摘要
目的分析基于微信平台的健康管理方案对<45岁高血压人群的干预效果。方法选取2016年1至12月在首都医科大学附属北京安贞医院进行健康体检的18~44岁的高血压患者作为研究对象。符合纳排标准的共1 128例,用随机数字表法分为微信干预组561例和对照组567例。两组完成生活方式问卷调查,并检测收缩压、舒张压、三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、体质指数(BMI)和脉搏波传导速度(PWV)。对照组健康管理师结合问卷和体检数据给出生活方式评估和健康改善建议报告。微信干预组在对照组的基础上通过智能手机加入健康微信群,上传问卷和体检信息形成电子健康档案、学习高血压相关知识、动态监测血压及生活方式、参加互动答疑等各环节。1年后随访,再次收集生活方式问卷和血压血脂等体检数据,共获得有效资料1 031例(微信干预组521例、对照组510例)。结果微信干预组年龄(33.1±10.6)岁,男性319例(61.2%);对照组年龄(32.8±10.2)岁,男性307例(60.1%),两组基线资料差异无统计学意义,具有可比性。随访1年微信干预组收缩压(142.4±10.4)mmHg(1 mmHg=0.133 kPa)、舒张压(85.1±8.2)mmHg,明显低于对照组(149.6±10.1)mmHg、(92.3±9.1)mmHg,差异有统计学意义(t=3.67、2.33,P<0.05)。微信干预组TG、TC、LDL-C、BMI、PWV分别为(1.6±0.6)mmol/L、(4.4±0.7)mmol/L、(2.8±0.4)mmol/L、(23.9±4.2)kg/m2、(11.3±3.7)m/s,低于对照组的(1.8±0.7)mmol/L、(5.0±0.8)mmol/L、(3.3±0.5)mmol/L、(25.9±4.5)kg/m2、(15.8±4.8)m/s,差异有统计学意义(t=6.63、7.24、4.96、5.68、9.25,P均<0.05)。微信干预组HDL-C(1.8±0.7)mmol/L高于对照组(1.4±0.4)mmol/L,差异有统计学意义(t=8.14,P<0.05)。微信干预组干预1年后每天运动时间[(40.5±12.2)min/d比(20.8±9.2)min/d]、蔬菜摄入量[(423.6±145.8)g/d比(204.8±79.3)g/d]、睡眠时间[(6.3±2.2)h/d比(5.9±1.7)h/
ObjectiveThis study aims to determine the effects of a health management program based on WeChat platform on a hypertensive population aged under 45. Methods1 128 hypertensive patients aged between 18 and 44 received a health examination from January 2016 to December 2016 and they were divided into intervention (n=561) and control (n=567)groups. The two groups were followed up after 1 year, and initially both the intervention group (n=521) and the control group (n=510) completed a lifestyle questionnaire, and their systolic blood pressure, diastolic blood pressure, triglyceride (TG), total cholesterol (TC), high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C),body mass index (BMI), and pulse wave velocity (PWV) were recorded. For the control group, lifestyle health management programs were conducted. For the intervention group, a learning platform was arranged on WeChat, which uploaded questionnaires, and provided medical information to create electronic health records. The group gained hypertension-related knowledge, dynamically monitored blood pressure and lifestyle, and participated in interactive question-and-answer sessions. Both groups were followed up after a year, and their systolic pressure, diastolic blood pressure, TG, TC, HDL-C, LDL-C,BMI, and PWV levels were measured. The changes in their daily exercise time, vegetable intake, sleep time, weekly blood pressure reading, smoking, and salt intake were recorded. ResultsThe mean age of the WeChat intervention group was 33.1 (+10.6) years, which had 319 males (61.2%), and the mean age of the control group was 32.8 (+10.2) years, with 307 males (60.1%). No difference of clinical data was found between the two groups at baseline. The systolic and diastolic blood pressure of the intervention group,(142.4±10.4) mmHg (1 mmHg=0.133 kPa)(85.1±8.2) mmHg was significantly lower than that of the control group (149.6±10.1)mmHg,(92.3±9.1) mmHg (t=3.67, 2.33, P<0.05) at the end of the first year of follow-up. The TG, TC, LDL-C,
作者
芦燕玲
潘伟琦
胡荣
Lu Yanling;Pan Weiqi;Hu Rong(Department of Physical Examination, Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China)
出处
《中华健康管理学杂志》
CAS
CSCD
2019年第4期299-303,共5页
Chinese Journal of Health Management
关键词
高血压
生活方式
健康管理
互联网
Hypertension
Life style
Health management
Internet platform
