Original Articles
Effectiveness on blood pressure control for hypertensive patients with Mobile Health Management in community
Jianxia Zhu, Mingcheng Lu, Jinsheng Zeng, Fuyi Zhou, Yulan Li, Zhuohua Liang, Chao Tang, Shaohua Lyu, Jiahui Liang
Published 2015-02-04
Cite as Chin J Gen Pract, 2015, 14(2): 90-94. DOI: 10.3760/cma.j.issn.1671-7368.2015.02.005
Abstract
ObjectivesTo evaluate the effectiveness of mobile internet technology in management of hypertensive patients in community.
MethodsTotal 556 hypertensive patients in community were randomly divided into mobile health management group (management group, n=270) and control group (n=286). Conventional antihypertensive medication was given for both groups. In management group additional mobile health management was performed, including real-time monitoring of blood pressure, reminding of medication by voice reminder and SMS through the information platform of automatic warning system. The blood pressure and blood lipid were measured, quality of life was evaluated by Nottingham Health Profile (NHP) and Life Satisfaction Index Z (LSIZ) scales; the incidence of complications, hospitalization or emergency admission related to hypertension were documented during the 1 year of follow up.
ResultsAfter 1 year of follow up, the blood pressure and blood lipid decreased significantly (P<0.05) in management group, while no changes in control group (P>0.05). Score of knowledge related to health education in management group was significantly higher than that of pre-management (90.5±3.1 vs. 31.1±5.9, P<0.001); quality of life in management group was higher than that of pre-management (0.93±0.17 vs. 0.85±0.19, P<0.01). During 1 year follow up the complications of heart and brain was 1.11% in management group and 6.29% in control group (P<0.01). Rates of hospitalization or emergency admission in management group were lower than those in control group (0.42/100·y vs. 1.65/100·y, P<0.01). After 1 year follow up, compliance of patients in management group increased from 47.78% (129/270) to 94.44% (255/270) (P<0.01), while that in control group increased from 49.30% (141/286) to 60.14% (172/286) (P>0.05). The scores of life satisfaction degree measured by LSIZ in management group and in control group were 9.53±3.03 and 8.30±2.96, respectively (P<0.01).
ConclusionMobile Health Management can effectively control blood pressure, reduce incidence of complications, enhance compliance of patients and improve quality of life for hypertensive patients in community.
Key words:
Hypertension; Disease managment; Community health services
Contributor Information
Jianxia Zhu
Chaoyang Hospital of Chancheng District, Foshan 528000, China
Mingcheng Lu
Jinsheng Zeng
Fuyi Zhou
Yulan Li
Zhuohua Liang
Chao Tang
Shaohua Lyu
Jiahui Liang
