社区微信护理指导对超重/肥胖原发性高血压患者可变危险因素的价值
The Modifiable Risk Factors Management by Wechat in Overweight and Obesity Patients with Hypertension
DOI: 10.12677/ACM.2020.1010335, PDF,   
作者: 王淑民：河北省易县中医医院，内科，河北 保定；朱喜燕, 赵继东*：河北医科大学第四医院，胸外科，河北 石家庄
关键词: 社区护理；肥胖；原发性高血压；可改变危险因素；微信；Community Nursing； Obesity； Hypertension； Modifiable Risk Factors； Wechat
摘要: 目的：研究护理人员通过社交平台实施的社区护理，对肥胖原发性高血压患者可变危险因素的影响。方法：收集我中心2017年7月至2018年6月收治的肥胖原发性高血压1级患者，以是否接受社交软件“医患高血压生活习惯指导微信群”的指导分为实验组和对照组，观察1年内患者血压变化、饮食结构变化、运动习惯变化、体重变化及药物医从性变化等指标的差异。结果：试验期间我中心门诊共入组分析了超重/肥胖原发性高血压患者105名，身体质量指数(BMI)中位数31.2，对照组55人，按医嘱门诊随诊并接受门诊医嘱治疗；实验组50人，按医嘱门诊随诊并接受门诊医嘱治疗，同时加入社交软件“医患高血压生活习惯指导微信群”，接受医护人员在微信群中对患者生活指导及社区护理服务。比较对照组，实验组患者接受体育锻炼比例、合理饮食比例明显增加；实验组患者1年体重及BMI下降更明显，服药医从性更好。结论：利用手机社交平台软件可以将专业医护人员的服务延伸到社区，为超重/肥胖原发性高血压1级患者提供良好的社区护理和指导，从而改善患者的生活习惯和血压状况。
Abstract: Objective: To study the effect of community nursing by Wechat on the modifiable risk factors of obesity and hypertension. Methods: Patients with obesity and hypertension grade 1 admitted to our center from July 2017 to June 2018 were collected and randomly divided into experimental group and control group according to whether they received guidance by Wechat or not. The changes of blood pressure, diet structure, exercise habits, weight and medication compliance were analyzed. Results: 105 overweight/obese patients with lower grade of essential hypertension were analyzed, with a median body mass index (BMI) of 31.2. Among them, 55 were in the control group and 50 in the experimental group. Compared with the control group, the proportion of patients receiving physical exercise and reasonable diet in the experimental group increased significantly; the weight and BMI of the experimental group decreased more significantly, and the medication compliance was better. Conclusion: Using mobile social platform software can extend the services of medical professionals to the community, provide good community care and guidance for overweight/obese patients with hypertension, and improve their living habits and blood pressure status.
文章引用：王淑民, 朱喜燕, 赵继东. 社区微信护理指导对超重/肥胖原发性高血压患者可变危险因素的价值[J]. 临床医学进展, 2020, 10(10): 2216-2221. https://doi.org/10.12677/ACM.2020.1010335

参考文献

[1] 吴兆苏. 我国高血压防治回顾与现状[J]. 中国医药, 2019(8): 1121-1124.
[2] 杨振洪. 我国高血压可改变危险因素研究进展[J]. 中国城乡企业卫生, 2020, 35(8): 63-65.
[3] 饶慧兰. 微信健康教育对社区青年高血压患者的干预效果研究[J]. 中外医学研究, 2018, 16(3): 164-165.
[4] 葛声. 慢病防治中不同膳食模式的作用及合理选择[J]. 中华健康管理学杂志, 2014, 8(6): 364-368.
[5] 陈伟, 江华. 2016年中国超重/肥胖医学营养治疗专家共识解读[J]. 中国实用内科杂志, 2017, 37(5): 430-433.
[6] 孙亮亮, 谢虹, 张艳芳, 等. 脂质蓄积指数和饮酒对男性高血压罹患风险的影响[J]. 中国全科医学, 2019(25): 3094-3098.
[7] 谢红燕, 陈芸, 苏美芳, 等. 玉环县农村社区≥35岁居民超重和肥胖及其与高血压的关系[J]. 中华疾病控制杂志, 2019(2): 150-155.
[8] 王秀峰, 罗卫华, 丁燕, 等. 社区微信延续性护理对冠心病PCI术后患者健康行为及生活质量的影响[J]. 上海医药, 2020, 41(16): 50-53+56.
[9] 林小丹, 张彩霞, 许星莹, 等. 国内脑卒中病人延续护理的研究热点及趋势分析[J]. 全科护理, 2020, 18(23): 2964-2968.
[10] Bennett, G.G., Steinberg, D., Askew, S., et al. (2018) Heather Miranda. Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care. American Journal of Preventive Medicine, 55, 777-786. [Google Scholar] [CrossRef] [PubMed]
[11] He, C., Wu, S.Y., Zhao, Y.Y., et al. (2017) Social Media-Promoted Weight Loss among an Occupational Population: Cohort Study Using a WeChat Mobile Phone App-Based Campaign. Journal of Medical Internet Research, 19, e357. [Google Scholar] [CrossRef] [PubMed]
[12] Wu, Q., Huang, Y.W., van Velthoven, M.H., et al. (2019) The Effectiveness of Using a WeChat Account to Improve Exclusive Breastfeeding in Huzhu County Qinghai Province, China: Protocol for a Randomized Control Trial. BMC Public Health, 19, 1603. [Google Scholar] [CrossRef] [PubMed]
[13] Li, T., Ding, W.W., Li, X.W., et al. (2019) Mobile Health Technology (WeChat) for the Hierarchical Management of Community Hypertension: Protocol for a Cluster Randomized Controlled Trial. Patient Prefer Adherence, 13, 1339-1352. [Google Scholar] [CrossRef] 
[14] Kong, K., Zhang, L., Huang, L., et al. (2017) Validity and Practicability of Smartphone-Based Photographic Food Records for Estimating Energy and Nutrient Intake. Asia Pacific Journal of Clinical Nutrition, 26, 396-401.

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