基于危险分层的"互联网+"院外干预策略在高血压患者中的应用效果研究OA
Application Effect of"Internet+"Out-of-Hospital Intervention Strategy Based on Risk Stratification in Patients with Hypertension
目的 分析基于危险分层的"互联网+"院外干预策略在高血压患者中的应用效果.方法 选取2024年9月—2025年2月在内蒙古自治区人民医院全科医学科就诊的120例高血压患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组60例.对照组患者接受常规出院后干预,观察组患者接受基于危险分层的"互联网+"院外干预策略,两组均连续干预6个月.比较两组干预前、干预6个月血压控制情况、自我管理能力[采用高血压病人自我管理行为测评量表(HPSMBRS)评估]、治疗依从性[采用高血压治疗依从性量表(TASHP)评估]及生活质量[采用高血压病患者生命质量测定量表(QLICD-HY)评估].结果 干预6个月,观察组收缩压、舒张压分别低于本组干预前,且观察组低于对照组(P＜0.05).观察组干预6个月血压控制达标率高于对照组(P＜0.05).干预6个月,观察组HPSMBRS、TASHP、QLICD-HY评分分别高于本组干预前,且观察组高于对照组(P＜0.05).结论 基于危险分层的"互联网+"院外干预策略能有效降低高血压患者血压,提高患者血压控制达标率、自我管理能力、治疗依从性及生活质量.
Objective To explore the application effect of"internet+"out-of-hospital intervention strategy based on risk stratification in patients with hypertension.Methods A total of 120 patients with hypertension who were treated in the Department of General Practice,Inner Mongolia People's Hospital from September 2024 to February 2025 were selected as the research objects.They were divided into the control group and the observation group by random number table method,with 60 cases in each group.Patients in the control group received routine post-discharge intervention,and patients in the observation group received"internet+"out-of-hospital intervention strategy based on risk stratification.Both groups were continuously intervened for 6 months.Blood pressure control,self-management ability[assessed by Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS)],treatment compliance[assessed by Therapeutic Adherence Scale for Hypertensive Patients(TASHP)]and quality of life[assessed by Quality of Life Instruments for Chronic Diseases-Hypertension(QLICD-HY)]were compared between the two groups before intervention and at 6 months of intervention.Results At 6 months of intervention,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those before intervention,respectively,and those in the observation group were lower than those in the control group(P<0.05).At 6 months of intervention,the blood pressure control rate of the observation group was higher than that of the control group(P<0.05).At 6 months of intervention,the scores of HPSMBRS,TASHP and QLICD-HY in the observation group were higher than those before intervention,respectively,and those in the observation group were higher than those in the control group(P<0.05).Conclusion The"internet+"out-of-hospital intervention strategy based on risk stratification can effectively reduce blood pressure of patients with hypertension,and improve the patients'blood pressure control compliance rate,self-management ability,treatment compliance and quality of life.
张峥璐;乌依罕;宁婕;刘国娟;姜海燕
010010 内蒙古自治区呼和浩特市,内蒙古医科大学101100 北京市,首都医科大学附属北京友谊医院全科医学科010010 内蒙古自治区呼和浩特市,内蒙古自治区人民医院全科医学科010010 内蒙古自治区呼和浩特市,内蒙古自治区人民医院全科医学科010010 内蒙古自治区呼和浩特市,内蒙古医科大学内蒙古临床医学院||010010 内蒙古自治区呼和浩特市,内蒙古自治区人民医院质量管理部
医药卫生
高血压危险分层"互联网+"干预策略
HypertensionRisk stratification"Internet+"Intervention strategies
《实用心脑肺血管病杂志》 2026 (5)
36-40,5
公立医院科研联合基金科技项目(2023GLLH0034)
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