Outpatient Department, HeJi Hospital, Changzhi Medical College, Changzhi, 046000 Shanxi Province, China.
Cardiology of Department, HeJi Hospital, Changzhi Medical College, Changzhi, 046000 Shanxi Province, China.
Comput Math Methods Med. 2022 Mar 16;2022:7459518. doi: 10.1155/2022/7459518. eCollection 2022.
In this study, a doctor-nurse-patient integration management scheme based on heart rate (HR) management strategies was constructed to explore its application effect in the health management of young and middle-aged outpatients with hypertension.
A total of 75 young and middle-aged patients with essential hypertension admitted to the Outpatient Department of Cardiology of Heji Hospital Affiliated to Changzhi Medical College, Shanxi Province, from October 2019 to July 2020 were selected and divided into an observation group ( = 37) and a control group ( = 38) according to different treatment methods. The control group was treated with routine health education, basis on which, the observation group was additionally intervened by the doctor-nurse-patient integration model established upon HR management strategies. The resting heart rate (RHR) awareness, medication compliance, RHR, systolic/diastolic blood pressure (SBP/DBP), and self-management ability were compared between the two groups before and 3 months after intervention. The diet control rate, hypertension awareness rate, and regular review rate were also compared.
The RHR awareness and medication compliance were significantly higher in the observation group compared with the control group after intervention ( < 0.05). There were 29 patients with high compliance in the observation group and 19 in the control group, with a significant difference between the two groups ( < 0.05). The mean RHR, as well as the mean SBP and DBP in the observation group, were significantly lower than those in the control group ( < 0.05). In terms of health behavior assessment, the observation group outperformed the control group in the score of each dimension of self-actualization, health responsibility, stress management, interpersonal support, exercise, and nutrition ( < 0.05). In addition, the self-management ability of diet, exercise, medication, blood pressure (BP) monitoring, and disease awareness was significantly higher in the observation group compared with the control group.
For middle-aged and young outpatients with hypertension, the doctor-nurse-patient integration model based on HR management strategies can improve the RHR awareness of patients and improve their medication compliance and self-management ability, thus better controlling the levels of RHR and BP.
本研究构建基于心率（HR）管理策略的医护患一体化管理方案，探讨其在中青年高血压门诊患者健康管理中的应用效果。
选取 2019 年 10 月至 2020 年 7 月长治医学院附属和济医院心内科门诊收治的中青年原发性高血压患者 75 例，按治疗方法不同分为观察组（n = 37）和对照组（n = 38）。对照组采用常规健康教育，观察组在此基础上采用基于 HR 管理策略建立的医护患一体化模式进行干预。比较两组患者干预前后静息心率（RHR）知晓率、服药依从性、RHR、收缩压/舒张压（SBP/DBP）及自我管理能力，比较两组患者饮食控制率、高血压知晓率、定期复查率。
观察组干预后 RHR 知晓率、服药依从性均显著高于对照组（<0.05）。观察组高依从性患者 29 例，对照组 19 例，两组比较差异有统计学意义（<0.05）。观察组 RHR 及 SBP、DBP 均值均显著低于对照组（<0.05）。健康行为评估中，观察组自我实现、健康责任、压力管理、人际支持、运动、营养各维度得分均显著高于对照组（<0.05）。此外，观察组饮食、运动、服药、血压（BP）监测、疾病认知自我管理能力各维度得分均显著高于对照组。
基于 HR 管理策略的医护患一体化模式可提高中青年高血压门诊患者 RHR 知晓率，提高其服药依从性和自我管理能力，从而更好地控制 RHR 和 BP 水平。
