Volume 20 Issue 5
May  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 816-820
LI Xia, CHEN Yu-jiao, CHEN Li-li, CHENG Liu, LU Chun-yu, XU Xiao-ying. Evaluation of the effect of the 'Internet plus' health management model core with comics on the management of young and middle-aged people at high risk of cardiovascular disease[J]. Chinese Journal of General Practice, 2022, 20(5): 816-820. doi: 10.16766/j.cnki.issn.1674-4152.002462
Citation: LI Xia, CHEN Yu-jiao, CHEN Li-li, CHENG Liu, LU Chun-yu, XU Xiao-ying. Evaluation of the effect of the "Internet plus" health management model core with comics on the management of young and middle-aged people at high risk of cardiovascular disease[J]. Chinese Journal of General Practice, 2022, 20(5): 816-820. doi: 10.16766/j.cnki.issn.1674-4152.002462
shu

Evaluation of the effect of the "Internet plus" health management model core with comics on the management of young and middle-aged people at high risk of cardiovascular disease

doi: 10.16766/j.cnki.issn.1674-4152.002462

  • Jiangning Road Street Community Health Service Center, Jing'an District, Shanghai 200041, China

Funds:

 HQKZKYJ004

  • Received Date: 2021-01-15
    Available Online: 2022-09-05
    Abstract
  •   Objective  To explore the application effect of the new 'Internet plus' health management model with comics as the core (new management for short) in the management of young and middle-aged people at high risk of cardiovascular disease (high-risk population for short).  Methods  A total of 118 cases were selected from office buildings around a street in Shanghai from February through April 2019 as the research objects. They were divided into a new management group (n=59) and a conventional management group (n=59) by simple random grouping. All personnel completed the health knowledge test after joining the group and carried out health management for six months. After 6 months, the two groups filled out the risk assessment questionnaire and health knowledge test again. The physical and chemical indexes, knowledge and behaviour indexes, loss to follow-up rate and satisfaction rate of the two groups were compared and analysed.  Results  After the intervention, the reduction of BMI [1.3 (0.9, 1.6) vs. 0.9 (0.3, 1.3)], systolic blood pressure [20.0 (14.5, 23.0) mm Hg vs. 16.0 (12.0, 19.0) mm Hg, 1 mm Hg=0.133 kPa], diastolic blood pressure [10.0 (14.5, 23.0) mm Hg vs. 8.0 (5.0, 9.0) mm Hg], LDL-C [1.1 (0.7, 1.3) mmol/L vs. 0.7 (0.2, 1.0) mmol/L], the frequency of blood pressure monitoring and the health knowledge awareness level in the new management group were higher than those in the conventional management group (all P < 0.05). Moreover, significant differences were observed in the health knowledge awareness level before and after the intervention between the two groups (P < 0.05). After the intervention, the smoking volume in the new management group was lower than that before the intervention (P < 0.001). The loss to follow-up rate in the new management group was lower than that in the conventional management group (P < 0.05). The proportion of service satisfaction was higher than that in the conventional management group (P < 0.05).  Conclusion  Applying the new management model to the health management of high-risk population can increase their understanding of diseases and their own status. It can also improve the control level of blood pressure, blood lipids, BMI and smoking, enhance compliance, and improve satisfaction.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    国家心血管病中心. 中国心血管病报告2018[M]. 北京: 中国大百科全书出版社, 2019.

    National Center for Cardiovascular Diseases. China Cardiovascular Disease Report 2018[M]. Beijing: China Encyclopedia Publishing House, 2019.
    [2]
    中国心血管病预防指南(2017)写作组, 中华心血管病杂志编辑委员会. 中国心血管病预防指南(2017)[J]. 中华心血管病杂志, 2018, 46(1): 10-25.

    Writing Group for Chinese Guidelines for Cardiovascular Disease Prevention(2017), Editorial Board of Chinese Journal of Cardiology. Chinese Guidelines for Cardiovascular Disease Prevention (2017)[[J]. Chinese Journal of Cardiology, 2018, 46(1): 10-25.
    [3]
    国务院办公厅. 中国防治慢性病中长期规划(2017-2025年)[EB/OL]. (2017-02-14)[2020-12-07]. http://www.gov.cn/zhengce/content/2017-02/14/content_5167886.htm.

