Abstract:

Objective　To study the application effect of dual-track interactive intervention mode in blood pressure control of hypertensive patients. Methods　A total of 102 patients with hypertension who received treatment in Henan Provincial People's Hospital from June 2020 to June 2021 were selected as research objects. They were divided into two groups according to the random number table method. In the control group, 1 patient was not accepted due to incorrect questionnaire filling, and in the study group, 1 patient was excluded due to missing follow-up. There were 26 males and 24 females in the control group, aged (50.23±12.36) years, and there were 25 males and 25 females in the study group, aged (49.89±12.29) years. The control group received routine intervention mode, and the study group received dual-track interactive intervention mode. The self-management abilities and blood pressure control of the two groups were observed on the day before discharge and 1 month after discharge. Statistical methods used were t test and χ² test. Results　On the day before discharge, there were no statistically significant differences in the total score and scores of all dimensions of Hypertension Patients Self-Management Behavior Rating Scale (HPSMBRS) between the two groups (all P>0.05). One month after discharge, the total score and scores of all dimensions of HPSMBRS of the study group had no statistically significant differences compared with those on the day before discharge (all P>0.05); the total score and scores of all dimensions of HPSMBRS of the control group were lower than those on the day before discharge (all P<0.05); the total score and scores of all dimensions of HPSMBRS of the study group were higher than those of the control group (all P<0.05). On the day before discharge, there were no statistically significant differences in the systolic and diastolic blood pressures between the two groups (both P>0.05). One month after discharge, the systolic blood pressure [(140.25±12.56) mmHg vs. (141.25±10.28) mmHg (1 mmHg=0.133 kPa)] and diastolic blood pressure [(81.02±3.54) mmHg vs. (82.29±4.52) mmHg] of the study group had no statistically significant differences compared with those on the day before discharge (both P>0.05); the systolic blood pressure [(145.54±10.36) mmHg vs. (141.36±10.26) mmHg] and diastolic blood pressure [(83.26±3.26) mmHg vs. (82.35±4.53) mmHg] of the control group were significantly different from those on the day before discharge (both P<0.05); the systolic blood pressure and diastolic blood pressure of the study group were lower than those of the control group (both P<0.05). Conclusion　The dual-track interactive intervention mode can improve the self-management level of hypertensive patients and facilitate the control of blood pressure.

Key words:

Hypertension, Blood pressure control, Dual-track interactive intervention mode

摘要：

目的　研究双轨道交互干预模式在高血压患者血压控制中的应用效果。方法　前瞻性选取2020年6月至2021年6月在河南省人民医院接受治疗的102例高血压患者作为研究对象，根据随机数字表法将其分为两组，对照组有1例患者因问卷填写有误不予接收，研究组有1例患者失访予以剔除。对照组男26例，女24例，年龄（50.23±12.36）岁；研究组男25例，女25例，年龄（49.89±12.29）岁。对照组行常规干预模式，研究组行双轨道交互干预模式，干预时间均为1个月。观察两组患者出院前日、出院后1个月的自我管理能力及血压控制情况。统计学方法采用t检验、χ²检验。结果　出院前日，两组患者的高血压患者自我管理行为测评量表（HPSMBRS）各维度评分及总评分比较差异均无统计学意义（均P>0.05）；出院后1个月，研究组HPSMBRS各维度评分及总评分与出院前日比较差异均无统计学意义（均P>0.05），对照组HPSMBRS各维度评分及总评分均低于出院前日（均P<0.05），研究组HPSMBRS各维度评分及总评分均高于对照组（均P<0.05）。出院前日，两组患者收缩压、舒张压比较差异均无统计学意义（均P>0.05）；出院后1个月，研究组收缩压［（140.25±12.56）mmHg比（141.25±10.28）mmHg（1 mmHg=0.133 kPa）］、舒张压［（81.02±3.54）mmHg比（82.29±4.52）mmHg］与出院前日比较差异均无统计学意义（均P>0.05），对照组收缩压［（145.54±10.36）mmHg比（141.36±10.26）mmHg］、舒张压［（83.26±3.26）mmHg比（82.35±4.53）mmHg］与出院前日比较差异均有统计学意义（均P<0.05）；研究组收缩压、舒张压均低于对照组（均P<0.05）。结论　双轨道交互干预模式可提升高血压患者自我管理水平，利于血压的控制。

关键词:

高血压, 血压控制, 双轨道交互干预模式