| Objective By comparing the effects of chronic disease management model of hypertension based on mobile Internet platform and traditional hypertension management mode on blood pressure level,blood pressure control rate,health behavior and hypertension related knowledge of patients with hypertension,this paper studies the application effect of hypertension chronic disease management mode based on mobile Internet platform,and explores a new mode of hypertension chronic disease management.Methods This study is a randomized controlled trial.A total of 314 patients with essential hypertension who met the inclusion and exclusion criteria were included.These patients came from the outpatient and inpatient department of the Cardiovascular and Cerebrovascular Disease Hospital of Ningxia Medical University General Hospital from October 2018 to June 2020,and were randomly divided into remote management group and control group.The remote management team downloads the "Blood Pressure Assistant" mobile phone APP and regularly uploads blood pressure monitoring data.The professional team implements hierarchical management to patients through Mobile Internet platform of chronic disease management.The control group was managed by telephone or outpatient follow-up according to the management process in the "Guidelines for the Primary Management of Hypertension in China" 2014 Revised Edition.Both groups of patients were managed for 6 months.Analyzing and comparing the blood pressure level,blood pressure control rate,health behavior,hypertension-related knowledge scores,and biochemical indicators of the two groups before and after management to evaluate the management effect of the mobile Internet platform.Results1.This study was included in 314 patients with high blood pressure in the excluded standard,and finally 262 patients had completed follow-up.There were 133 patients in the remote management group,with an average age of 48.58±9.54 years,and an average blood pressure of 151.80±18.37/98.59±10.97 mm Hg.And there were 129 patients in the control group,with an average age of 50.64±8.72 years,and an average blood pressure of153.79±19.77/96.34±13.39 mm Hg.2.Compare the blood pressure levels of the two groups before and after management:After management,the average systolic blood pressure and diastolic blood pressure of patients in the remote management group and the control group were lower than before management,and there were statistical differences within the group(P<0.05);After management,the average systolic blood pressure and diastolic blood pressure of the remote management group(127.42±19.77/84.21±7.64 mm Hg)were significantly lower than those of the control group(134.72±10.75/87.55±9.66 mm Hg),and there was a statistical difference between the two groups(P<0.05).3.Compare the BMI and WHR of the two groups before and after management: The BMI of the remote management group was lower than before management,and the difference within the group was statistically significant(P<0.001),there was no statistical difference in WHR before and after management(P>0.05);There was no statistical difference in BMI and WHR before and after management in the control group(P>0.05).After management,there was no significant difference in BMI and WHR between the remote management group and the control group(P>0.05).4.Compare the rate of medication and blood pressure reaches ratio between the two groups before and after management: After the management,the medication rate of patients in the remote management group increased from 48.9% to 84.2%,and the medication rate of the control group increased from 58.9% to 73.6%,the differences within the group were statistically significant(P<0.001);In comparison between the groups,the medication rate of patients in the remote management group was higher than that in the control group,and the difference was statistically significant(P<0.05).After management,the blood pressure reaches ratio of hypertension patients in the remote management group was higher,86.5%;while the blood pressure reaches ratio of hypertension patients in the control group was significantly lower than that in the remote management group,only 63.6%,and the gap between the groups was statistically significant(P<0.05).5.Compare the health behavior scores of the two groups before and after management:After management,each behavior score and total score of patients in the remote management group increased compared with those before management,and the difference within the group was statistically significant(P<0.05);The total score of the control group increased compared with that before management,which was statistically significant(P<0.05),but although the scores of each behavior increased compared with the previous,it was not statistically significant(P>0.05).After management,the remote management group had higher sports behavior scores and total scores than the control group,and there were statistical differences between the groups(P<0.05).There was no statistical difference in the behavior scores of smoking,drinking,diet,and salt consumption between the two groups(P>0.05).6.Compare the hypertension knowledge scores of two groups before and after management: After management,the total scores of hypertension knowledge in the remote management group and the control group increased compared with those before management,and the difference within the group was statistically significant(P<0.05);The total score of hypertension knowledge of patients in the remote management group was higher than that of the control group,and the gap between the two groups was statistically significant(P<0.05).7.Compare the blood lipid indicator of the two groups before and after management:After management,the total cholesterol,triglyceride,serum low density lipoprotein cholesterol and serum high-density lipoprotein cholesterol were no different from management(P>0.05).There is no statistical difference between the groups(P>0.05).Conclusion The chronic disease management model of hypertension based on the mobile internet platform can effectively reduce the blood pressure level of patients,significantly improve the regular medication rate and blood pressure control rate of the patients,improve the patient’s healthy behavior,and improve the patient’s knowledge of hypertension.This chronic disease management model is effective and feasible and can be widely promoted. |
PDF Full Text Request