| Background and Objective: Hypertension is one of the most common chronic noncommunicable diseases at present,and it is also the main influencing factor of cardiovascular and cerebrovascular events such as myocardial infarction and stroke.Aging is a high incidence of hypertension.With the progress of aging,the management of elderly hypertension has aroused widespread attention.In recent years,the development of Mobile Health extends the medical services and medical technology.It combines traditional medical treatment with internet.Through the use of internet,it improves the quality of health services and ensures the effectiveness of medical treatment.At present,China has more than 2,000 mobile medical APPs,which are mainly used for making appointments,seeking medical consultations,consulting professional information,etc.In this study,we use the new model to manage elderly hypertensive patients in Qingdao Municipal Hospital.We use it to explore a new and effective model of elderly hypertension management and the most effective and lowest cost management crowd.Methods: According to the randomized controlled design of trial,60 elderly hypertensive patients participated in the study voluntarily in the Qingdao Municipal Hospital were randomly divided into experimental group(45)and control group(15).Experimental group is divided into geriatric specialist group(15),general practitioner group(15)and nurse group(15).There was no significant difference between the experimental group and the control group in age,sex,etc.Inclusion criteria refer to the classification and diagnostic criteria of China Hypertension Guide.Exclude patients with secondary hypertension,hypertensive crisis,a history of stroke and myocardial infarction within 1 year,a history of malignancy who have undergone radiotherapy or chemotherapy within the past six months,mental disorders,poor compliance and participating or having participated in other research projects within 30 days.Blood pressure was administered in experimental(with the new model)and control groups(with the traditional model)for 3 months.Compare their blood pressure and the decrease of them.Results: Blood pressure was compared between the two groups before and after administration.The systolic blood pressure of experimental group is 162.44±13.970(mm Hg)before administration.The systolic blood pressure of experimental group is 147.69±13.509(mm Hg)after administration.P is 0.000(P<0.05).The difference was statistically significant.The diastolic blood pressure of experimental group is 91.58 ± 10.822(mm Hg)before administration.The diastolic blood pressure of experimental group is 84.64 ±10.412(mm Hg)after administration.P is 0.003(P < 0.05).The difference was statistically significant.The systolic blood pressure of control group is 159.93 ± 15.238(mm Hg)before administration.The systolic blood pressure of control group is 152.33±14.115(mm Hg)after administration.P is 0.167(P > 0.05).The difference was not statistically significant.The diastolic blood pressure of control group is 94.73 ± 12.401(mm Hg)before administration.The diastolic blood pressure of control group is 90.60±11.115(mm Hg)after administration.P is 0.345(P>0.05).The difference was not statistically significant.The decrease of SBP of geriatric specialist group,general practitioner group and nurse group are 18.40±11.764(mm Hg),14.47±9.44(mm Hg),10.80±6.026(mm Hg).P is 0.097(P > 0.05).The difference was not statistically significant.The decrease of DBP of geriatric specialist group,general practitioner group and nurse group are 9.33±7.451(mm Hg),5.33±6.287(mm Hg),6.13±5.069(mm Hg).P is 0.201(P>0.05).The difference was not statistically significant.Conclusion: We demonstrated that the new model is effective and it works well for controlling blood pressure of elderly hypertensive patients.Especially with the doctors and patients’ families,the management effect has been obviously improved.Medical interventions make the new model more scientific.The management of geriatric specialists,general practitioners and nurses is equally valid. |
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