Effects of WeChat-based health education on management of hypertensive outpatients under medical consortium
10.3760/cma.j.cn115682-20200329-02298
- VernacularTitle:医联体模式下基于微信平台的健康教育在门诊高血压病患者管理中的应用
- Author:
Guilan SUN
1
;
Mengping HE
;
Yuanwen XU
;
Liu SU
;
Lili SHUANG
;
Yuan TIAN
;
Lili SONG
;
Jin HUANG
;
Xiao ZHANG
;
Zhenqiu YU
Author Information
1. 首都医科大学附属北京安贞医院多学科门诊 100029
- Keywords:
Hypertension;
Community health service center;
Medical consortium;
WeChat;
Health education;
Self-management
- From:
Chinese Journal of Modern Nursing
2020;26(17):2355-2360
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of WeChat-based health education on management of hypertensive outpatients under medical consortium.Methods:Totally 180 hypertensive patients who attended the Multidisciplinary Clinics of Beijing Anzhen Hospital, Capital Medical University, and Datun Community Health Service Center from communities under our medical consortium from November 2018 to April 2019 were selected and divided into the observation group ( n=91) and the control group ( n=89) according to the visit time. Patients in the control group received routine health education, while patients in the observation group received WeChat-based health education under medical consortium for 6 months. The self-management ability (using Hypertension Patients Behavior Rating Scale, HPSMBRS) , treatment compliance (using Therapeutic Adherence Scale for Hypertensive Patients, TASHP) , the 24 h average systolic and diastolic blood pressure, the average systolic and diastolic blood pressure at daytime, and the average systolic blood pressure and diastolic blood pressure at night were compared between the two groups. Results:After the intervention, the diet management, medication management, disease monitoring, exercise management, work and rest and emotional management scores of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After the intervention, the medication-taking behavior, bad medication-taking behavior, daily activity management behavior and tobacco and alcohol addiction scores were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After the intervention, the 24 h average systolic and diastolic blood pressure, average systolic and diastolic blood pressure at daytime and average systolic and diastolic blood pressure at night decreased in the observation group, and the differences were statistically significant compared with the control group ( P<0.05) . Conclusions:The WeChat platform under medical consortium provides standardized, consistent, continuous and effective health education, which can improve the self-management ability and treatment compliance of hypertensive outpatients, and can effectively control blood pressure levels. It shows sound effects in clinical use.
