Effects of WeChat combined with motivational interviewing in transitional care among young and middle-aged hypertension patients
10.3760/cma.j.issn.1674-2907.2019.13.021
- VernacularTitle:微信联合动机性访谈在中青年高血压患者延续性护理中的应用
- Author:
Liyan LYU
1
;
Shiyang LI
;
Shumei CAO
;
Ru ZHAO
Author Information
1. 黑龙江省大庆市大庆油田总医院心内科 163001
- Keywords:
Hypertension;
Young and middle aged;
Medication adherence;
Motivational interviewing
- From:
Chinese Journal of Modern Nursing
2019;25(13):1678-1681
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of WeChat combined with motivational interviewing in transitional care among young and middle-aged hypertension patients. Methods? By convenient sampling, we selected 129 young and middle-aged hypertension inpatients who were hospitalized in a classⅢ grade A hospital from June 2017 to March 2018 as subjects. All of the patients were randomly divided into observation group (n=66) and control group (n=63). In the control group we adopted routine health education and routine telephone follow-up after discharge. Apart from that, for the observation group we carried out transitional care by WeChat combined with motivational interviewing. The medication adherence was compared with the Morisky medication adherence scale, and the blood pressure control rate was observed and compared between the two groups. Results? Three months after intervention, the medication adherence of two groups all improved compared with that before intervention;the score of medication adherence of observation group and control group was (4.7±1.7) and (3.8±1.5) respectively with a statistical difference (t=3.192, P＜ 0.05). After intervention, the blood pressure control rate of observation group and control group was 60.3% and 51.5% respectively with a statistical difference (χ2=5.645, P＜ 0.05). Conclusions? Transitional care by WeChat combined with motivational interviewing can improve medication adherence and blood pressure control of young and middle-aged hypertension patients which is worthy of clinical application.
