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家庭医生模式下IMB模型联合远程健康管理对欠发达地区衰弱空巢老年原发性高血压患者的管理效果▲
Management effect of IMB model combined with remote health management under family doctor mode in weak empty-nest elderly patients with essential hypertension in underdeveloped areas

内科 202318卷04期 页码:327-332+341

作者机构:1 广西中医药大学,南宁市530200;2 广西中医药大学赛恩斯新医药学院,南宁市530222;3 广西中医药大学附属瑞康医院,南宁市530011

基金信息:广西高校中青年教师科研基础能力提升项-自然科学类(2022KY1670);广西中医药大学赛恩斯新医药学学院院级科研项目(2022MS012);广西中医药大学校级大学生创新创业训练计划项目(202310600173)

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目的评价家庭医生模式下信息-动机-行为技巧(IMB)模型联合远程健康管理对欠发达地区衰弱空巢老年原发性高血压患者高血压疾病知识知晓度、血压控制效果和服药依从性的管理效果。方法选择广西壮族自治区南宁市西乡塘区北湖南棉社区卫生服务中心的200例衰弱空巢老年原发性高血压患者,其中自愿签约家庭医生服务的患者为干预组(100例),未签约家庭医生服务的患者为对照组(100例)。给予对照组社区规范的原发性高血压健康管理服务,干预组在对照组管理措施的基础上增加家庭医生模式下IMB模型联合远程健康管理,两组均干预6个月。比较两组患者的高血压疾病知识知晓度、血压控制效果和服药依从性。结果干预2个月、4个月、6个月后,干预组患者的高血压疾病知识知晓度问卷评分均高于对照组,服药依从情况均优于对照组,舒张压、收缩压均低于对照组(均P<0.05)。结论家庭医生模式下IMB模型联合远程健康管理有助于提高衰弱空巢老年原发性高血压患者的高血压疾病知识知晓度、血压控制效果和服药依从性。
ObjectiveTo evaluate the management effect of the information-motivation-behavioral (IMB) model combined with remote health management under family doctor mode in weak empty-nest elderly patients with essential hypertension in underdeveloped areas. MethodsA total of 200 weak empty-nest elderly patients with essential hypertension were selected from Beihu Nanmian Community Health Service Center, Xixiangtang District, Nanning City, Guangxi Zhuang Autonomous Region, among which patients who voluntarily signed the family doctor services contract were the intervention group (n=100), and those who did not signed the family doctor services contract were the control group (n=100). The control group was given essential hypertension health management services in community standards, based on which the intervention group was given IMB model combined with remote health management under family doctor mode additionally. Both groups were intervened for 6 months. The hypertension knowledge awareness, blood pressure control effect, and the medication compliance were compared between the two groups. ResultsAfter 2 months, 4 months, and 6 months of intervention, the score of the hypertension knowledge awareness questionnaire in the intervention group was higher than that in the control group, medication compliance of the intervention group was better than that of the control group, and the diastolic blood pressure and systolic blood pressure in the intervention group were lower than those in the control group (all P<0.05). ConclusionThe IMB model combined with remote health management under the family doctor mode helps to improve hypertension knowledge awareness, blood pressure control effect, and medication compliance in weak empty-nest elderly patients with essential hypertension.

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