Remote Health Management For Elderly Patients With Hypertension In The Community Study On Self-Monitoring Compliance Of Blood Pressure In The Morning

Objective : To explore the role of remote health management in self-monitoring compliance of early morning blood pressure in elderly hypertensive patients in the community,in order to improve the patient's early morning blood pressure self-monitoring compliance and effectively control their morning blood pressure levels.Provide new scientific methods and approaches for the health management of patients with hypertension in the community.Methods:The first part of the survey.Using the self-made general situation questionnaire,as well as the Blood Pressure Monitoring Cognition and Compliance Scale,the Hypertension Treatment Attitude and Belief Scale,and the Hypertension Treatment Compliance Scale,the Beihu Nanmian Community Health Service Center,Xixiangtang District,Nanning City,288 A baseline survey of elderly hypertensive patients was conducted to understand the status of cognitive and compliance of blood pressure monitoring in elderly hypertensive patients in this community.The second part of the intervention study.The elderly patients with hypertension who met the study conditions in the first part of the study were enrolled in the study.SPSS19.0 software was used for random sampling and grouping.68 eligible elderly hypertensive patients were randomly divided into control group and intervention group.34 each.The control group was given routine nursing in the community.The main content was routine guidance.The patient used self-prepared electronic blood pressure monitor to self-test morning blood pressure every day.The monthly outpatient/telephone/family follow-up was held once a month.The intervention group conducts remote health management on the basis of community routine nursing.The main contents are:(1)associated platform,that is,A223 arm electronic blood pressure monitor is associated with Kangkang blood pressure APP platform;(2)guides patients how to use sphygmomanometer,and urges them to Self-test blood pressure in the morning and morning,the blood pressure value will be automatically(3)uploaded to the APP platform after the measurement;daily login to the APP platform,analysis and record the blood pressure measurement of the research object,for the measurement situation,by phone or SMS,give individualized reminders,suggestions and Guide and organize and evaluate the observed and recorded data every week.Before and after the intervention,the two groups of patients were investigated by using the Blood Pressure Monitoring Cognition and Compliance Scale,the Hypertension Treatment Attitude and Belief Scale,and the Hypertension Treatment Compliance Scale.After the intervention,the blood pressure of the two groups of patients was measured,and the home self-test blood pressure registration form was recovered,and finally the effect evaluation was performed.Data analysis was performed using SPSS19.0 software.The results were statistically significant at P<0.05.Results:(1)Community elderly hypertensive patients with low blood pressure monitoring awareness and compliance.The blood pressure monitoring cognition and compliance scores were “good”,accounting for only 23.40% and 21.63%,respectively.(2)The treatment attitude and belief level were “poor”,accounting for 74.11%,and the treatment adherence level was “low”,accounting for 79.08%.Among the dimensions of treatment compliance,the blood pressure monitoring dimension had the lowest score(32.13%).(3)The main factors affecting blood pressure monitoring compliance are blood pressure monitoring frequency(OR values were 0.119,0.213),sphygmomanometer(OR=0.230),hypertension treatment attitude and belief(OR=0.160),hypertension treatment compliance(OR= 0.217).(4)The scores of cognition and compliance of blood pressure monitoring,the treatment attitude and the total score of beliefs.After the intervention of the 2nd and 3rd months,the scores of the patients in the blood pressure monitoring,the treatment attitude and the total score of the beliefs were all compared with the intervention for 1 month.At the 2nd and 3rd months of intervention,the scores of all dimensions of blood pressure monitoring,treatment attitude and belief were higher in the intervention group than in the control group,and the difference was statistically significant(P<0.05).(5)The blood pressure self-monitoring rate and blood pressure monitoring frequency were compared in the morning,and the differences between the two groups were statistically significant(P<0.05).(6)Hypertension treatment compliance score,each dimension score comparison,the difference between the two groups after the intervention was statistically significant(P<0.05),the intervention group in the "blood pressure monitoring,medication compliance" dimension was significantly different(P <0.05).There was a statistically significant difference in systolic blood pressure between the two groups after the intervention(P<0.05).Conclusions:(1)Community elderly hypertensive patients with low blood pressure monitoring cognition and compliance,blood pressure monitoring frequency,sphygmomanometer,hypertension treatment attitude,belief and treatment compliance are the main influencing factors of blood pressure monitoring compliance,should strengthen patients' self-pressure Monitoring management.(2)Compared with community routine care,remote health management can better improve the awareness of early morning blood pressure monitoring,treatment attitude and belief,improve the compliance of blood pressure self-monitoring in early morning,and improve treatment compliance.(3)Remote health management technology is mature and easy to operate,and it is worthy of promotion and application in the management of elderly hypertension and other chronic diseases in the community.