摘要
目的探索基于“互联网+”的慢性健康管理在老年原发性高血压患者中的应用效果。方法选取2022年1月至2023年6月接诊的400例老年原发性高血压患者,采用随机原则将其分为对照组(212例)、观察组(188例)。对照组接受常规慢性病管理,观察组在对照组基础上接受基于“互联网+”的慢性健康管理。比较两组干预前、后的收缩压、舒张压以及随访1年后的用药依从性、肾功能损伤、脑出血及高血压相关死亡发生情况。结果两组干预后的收缩压、舒张压均明显低于干预前,且观察组低于对照组(P<0.05)。观察组的用药依从性明显优于对照组,肾功能损伤及脑出血发生率显著低于对照组(P<0.05);两组的高血压相关死亡发生率无显著差异(P>0.05)。结论基于“互联网+”的慢性健康管理有利于降低老年原发性高血压患者血压水平,减少肾功能损伤及脑出血的发生,提高用药依从性。
Objective To explore the application effect of chronic health management based on"Internet+"in elderly patients with essential hypertension.Methods A total of 400 elderly patients with essential hypertension who were admitted from January 2022 to June 2023 were selected and randomly divided into control group(212 cases)and observation group(188 cases).The control group received routine chronic disease management,and the observation group received chronic health management based on"Internet+"on the basis of the control group.The systolic blood pressure,diastolic blood pressure before and after intervention,medication compliance,renal function injury,cerebral hemorrhage and hypertension-related deaths after 1 year of follow-up were compared between the two groups.Results The systolic blood pressure and diastolic blood pressure of the two groups after intervention were significantly lower than those before intervention,and the observation group were lower than the control group(P<0.05).The medication compliance of the observation group was significantly better than that of the control group,and the incidence of renal function injury and cerebral hemorrhage were significantly lower than those of the control group(P<0.05);there was no significant difference in the incidence of hypertension-related death between the two groups(P>0.05).Conclusion The chronic health management based on"Internet+"is conducive to reducing the blood pressure level of elderly patients with essential hypertension,decreasing the incidence of renal function injury and cerebral hemorrhage,and improving medication compliance.
作者
张青
王颖
魏伏
蒋贵宇
刘洁
朱志远
马思蕊
ZHANG Qing;WANG Ying;WEI Fu;JIANG Guiyu;LIU Jie;ZHU Zhiyuan;MA Sirui(President Office,Xi'an People's Hospital/Xi'an Fourth Hospital,Xi'an 710004,China;Intensive Care Medicine Department,Xi'an People's Hospital/Xi'an Fourth Hospital,Xi'an 710004,China)
出处
《临床医学研究与实践》
2025年第33期129-132,共4页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.2023-YBSF-648)。
关键词
“互联网+”
慢性病管理
老年
原发性高血压
"Internet+"
chronic health management
elderly
essential hypertension
