移动网络在社区老年高血压管理中的效果及满意度调查  

The Effect and Satisfaction of Mobile Network in the Hypertension Management of Communitydwelling Older Adults

作　　者：姚琳 尚丹梅 赵慧 刘新宇 刘永伟 姜涌 YAO lin;SHANG Danmei;ZHAO Hui;LIU Xinyu;LIU Yongwei;JIANG Yong(College of Biological Information Engineering,Jinzhou Medical University,Jinzhou 121001,China;Department of Geriatrics,First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121001,China;Information Center of the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121001,China)

机构地区：[1]锦州医科大学生物信息工程学院,辽宁省锦州市121001 [2]锦州医科大学附属第一医院老年医学科,辽宁省锦州市121001 [3]锦州医科大学附属第一医院信息中心,辽宁省锦州市121001

出　　处：《中国全科医学》2024年第1期85-90,共6页Chinese General Practice

基　　金：辽宁省科学事业公益研究基金(软科学研究计划)项目(2022JH4/10100061);辽宁省社会科学规划基金项目(L21BRK001)。

摘　　要：背景在信息技术与各行业深度融合和国家大力提倡发展智慧医疗的背景下,社区慢性病管理也由传统模式逐步向信息化、智慧化管理模式探索和转变。在逐步进入深度老龄化社会的情况下,信息化慢性病管理对老年群体是否有效需要明确。目的了解移动网络在老年慢性病管理中的作用,并调查其满意度,旨在为开展相关慢性病信息化管理研究提供参考。方法采用便利抽样法,于2022年1—7月选取锦州市凌河区下辖4个社区650例在社区卫生服务中心登记的高血压老年患者作为研究对象,在知情、自愿前提下,按照居住位置就近优先原则将老年人分为干预组和对照组,每组325例。对照组采用常规社区慢性病管理方式,每两个月面对面随访1次,干预组在对照组的基础上采用移动网络高血压管理方式,干预时长6个月。干预结束后使用高血压知识水平量表(HK-LS)、高血压治疗依从性量表(TASHP)和自我管理行为测评量表(HPSMBRS)进行效果评价,并进行满意度调查。结果干预后,干预组HK-LS、TASHP和HPSMBRS各维度评分均高于对照组(P<0.05)。93.5%(275/294)的老年人认为移动网络辅助高血压管理方便了就医、86.4%(254/294)的老年人认为能节约就医成本,80.6%(237/294)的老年人认为有助于病情监测;进一步调查影响管理效果的因素主要有身体因素、心理因素、对软硬件设备的不满。结论移动网络辅助社区高血压管理能有效提升老年患者高血压知识水平、治疗依从性和自我行为管理能力,且满意度较高。Background In the context of the deep integration of information technology with various industries,as well as the strong promotion of the development of smart healthcare by the country,the management of chronic diseases in community has also been gradually explored and transformed from the traditional mode to the informationized and intelligent management mode.In the case of deep aging gradually,it is necessary to clarify whether informationized chronic disease management is effective for the elderly population.Objective To understand the role of mobile network in the management of chronic diseases in the elderly,so as to provide reference for research on informationized management of related chronic diseases.Methods Using convenience sampling method,a total of 650 elderly hypertensive patients registered with community health service centers in four communities under the jurisdiction of Linghe District,Jinzhou City were selected as study subjects from January to July 2022.The study subjects were divided into the intervention group and control group based on the principle of prioritizing the proximity of living location under informed voluntary consent,with 325 cases in each group.The control group was treated with routine community chronic disease management and face-to-face follow-up once every two months.The intervention group was treated with network hypertension management based on the control group,with an intervention of 6 months.The effects were evaluated using the Hypertension Knowledge Level Scale(HK-LS),Therapeutic Adherence Scale for Hypertensive Patients(TASHP),and Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS),and a satisfaction survey was conducted.Results After the intervention,the scores of HK-LS,TASHP and HPSMBRS dimensions in the intervention group were higher than those in the control group(P<0.05);93.5%(275/294)of the older adults believed that mobile network-assisted hypertension management facilitated access to medical care,86.4%(254/294)believed that it saved the cos

关 键 词：高血压 慢性病 社区慢病管理 老年人 移动网络 病人满意度 治疗结果 

分 类 号：R544.1[医药卫生—心血管疾病]