移动健康教育对盐敏感性高血压患者限盐依从性影响

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英文篇名：Effect of Moving Health Education on Salt Restriction Intervention in Patients with Salt Sensitive Hypertension 作者：袁怡婷 ; 周元芬 ; 王丽梅 ; 巩芳 英文作者：YUAN Yiting;ZHOU Yuanfen;WANG Limei;Xining No.1 Hospital; 关键词：移动健康教育 ; 盐敏感性高血压 ; 限盐 ; 依从性 英文关键词：Mobile health education;;Salt sensitive hypertension;;Salt restriction;;Compliance 中文刊名：GWSY 英文刊名：Chinese Journal of Social Medicine 机构：西宁市第一人民医院护理部;西宁市第一人民医院妇科;西宁市第一人民医院心血管内科; 出版日期：2019-06-26 出版单位：中国社会医学杂志 年：2019 期：v.36 基金：青海省卫生计生系统科研课题(2017-wjzdx-75) 语种：中文; 页：GWSY201903017 页数：4 CN：03 ISSN：42-1758/R 分类号：58-61

摘要

目的探讨移动健康教育(mobile health education,MHE)对盐敏感性高血压患者限盐干预效果的影响。方法选取2015年1月1日—2016年6月30日在西宁市某三甲医院收治的168例盐敏感性高血压(salt sensitive hypertension,SSH)患者为研究对象,随机分为研究组和对照组,每组84例。对照组给予常规门诊随访,研究组给予时长6个月的移动健康教育。比较分析两组患者干预前及干预后钠盐摄入量、24h尿钠水平及血压变化,并计算干预后血压控制率,以上述指标变化评估限盐干预效果。结果对照组干预前后24h尿钠为254.5±21.2及175.4±15.3,研究组干预前后24h尿钠为256.7±23.0及136.2±14.8,两组干预后比较差异有统计学意义(P<0.05);对照组干预前后钠盐摄入量为15.2±3.0g/d、8.8±2.1g/d,研究组干预前后钠盐摄入量为15.4±3.4g/d、4.7±1.2g/d,两组干预后比较差异有统计学意义(P=0.005);干预后,研究组收缩压、舒张压明显低于对照组,两者差异有统计学意义(P<0.05);对照组血压达标率为53.6%(45/84),研究组血压达标率为85.7%(72/84),两组之间差异有统计学差异(χ2=20.418,P<0.001)。结论通过微信推送控盐教育方案的移动健康教育方式可显著提高SSH患者的限盐效果,改善降压效果,值得在护理工作中进一步推广。
        Objective To explore the effect of mobile health education(MHE)on salt restriction compliance among patients with salt sensitive hypertension(SSH).Methods This study included 168 SSH patients meeting the conditions between 2015.1.1 and 2016.6.30,and they were randomly divided into the study group(84 cases)and the control group(84 cases).The control group was given routine outpatient follow-up,and the study group was given MHE for 6 months.The changes of sodium intake,24 hours urine sodium level and blood pressure before and after intervention were compared between the two groups.The blood pressure control rate after intervention was calculated,and the effect of salt limitation intervention was evaluated by the above indexes.Results 24 hours urinary sodium in control group were(254.5±21.2)and(175.4±15.3)before and after intervention;24 hours urinary sodium in study group were(256.7±23.0)and(136.2±14.8)before and after intervention;there was significant difference between the two groups after intervention(P<0.05).Sodium salt intake in control group were(15.2±3.0)and(8.8±2.1)before and after intervention;Sodium salt intake in study group were(15.4±3.4)and(4.7±1.2)before and after intervention;there was significant difference between the two groups after intervention(P=0.005).After intervention,systolic blood pressure and diastolic blood pressure in the study group were significantly lower than those in the control group,and the difference was statistically significant(Z=5.324,2.014;P<0.001,0.037).The blood pressure control rate was 53.6%(45/84)in the control group and 85.7%(72/84)in the study group.There was a significant difference between the two groups(χ2=20.418,P<0.001).Conclusion Mobile health education can significantly improve the effect of salt limitation and hypotension in patients with SSH,which is worth further applied in nursing work.

引文

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