Intervention Studyin Integrated TCM&WM Based On The Internet Of Things To Prevent Falls Among Hypertensive Elderly In Community

Objectives1.To explore the effective method of reducing the risk of falls among hypertensive elderly with Traditional Chinese Medicine(TCM)& Western Medicine(WM)in the community.To formulate the schemes of falls protection for self-care and semi self-care hypertensive elderly in integrated TCM & WM.2.To promote the application of the Internet of Things in protection and prevention of elderly diseases.3.To improve the quality of life for the hypertensive elderly in the community,to provide reference for fall prevention and to promote the development of health care for the aged.MethodsResearch aimed at self-care and semi self-care hypertensive elderly,gave them fall prevention intervention and outcome analysis.Totally 124 self-care and 124 semi self-care elderly person of hypertension had been selected and were randomly divided into control group and experimental group.Two groups received usual care based on the internet of things,the control group was given health lectures and improved living environment,the experimental group would be intervened by falls protection in integrated TCM & WM for six months.The Fall Risk Assessment Scale for Elderly(FRASE),Modified Fall Efficacy Scale(MFES),Tinetti Balance and gait test,falls rate,falls cognition and hypertension questionnaire,blood pressure,2h postprandial blood glucose and blood fat were selected to as outcome indicator before and after intervention.All data was analyzed by the statistical software SPSS21.0.Results1.There were no significant difference between the two groups on the general information,falls rate and cognition,scales scores,physiological and biochemical indexes and so on(P>0.05).2.After the intervention,the falls rate and the falls cognition of two groups had a significant difference(P<0.05)after 6 mouths.3.There were significant differences between the two groups with the total sores of FRASE,MFES and Tinetti scale(P<0.05)after 6 mouths.In MFES scale,the score and 13 items for self-care of elderly,the score and 11 items for semi self-care had a significant difference(P<0.05).For the scores of outdoor activities,semi self-care for the score of indoor activities were significantly improved.4.Physiological and biochemical indexes comparison,there were significant differences between the two groups with systolic blood pressure,diastolic blood pressure,2h postprandial blood and glucose blood fat(TG except for semi self elderly)(P<0.05)after 6 mouths intervention.Conclusions1.The falls protection schemes for self-care and semi self-care hypertensive elderly in integrated TCM & WM can be effectively reduced the incidence of falls,and improves the level of falls cognition.2.The falls protection schemes can be reduced the risk of falls in elderly hypertension patients,improve the perception of dysfunctions and balance and gait stability,relieve symptoms of fear of falling,and promote physical and mental health of the elderly.3.The falls protection schemes in integrated TCM & WM can help to control of blood pressure,2h postprandial blood glucose and blood fat effectively.4.Health monitoring service platform based on the Internet of Things,had scientific construction of disease management system for hypertensive elderly.To realize the standardization,digitization,monitoring,collection,analysis,transmission and management of the health information.It's helpful to improve the quality of elderly care.