基于互联网+平台的健康宣教及延伸护理对高血压患者的干预效果
| 作者: |
1郑颖,
2陈晓敏,
2彭旺,
1冯丽丽
1 秦皇岛市第一医院心血管内科，河北 秦皇岛 066000 2 秦皇岛市第一医院护理部，河北 秦皇岛 066000 |
| 通讯: |
陈晓敏
Email: 1746950437@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2022.03.029 |
摘要
目的：研究基于互联网+平台的健康宣教及延伸护理对高血压患者的干预效果。方法：回顾性分析2020年8月至2020年10月在秦皇岛市第一医院就诊的高血压患者110例的诊疗情况，根据出院后管理方式不同，分为研究组(74例)与对照组(46例)。对照组采用常规延伸护理，研究组采用基于互联网+平台的健康宣教及延伸护理。干预6个月后，比较2组患者血压变化情况[收缩压(systolic blood pressure，SBP)和舒张压(diastolic blood pressure，DBP)]、高血压患者自我管理行为测评量表(Hypertension Patients Self-Management Behavior Rating Scale，HPSMBRS)、高血压患者行为依从性量表(Compliance of Hypertensive Patients’ Scale，CHPS)评分、生活质量评分[心理健康总评(mental component summary，MCS)、生理健康总评(physical component summary，PCS)]及并发症、合并症发生情况。结果：干预后，2组患者SBP、DBP均明显降低(P<0.05)，且研究组患者SBP、DBP明显低于对照组(P<0.05)。干预后，2组患者在运动管理、工作与休息2个维度得分比较，差异无统计学意义(P>0.05)；研究组在饮食管理、用药管理、病情监测、情绪管理4个维度评分均明显高于对照组，差异均有统计学意义(均P<0.05)。干预后，2组患者CHPS、MCS和PCS评分均明显提高(均P<0.05)，且研究组CHPS、MCS和PCS评分均明显高于对照组(均P<0.05)。研究组合并症、并发症发病率均明显低于对照组(均P<0.05)。结论：基于互联网+平台的健康宣教及延伸护理可明显提高高血压患者自我管理水平和治疗依从性，有利于控制血压，改善患者生活质量，值得临床推广。
关键词：
高血压；互联网+平台；延伸护理；自我管理；治疗依从性
Intervention effect of health education and extended nursing on hypertension patients based on Internet + platform
CorrespondingAuthor: CHEN Xiaomin Email: 1746950437@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.03.029
Abstract
Objective: To investigate the intervention effect of health education and extended nursing on hypertension patients based on Internet + platform. Methods: The clinical data of 110 cases of patients with hypertension who were admitted to Qinhuangdao First Hospital from August 2020 to October 2020 were retrospectively studied. Patients were divided into a study group (74 cases) and a control group (46 cases) according to different management methods after discharge. The patients in the control group were treated with conventional extended nursing, while the patients in the study group were treated with health education and extended nursing based on Internet + platform. After 6 months of the intervention, the changes in blood pressure [systolic blood pressure (SBP), diastolic blood pressure (DBP)], Hypertension Patients Self-Management Behavior Rating Scale (HPSMBRs), Compliance of Hypertensive Patients’ Scale (CHPS) score and quality of life score [mental component summary (MCS), physical component summary (PCS)], the incidence of complications between the 2 groups were analyzed and compared. Results: After the intervention, SBP and DBP in the 2 groups were significantly decreased (all P<0.05), and SBP, DBP in the study group were significantly lower than those in the control group (all P<0.05). After the intervention, there was no statistical significance in the scores of exercise management, work and rest between the 2 groups (all P>0.05). The scores of diet management, medication management, disease monitoring and emotion management in the study group were significantly higher than those in the control group, the differences with statistical significance (all P<0.05). After the intervention, the scores of CHPS, MCS and PCS in the 2 groups were significantly increased (all P<0.05), and the scores of CHPS, MCS and PCS in the study group were significantly higher than those in the control group (all P<0.05). The incidence of complications in the study group was significantly lower than that in the control group (all P<0.05). Conclusion: Health education and extended nursing based on Internet + platform can significantly improve the self-management level and treatment compliance of patients with hypertension, which is conducive to the control of blood pressure and the improvement of patients’ quality of life, and is worthy of clinical promotion.
Keywords：
hypertension; Internet + platform; extended nursing; self-management; treatment compliance