%of the control group,with a statistically significant difference(P<0.05);The self-management scores of the observation group in terms of diet management,medication management,work and rest management,exercise management,and disease monitoring were higher than the control group.The average scores of self-efficacy and disease knowledge mastery were higher than the control group,the differences were statistically significant(P<0.05).Conclusion For patients with hypertension,the"Mobile Internet+"oriented standard management model had a good effect in improving patients'self-management ability,self-efficacy,blood pressure control rate,disease knowledge,etc.It is feasible and practical,and is a new health education measure that adapts to the background of the times.

关 键 词：移动互联网 高血压 自我管理 达标理论 血压达标率 自我效能 

分 类 号：R473.54[医药卫生—护理学]