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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
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创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
马建新,张金萍,崔莲,王光辉,霍文静,刘丽丽,方玮,马建慧.应用微信小程序对老年高血压患者进行健康管理的效率[J].中华老年多器官疾病杂志,2020,19(12):895~899
应用微信小程序对老年高血压患者进行健康管理的效率
Efficiency of health management for elderly hypertensive patients using WeChat applet
投稿时间:2020-02-27  
DOI:10.11915/j.issn.1671-5403.2020.12.206
中文关键词:  老年人;高血压;微信小程序;健康管理
英文关键词:aged; hypertension; WeChat applet; health management This work was supported by Military Health Special Fundation of China
基金项目:军队保健专项(17BJZ07,18BJZ44)
作者单位E-mail
马建新 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
张金萍 解放军第30 5 医院 医务部,北京 100017 majianhui806@sina.comefficiency 
崔莲 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
王光辉 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
霍文静 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
刘丽丽 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
方玮 解放军第30 5 医院 干部病房,北京 100017 majianhui806@sina.comefficiency 
马建慧 首都医科大学附属卫生学校基础教研室,北京 100070 majianhui806@sina.comefficiency 
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中文摘要:
      通过微信小程序对老年高血压患者进行健康管理,观察其健康管理效率。方法 2018年1月至12月就诊于解放军第305医院心血管内科门诊及体检中心的患者130 例,因不能及时复诊、更改联系方式失访10例,共入组120例。男性68例,女性52例,年龄65~78(68.2±2.6)岁。按初次就诊时间依次分为2组, 干预组(采用微信小程序进行多学科团队式健康管理)60例,常规组(接受门诊常规健康教育指导)60例,比较2组患者干预3、6个月后的收缩压、舒张压、人体成分参数、人体学参数、患者依从性和自我效能。采用 SPSS 21.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ2检验进行组间比较。结果 与干预前比较,干预后3、6个月,2组患者收缩压和舒张压均降低;与常规组比较,干预组收缩压和舒张压显著降低(P<0.05),干预组6个月的体质量指数、腰围、腰臀比、体脂率、内脏脂肪面积、腹部肥胖阶段均降低,服药依从性和自我效能提高,差异有统计学意义(P<0.05)。结论 应用微信小程序进行多学科团队式健康管理,有利于控制血压,改善体脂分布,改善老年高血压患者自我效能,提高服药依从性。
英文摘要:
      Objective To observe efficiency of health management for elderly hypertensive patients through WeChat applet. Methods Out of 130 elderly hypertensive patients admitted to the Outpatient Cardiology Clinic and Physical Examination Center in Chinese PLA Hospital No.305 from January to December 2018,10 were lost to follow-up due to inability to return to the clinic or change of contact information. 120 were enrolled for the study [68 males and 52 females; aged 65-78 (68.2±2.6) years]. They were divided into two groups according to the first visit time successively:the intervention group (n=60) who received multidisciplinary health management using WeChat applet and the routine group (n=60) who received routine health education. The two groups were compared at 3 and 6 months in systolic blood pressure, diastolic blood pressure, body composition parameters, anthropological para-meters, patient compliance and self-efficacy. SPSS statistics 21.0 was used for data analysis. According to different data type,t test or χ2 test was used for data comparison between the two groups.Results At 3 and 6 months as compared with pre-intervention, systolic and diastolic blood pressures were reduced in both groups. Systolic and diastolic blood pressures were more significantly reduced in the intervention group than in the routine group (P<0.05). Body mass index, waist circumference, waist-to-hip ratio, percentage of body fat, visceral fat area, and abdominal obesity were all reduced in the intervention group. Medication compliance and self-efficacy were improved in the intervention group with statistically significant difference (P<0.05). Conclusion Employment of WeChat applet for health management is conducive to controlling blood pressure, improving body fat distribution, improving medication compliance and self-efficacy in the elderly patients with hypertension.
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