    General Office of the State Council. China Medium- and Long-Term Plan for the Prevention and Treatment of Chronic Diseases (2017-2025)[EB/OL]. (2017-02-14)[2020-12-07]. http://www.gov.cn/zhengce/content/2017-02/14/content_5167886.htm.
    [4]
    庞元捷, 吕筠, 余灿清, 等. 多组学在慢性病病因学研究中的应用及其进展[J]. 中华流行病学杂志, 2021, 42(1): 1-9. doi: 10.3760/cma.j.cn112338-20201201-01370

    PANG Y J, LV J, YU C Q, et al. Application of multi-omics in the etiological study of chronic diseases and its progress[J]. Chinese Journal of Epidemiology, 2021, 42(1): 1-9. doi: 10.3760/cma.j.cn112338-20201201-01370
    [5]
    德勤咨询. 2018中国移动消费者调研报告[EB/OL]. (2019-01-25)[2020-12-07]. http://www.199it.com/archives/826771.html.

    Deloitte Consulting. 2018 China Mobile Consumer Survey Report[EB/OL]. (2019-01-25)[2020-12-07]. http://www.199it.com/archives/826771.html.
    [6]
    刘政, 王锡榜, 周艳红, 等. 互联网+医生的社区高血压患者慢病管理模式效果[J]. 解放军医院管理杂志, 2020, 27(2): 156-161. https://www.cnki.com.cn/Article/CJFDTOTAL-JFYG202002017.htm

    LIU Z, WANG X B, ZHOU Y H, et al. Effect of internet plus doctor's chronic disease management model for community hypertensive patients[J]. Chinese People's Liberation Army Hospital Management Journal, 2020, 27(2): 156-161. https://www.cnki.com.cn/Article/CJFDTOTAL-JFYG202002017.htm
    [7]
    李佳梅, 陈鸿芳, 李换则, 等. "互联网+"慢性病管理模式在原发性高血压患者中的应用效果[J]. 临床医学研究与实践, 2020, 5(17): 148-149, 152. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202017056.htm

    LI J M, CHEN H F, LI H Z, et al. Effect of internet + chronic disease management model in patients with essential hypertension[J]. Clinical Medical Research and Practice, 2020, 5(17): 148-149, 152. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202017056.htm
    [8]
    曾令先, 杜小林, 夏孟红. "互联网+慢病管理"创新模式与成效[J]. 中国医药指南, 2020, 18(2): 292-293. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202002246.htm

    ZENG L X, DU X L, XIA M H. Innovative model and effectiveness of "Internet plus Chronic Disease Management"[J]. Chinese Pharmaceutical Guidelines, 2020, 18(2): 292-293. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202002246.htm
    [9]
    王琳青. 手机新媒体在稳定期慢阻肺患者慢病管理中的应用研究[D]. 沈阳: 中国医科大学, 2020.

    WANG L Q. Application of new mobile phone media in chronic disease management of stable COPD patients[D]. Shenyang: China Medical University, 2020.
    [10]
    王力, 陈康, 魏文志, 等. 互联网+全程慢病管理模式对高血压慢病的疗效研究[J]. 河北医药, 2018, 40(12): 1803-1806. doi: 10.3969/j.issn.1002-7386.2018.12.010

    WANG L, CHEN K, WEI W Z, et al. Efficacy of Internet plus whole-course chronic disease management mode on hypertensive chronic disease[J]. Hebei Medicine, 2018, 40(12): 1803-1806. doi: 10.3969/j.issn.1002-7386.2018.12.010
    [11]
    买力曼·巴哈尼, 王朝阳, 刘泉泉, 等. 基于移动医疗的干预影响慢病患者依从性的meta分析[J]. 电脑知识与技术, 2021, 17(3): 236-238, 249. https://www.cnki.com.cn/Article/CJFDTOTAL-DNZS202103094.htm

    BUYMAN B, WANG C Y, LIU Q Q, et al. Meta-analysis of mHealth based interventions affecting adherence in patients with chronic diseases[J]. Computer Knowledge and Technology, 2021, 17(3): 236-238, 249. https://www.cnki.com.cn/Article/CJFDTOTAL-DNZS202103094.htm
    [12]
    VORRINK S, HUISMAN C, KORT H, et al. Perceptions of patients with chronic obstructive pulmonary disease and their physiotherapists regarding the use of an ehealth intervention[J]. JMIR Hum Factors, 2017, 4(3): e20. DOI: 10.2196/humanfactors.7196.
    [13]
    徐春华, 王冬莉, 宁淑贞. 微信随访在糖尿病慢病管理中的应用研究[J]. 临床医药实践, 2019, 28(7): 547-550. https://www.cnki.com.cn/Article/CJFDTOTAL-SXLC201907024.htm

    XU C H, WANG D L, NING S Z. Application of Wechat follow-up in the management of chronic diabetic disease[J]. Clinical Medicine Practice, 2019, 28(7): 547-550. https://www.cnki.com.cn/Article/CJFDTOTAL-SXLC201907024.htm
    [14]
    刘妮. "互联网+"背景下医院-社区-家庭三级健康教育模式在痛风患者中的应用[D]. 太原: 山西医科大学, 2019.

