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基于物联网的智能管理模式对老年高血压性心脏病患者自我管理能力及预后的影响:一项观察性研究。

Influence of intelligent management mode based on Internet of Things on self-management ability and prognosis of elderly patients with hypertensive heart disease: An observational study.

机构信息

Department of Geriatrics, The Sixth Hospital of Wuhan, Affiliated Hospital of Jianghan University, Wuhan, Hubei, China.

Department of Cardiovascular, The Sixth Hospital of Wuhan, Affiliated Hospital of Jianghan University, Wuhan, Hubei, China.

出版信息

Medicine (Baltimore). 2024 May 31;103(22):e38179. doi: 10.1097/MD.0000000000038179.

Abstract

Hypertensive heart disease was difficult to cure with drugs, and most patients had poor compliance, leading to recurrent disease and poor quality of life. The intelligent management mode based on the Internet of Things avoided the excessive dependence of the elderly patients on medical institutions in the traditional medical model and enabled patients to monitor themselves. This study aimed to explore the impact on self-management ability and prognosis of elderly patients with hypertensive heart disease. A total of 150 elderly patients with hypertensive heart disease who received treatment from April 2020 to April 2022 were selected and divided into control group (n = 75 cases) and observation group (n = 75 cases) by random number table method. The control group was given routine intervention, and the observation group was given intelligent management mode based on the Internet of Things. Blood pressure fluctuation, self-management ability, and prognosis of the 2 groups were compared after intervention. After the intervention of the intelligent management mode based on the Internet of Things, the systolic and diastolic blood pressure levels in the observation group were lower than those in the control group (P < .05). After intervention, the scores of self-management ability in diet control, self-care skills, rehabilitation exercise, and self-monitoring in observation group were higher than those in control group (P < .05). After intervention, the total incidence of chest tightness, dyspnea, arrhythmia, edema, and nausea in the observation group was 5 (6.67%), which was significantly lower than that in the control group 12 (16.00%) (P < .05). The application of intelligent management mode based on the Internet of Things could effectively improve patients' blood pressure level, improve patients' self-management ability, and significantly improve the prognosis, which was worthy of popularization and application.

摘要

高血压性心脏病用药物治疗较难痊愈,且多数患者依从性较差,导致疾病反复发作,生活质量较差。基于物联网的智能化管理模式避免了老年患者在传统医疗模式下对医疗机构的过度依赖,使患者能够自我监测。本研究旨在探讨物联网智能化管理模式对老年高血压性心脏病患者自我管理能力及预后的影响。选取 2020 年 4 月-2022 年 4 月收治的 150 例老年高血压性心脏病患者,采用随机数字表法分为对照组(n=75 例)和观察组(n=75 例)。对照组给予常规干预,观察组给予基于物联网的智能化管理模式。比较 2 组患者干预后的血压波动情况、自我管理能力及预后。基于物联网的智能化管理模式干预后,观察组收缩压、舒张压水平均低于对照组(P<.05)。干预后,观察组饮食控制、自我护理技能、康复运动、自我监测等自我管理能力评分均高于对照组(P<.05)。干预后,观察组胸闷、呼吸困难、心律失常、水肿、恶心总发生率为 5(6.67%),明显低于对照组 12(16.00%)(P<.05)。基于物联网的智能化管理模式的应用可有效改善患者血压水平,提高患者自我管理能力,显著改善预后,值得推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c25/11142800/ac70a14a2aac/medi-103-e38179-g001.jpg

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