摘要
目的:探索新冠疫情应急期间“1+1+1”签约模式下互联网管理模式对高血压管理的效果。方法:于2021年1月筛选200例高血压患者,随机分为互联网组和传统组。传统组有97例,其中男性46例,女性51例,平均年龄为(66.27±11.36)岁;互联网组有99例,其中男性40例,女性59例;平均年龄为(63.19±10.17)岁。传统组按照上海市公共卫生服务要求管理高血压患者,互联网组利用微信建群等“互联网+”手段开展高血压管理。比较两组患者干预前后体质量指数、血压、广泛性焦虑障碍量表(GAD-7)评分及一般自我效能感量表的评分。结果:干预前两组体质量指数、血压水平、GAD-7和一般自我效能感量表评分的差异均无统计学意义(均P>0.05)。干预3个月时,互联网组的收缩压和舒张压水平低于传统管理组,差异均有统计学意义[(132.59±7.36)mmHg比(139.27±7.53)mmHg和(81.35±6.53)mmHg比(85.55±7.00)mmHg,均P<0.05]。干预12个月后,互联网组的GAD-7评分低于传统管理组[(0.87±0.97)分比(1.67±1.92)],一般自我效能感量表评分高于传统管理组[(2.66±0.36)分比(2.40±0.29)分],差异均有统计学意义(均P<0.05)。结论:应急期间“1+1+1”签约模式下互联网高血压管理可以替代传统高血压管理方法,且在患者焦虑改善和一般自我效能提高方面更具有优势。
Objective:To study the effect of Internet management mode on hypertension management under the“1+1+1”contract mode during emergency period.Methods:Two hundred patients with hypertension were screened in Jan.2921,and randomly divided into an Internet group and a traditional group.The traditional group had 97 cases,among them,there were 46 males and 51 females,and the average age was(66.27±11.36)years;the Internet group had 99 cases,among them,there were 40 males and 59 females;the average age was(63.19±10.17)years.The traditional group conducted management of the patients with hypertension according to the requirements of Shanghai public health services,and the Internet group used“Internet plus”means such as WeChat group building to carry out hypertension management.The BMI,blood pressure,generalized anxiety disorder scale(GAD-7),and general self-efficacy scale of the two groups of patients before and after intervention were compared.Results:Before intervention,there was no statistically significant difference in BMI,blood pressure levels,GAD-7 and general self-efficacy scale of the two groups of patients(P>0.05).After three months of intervention,the systolic and diastolic blood pressures in the Internet group were lower than those in the traditional group,and the difference was statistically significant[(132.59±7.36)mmHg vs(139.27±7.53)mmHg and(81.35±6.53)mmHg vs(85.55±7.00)mmHg,P<0.05].After intervention of 12 months,GAD-7 in the Internet group was lower than that in the traditional group[(0.87±0.97)vs(1.67±1.92)],and general self-efficacy scale in the Internet group was higher than that in the traditional group(2.66±0.36)vs(2.40±0.29),and the difference was statistically significant(P>0.05).Conclusion:Internet hypertension management under the“1+1+1”contract mode during emergency period can replace traditional hypertension management methods,and has more advantages in improving patients’anxiety and general self-efficacy.
作者
孙月星
施巨银
朱孝燕
黄士超
SUN Yuexing;SHI Juying;ZHU Xiaoyan;HUANG Shichao(General Practice Department of Xinhong Community Health Service Center of Minhang District,Shanghai 201100,China)
出处
《上海医药》
CAS
2023年第24期54-57,共4页
Shanghai Medical & Pharmaceutical Journal
基金
2020年闵行区卫生健康委员会科研课题(2020MW44)。
