移动教育微信平台在提高健康体检后中青年高血压患者自我管理行为中的应用效果
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摘要
目的探讨移动教育微信平台对健康体检后中青年高血压患者自我管理行为的影响。方法 2016年1月至2017年12月选取在本院体检科健康体检后的中青年高血压患者242例,根据体检的不同时间,将121例设为对照组,实施发放健康宣传手册等常规健康教育方法;将121例设为观察组,在发放健康宣传手册基础上实施移动教育微信平台进行健康教育,干预时间6个月。干预前后比较两组患者自我管理行为和血压值的差异。结果干预后,观察组患者自我管理行为得分高于对照组;血压值低于对照组,两组比较,差异均有统计学意义(P<0.01)。结论采用移动教育微信平台对健康体检后中青年高血压患者实施干预,可改善患者自我管理行为,从而使其血压得到较好的控制。
Objective To explore the impact of mobile health education WeChat platform on self-management behavior of young hypertensive patients in health checkup population. Methods From January 2016 to December 2017, 242 patients with special medical examinations and physical examination results were found to be abnormal. According to the physical examination time they were divided into 121 cases in the control group and 121 case the experimental group. On the basis of the routine nursing intervention of the control group, the experimental group used the full-course nursing based on the WeChat platform to intervene feedback method for the chronic disease was carried out. After 6 months, the two groups were compared with the self-adminstration behavior and nursing satisfaction. Results After intervention, the self-administration behavior scores of the observation group were higher than those of the control group; the blood pressure of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.01). Conclusion The use of mobile health education WeChat platform to intervene in young and middle-aged hypertensive patients can improve patients' self-management behavior, so that their hypertension can be better controlled.
Objective To explore the impact of mobile health education WeChat platform on self-management behavior of young hypertensive patients in health checkup population. Methods From January 2016 to December 2017, 242 patients with special medical examinations and physical examination results were found to be abnormal. According to the physical examination time they were divided into 121 cases in the control group and 121 case the experimental group. On the basis of the routine nursing intervention of the control group, the experimental group used the full-course nursing based on the WeChat platform to intervene feedback method for the chronic disease was carried out. After 6 months, the two groups were compared with the self-adminstration behavior and nursing satisfaction. Results After intervention, the self-administration behavior scores of the observation group were higher than those of the control group; the blood pressure of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.01). Conclusion The use of mobile health education WeChat platform to intervene in young and middle-aged hypertensive patients can improve patients' self-management behavior, so that their hypertension can be better controlled.
引文
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[13]国家卫生计生委疾病预防控制局.中国居民营养与慢性病状况报告(2015年)[M].北京:人民卫生出版社,2015:110-118.
[14]霍勇.重视我国中青年高血压患者的管理[J].中华高血压杂志,2016,24(4):320-323.
[15]赵洁,张小培.原发性高血压患者健康行为调查及其影响因素分析[J].护理学报,2012,19(11A):22-25.
[16]张振香,李艳红.中年高血压患者自我管理现状及影响因素分析[J].中国全科医学,2012,15(1B):117-119.
[17]刘丽娜,李湘萍.中年高血压患者自我管理知识、态度、行为的调查[J].护理管理杂志,2011,11(2):106-107.
[18]张明娜,陈静,刘宏,等.移动健康教育微信平台预防产后早期压力性尿失禁的实践探索[J].中国护理管理杂志,2018,18(11):1519-1521.
[19]苗华丽,张莉芸,张晓辉,等.微信教育模式在出院痛风病人延续性护理中的应用[J].护理研究,2017,31(23):2901-2902.
[2]王增武,赵天明,王文.创新与争鸣:《2014年美国成人高血压管理指南》解读[J].中国医院用药评价与分析,2014,14(4):295-297.
[3]中国高血压防治指南修订委员会.中国高血压防治指南2010年[J].中华高血压杂志,2011,19(8):701-743.
[4]汤燕芳,毕儿珊,董毅.全程护理干预对体检者健康体检后遵医行为的影响[J].广东医学,2014,35(22):3600-3601.
[5]任维东,张立新.全程护理干预对体检者健康体检后遵医行为的影响[J].甘肃医药,2018, 37(3):281-283.
[6]王新国,袁静,刘长兴.数字化体检系统的设计与实现[J].中国医疗设备,2018,33(2):126-128.
[7]邵敏,王娟,曹东维,等.微信随访提高腹膜透析患者自我管理能力及需求满意度的效果分析[J].现代临床护理,2018,17(3):33-37.
[8]葛均波,徐永健,梅长林.内科学[M]:8版.北京:人民卫生出版社,2013:198-250.
[9]钟燕平,赵菲,胡淑芬,等.视频教育结合回授法在提高老年高血压病患者健康素养和血压控制水平中的作用[J].现代临床护理,2018,17(2):40-45.
[10]赵秋利,刘晓.高血压病人自我管理行为测评量表的编制及信度、效度检验[J].中国护理管理,2012,12(11):26-31.
[11]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[12]马丽媛,吴亚哲,王文,等.《中国心血管病报告2017》要点解读[J].中国心血管杂志,2018,23(1):3-6.
[13]国家卫生计生委疾病预防控制局.中国居民营养与慢性病状况报告(2015年)[M].北京:人民卫生出版社,2015:110-118.
[14]霍勇.重视我国中青年高血压患者的管理[J].中华高血压杂志,2016,24(4):320-323.
[15]赵洁,张小培.原发性高血压患者健康行为调查及其影响因素分析[J].护理学报,2012,19(11A):22-25.
[16]张振香,李艳红.中年高血压患者自我管理现状及影响因素分析[J].中国全科医学,2012,15(1B):117-119.
[17]刘丽娜,李湘萍.中年高血压患者自我管理知识、态度、行为的调查[J].护理管理杂志,2011,11(2):106-107.
[18]张明娜,陈静,刘宏,等.移动健康教育微信平台预防产后早期压力性尿失禁的实践探索[J].中国护理管理杂志,2018,18(11):1519-1521.
[19]苗华丽,张莉芸,张晓辉,等.微信教育模式在出院痛风病人延续性护理中的应用[J].护理研究,2017,31(23):2901-2902.