    LIU N. The application of hospital, community and family three-level health education model in gout patients in the context of "Internet plus"[D]. Taiyuan: Shanxi Medical University, 2019.
    [15]
    李松, 杨郗, 郭秀婷, 等. 全科医生移动APP健康管理模式在社区糖尿病管理中的应用效果评价[J]. 中国初级卫生保健, 2019, 33(6): 15-17. doi: 10.3969/j.issn.1001-568X.2019.06.0006

    LI S YANG C, GUO X T, et al. Evaluation of the application effect of general practitioner mobile APP health management model in community diabetes management[J]. Chinese Primary Health Care, 2019, 33(6): 15-17. doi: 10.3969/j.issn.1001-568X.2019.06.0006
    [16]
    周志衡, 黄志杰, 郑晓芬, 等. "互联网+"糖尿病三方共管健康管理模式构建与应用研究[J]. 中华全科医学, 2020, 18(10): 1707-1710. doi: 10.16766/j.cnki.issn.1674-4152.001599

    ZHOU Z H, HUANG Z J, ZHENG X F, et al. Construction and application of tripartite co-management health management model for "internet plus" diabetes[J]. Chinese general practice, 2020, 18(10): 1707-1710. doi: 10.16766/j.cnki.issn.1674-4152.001599
    [17]
    谢红燕, 应莉, 崔英. 基于"互联网+"院外管理对台州地区高血压脑病患者血压变异性的影响[J]. 中华全科医学, 2020, 18(7): 1227-1229, 1244. doi: 10.16766/j.cnki.issn.1674-4152.001471

    XIE H Y, YING L, CUI Y. Effect of "internet plus" extramural management on blood pressure variability in patients with hypertensive encephalopathy in Taizhou area[J]. Chinese general practice, 2020, 18(7): 1227-1229, 1244. doi: 10.16766/j.cnki.issn.1674-4152.001471
    [18]
    黄蛟灵, 刘娜娜, 刘茜, 等. 社区居民与家庭医生签约状况及人口特征分析[J]. 中国初级卫生保健, 2020, 34(1): 40-41, 87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202001012.htm

    HUANG J L, LIU N N, LIU X, et al. Community residents and family doctors signed status and demographic characteristics analysis[J]. Chinese Primary Health Care, 2020, 34(1): 40-41, 87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202001012.htm
    [19]
    梁雪, 武宁, 陈连庆, 等. 焦虑和自我效能对中青年冠心病患者健康素养的影响[J]. 山西医药杂志, 2019, 48(5): 632-633. doi: 10.3969/j.issn.0253-9926.2019.05.049

    LIANG X, WU N, CHEN L Q, et al. Effect of anxiety and self-efficacy on health literacy in young and middle-aged patients with coronary heart disease[J]. Shanxi Medical Journal, 2019, 48(5): 632-633. doi: 10.3969/j.issn.0253-9926.2019.05.049
    [20]
    陈远虹, 郑羽翔, 王朝昕. 社区卫生服务中心内部控制的现状及改进[J]. 中国社区医师, 2020, 36(32): 180-181. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202032088.htm

    CHEN Y H, ZHENG Y X, WANG Z X. Present situation and improvement of internal control in community health service center[J]. Chinese Community Doctors, 2020, 36(32): 180-181. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202032088.htm
    [21]
    林洁, 郭静, 杨永华, 等. 上海市某区基层医务人员权益诉求分析[J]. 中华医院管理杂志, 2019, 35(11): 940-943. doi: 10.3760/cma.j.issn.1000-6672.2019.11.014

    LIN J, GUO J, YANG Y H, et al. Analysis of the rights appeal of primary medical staff in a district of Shanghai[J]. Chinese Journal of Hospital Management, 2019, 35(11): 940-943. doi: 10.3760/cma.j.issn.1000-6672.2019.11.014
    [22]
    陈哲, 刘竟芳, 陈伟, 等. 医院-社区-家庭三位一体老年慢性病管理模式探讨[J]. 医学临床研究, 2019, 36(12): 2384-2386. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201310062.htm

    CHEN Z, LIU Y F, CHEN W, et al. Hospital-community-family trinity chronic disease management model in the elderly to investigate[J]. Journal of Clinical Research, 2019, 36(12): 2384-2386. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201310062.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (211) PDF downloads(4) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return