| ObjectiveToestablish a healthy education model based on mind map and We Chat platformwith an Online To Offline mode(O2O)as the background(O2O-MM-W model),and to study the effects of blood pressure levels,medication compliance,self-efficacy,quality of life,and related knowledge in middle-aged and young patients with hypertension,and provide a theoretical basis for a new health education model for young and middle-aged patients with hypertension.Methods168 cases of young and middle-aged hypertensive patients who were treated in a cardiovascular medical clinic of a tertiary Class A general hospital in Fujian Province from December 2018 to December 2019 wereselected.Middle-aged and young patients with hypertension who met the inclusion and exclusion criteria were randomly divided into a study group and a control group according to the Excel random number generator.Patients in the study group were given O2O-MM-W model cardiology health education,and patients in the control group were given conventional cardiology health education.All patients who met the inclusion criteria were followed up,and the blood pressure control levels of the two groups were compared before and after 3 months of health education intervention.Differences in self-efficacy,medication compliance and quality of life,and hypertension-related knowledge in the two groups were evaluated after 3 months of intervention.Chi-square test wasusedforcount data and Kendall’s tau-b grade data chi-square test for grade count data.Independent sample t-test was used for inter group measurement data.paired sample t-test wasusedforcomparison of measurement data before and after the intervention in the group.P<0.05 indicated statistical significance.Results(1)A total of 168 eligible patients were enrolled,and the recruitment rate was121.74%(168/138).There were 84 cases in the study group and 84 cases in the control group.(2)Before the intervention,the systolic blood pressure(SBP)of the study group and the control group were(153.62±18.11)mm Hg and(152.98±18.8)mm Hg,respectively(t=0.226,P=0.822);and the diastolic blood pressure(DBP)were(103.56±8.84)mm Hg and(101.73±8.78)mm Hg,respectively(t=1.349,P=0.179).There were no statistical differences between the groups in both SBP and DBP.After 3 months of intervention,the levels of SBP and DBP in patients in the study group and the control group decreased significantly.The decrease in SBP in the study group was(23.83±17.94)mm Hg,and the difference before and after the comparison was statistically significant(t=12.177,P<0.001);The decrease of SBP in the control group was(18.69±16.59)mm Hg,and the difference before and after the comparison was statistically significant(t=10.324,P<0.001).The decrease of DBP in the study group was(18.4±9.9)mm Hg,and the difference before and after the comparison was statistically significant(t=17.043,P<0.001);the decrease of DBP in the control group was(13.99±11.5)mm Hg,and the difference before and after the comparison was statistically significant(t=11.149,P<0.001).After the intervention,the SBP of the two groups of patients were(129.79±10.96)mm Hg and(134.29±11.63)mm Hg(t=-2.581,P=0.011);and the DBP was(85.15±6.7)mm Hg and(87.74±7.42)mm Hg(t=-2.368,P=0.019).After the intervention,the blood pressure of the study group decreased more than that of the control group.(3)The self-efficacy scale:the average self-efficacy score of the study group after intervention was(36.38±3.21)points,which was higher than that of the control group(34.62±3.30)points;and the difference was statistically significant(t=3.507,P=0.001).(4)The medication compliance scale(MAQ):the total scores of medication compliance after the intervention of the study group and the control group(3.19±0.94)points and(3.06±0.7)points,respectively;which were similar and there was no statistical difference(t=1.026,P=0.307).However,after grouping the compliance level according to the score,the proportion of patients with good compliance in the study group was 40.48%(34/84),which was better than the control group(20.24%,17/84),and the difference was statistically significant(χ~2=-0.19,P=0.012).(5)SF-36 Quality of Life Scale:the physiological function,social function,emotional function,and health changes of the study group were similar to those of the control group,and the differences were not statistically significant(P>0.05),while the average scores of physiological functions,physical pain,general health,energy,and spirit were significantly higher than those in the control group,suggesting that the quality of life in the study group was better,and the difference was statistically significant(P<0.05).(6)Hypertension-related knowledge:the average score of hypertension-related knowledge in the study group was(8.11±0.82)points,which was higher than that in the control group(7.61±0.92)points,and the difference was statistically significant(t=3.718,P<0.001).Conclusions(1)O2O-MM-W model can improve the effect of health education,increase patients’awareness of hypertension diseases,enhance the effectiveness of self-management of disease,and improve confidence in defeating disease.(2)The O2O-MM-W model can improve the medication compliance for those patients,who can take antihypertensive drugs regularly and on time,which can further improve the blood pressure control level in young and middle-aged patients with hypertension and improve the blood pressure treatment effect.The implementation process of health education is not limited by time and place,and it was suitable for young people with hypertension.(3)The O2O-MM-W model can significantly improve the quality of life of young and middle-aged patients with hypertension.The patients have different degrees of improvement in five aspects:physiological function,physical pain,general health,energy,and mental health. |
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