摘要
目的 探讨微信平台联合家庭参与在高血压前期人群健康管理中的应用效果。方法 选取2020年4-8月在该院健康管理中心体检结果为正常高值血压者540例,采用自愿报名方式分为干预组和对照组。干预结束后,除失访研究对象外,共收集到有效资料521份,其中干预组261例,对照组260例。干预组采取微信平台联合家庭参与干预模式进行干预,对照组采取常规健康咨询加健康教育干预方式,干预时间均为1年。采用问卷调查2组研究对象基本情况,干预前后均进行生化指标测定,干预前、干预过程中每半年对2组研究对象体格检查指标进行1次监测。比较2组研究对象干预前后相关指标的差异。结果 2组研究对象干预前基本情况比较,差异无统计学意义(P>0.05);干预组研究对象干预1年后空腹血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇均较干预前降低,高密度脂蛋白胆固醇较干预前升高,且干预效果均明显优于对照组,差异均有统计学意义(P<0.01);2组研究对象干预过程中收缩压、舒张压、体重指数、腰围均呈下降趋势,且干预组研究对象明显低于对照组,差异均有统计学意义(P<0.01)。2组研究对象干预过程中颈围、臀围均呈下降趋势,但2组比较,差异均无统计学意义(P>0.05)。结论 对正常高值血压者采取微信平台联合家庭成员、医护共同参与的干预方式对降低血压、减少高血压及心血管疾病的常见危险因素是有效的,且优于常规管理方式。
Objective To explore the application of We Chat platform combined with family participation in the health management of prehypertensive population.Methods A total of 540 patients with normal high blood pressure who received physical examination in the health management center of the hospital from April to August 2020 were selected.Participants were divided into the control group and the intervention group by voluntary registration.After the intervention,a total of 521 valid data were collected,including 261 cases in the intervention group and 260 cases in the control group,except for the subjects who were lost to follow-up.The intervention group underwent the health management mode of We Chat platform combined with family participation,while the control group underwent the model of health consultation and health education intervention,and the intervention time was one year.Questionnaires were used to investigate the basic information of the subjects in the two groups.Biochemical indexes were measured before and after the intervention.Physical examination indexes of the subjects in the two groups were monitored once every six months before and during the intervention.The differences of related indexes between the two groups before and after intervention were compared.Results There was no significant difference in the basic conditions between the two groups before intervention(P>0.05).After one year of intervention,fasting blood-glucose,total cholesterol,triacylglycerol and low density lipoprotein cholesterol in the intervention group were all lower than those before intervention,while high density lipoprotein cholesterol was higher than that before intervention,and the intervention effect was significantly better than that of the control group,with statistical differences(P<0.01).During the intervention,systolic blood pressure,diastolic blood pressure,body mass index and waist circumference of the two groups showed a downward trend,and the subjects in the intervention group were significantly lower than those in the control group,and the differences were statistically significant(P<0.01).The neck circumference and hip circumference of the two groups showed a downward trend during the intervention,but there were no significant significance between the two groups(P>0.05).Conclusion For people with normal high blood pressure,the intervention method of We Chat platform combined with family members and medical staff is effective in reducing blood pressure and common risk factors of hypertension and cardiovascular disease,and is superior to conventional management methods.
作者
兰丽琴
周雯
LAN Liqin;ZHOU Wen(Health Management Center,Guangzhou Hospital of Integrated Traditional and West Medicine,Guangzhou,Guangdong 510800,China)
出处
《现代医药卫生》
2022年第19期3283-3287,3292,共6页
Journal of Modern Medicine & Health
基金
广东省广州市花都区科技计划项目(20-HDWS-055)。
关键词
高血压前期
微信平台
家庭参与
健康管理
Prehypertension
WeChat platform
Family participation
Health management
