Effect of"Internet+"management on blood pressure variability of hypertensive encephalopathy in Taizhou

Objective To explore the effect of "Internet +" management on emergency hypertensive encephalopathy patients, and to provide effective methods for improving out-of-hospital management of hypertensive encephalopathy. Methods One hundred and sixteen patients with emergency hypertensive encephalopathy who were hospitalized and registered in telemedicine center from January 2017 to August 2018 were selected. According to the random number table method, they were divided into the study group (58 cases) and the control group (58 cases). The control group received routine nursing in hospital and regular follow-up visits outside the hospital. The study group was based on "slow health" Internet platform on the basis of the control group. The mean systolic blood pressure (SBP), diastolic blood pressure (DBP) and blood pressure variability (BPV) of the two groups were compared for 12 months. Results There was no loss of follow-up in the study group, and 2 cases in the control group did not respond, and 114 cases were finally included, including 58 cases in the study group and 56 cases in the control group. For 12 months, the level of SBP and DBP in the study group were lower than those in the control group (all P<0.05). The 24-hour SBP BPV in the study group was (10.20±2.13), and that of the control group was (16.64±4.36), the difference was statistically significant (t=10.073, P<0.05). The 24-hour DBP BPV in the study group was (5.26±1.06), and that of the control group was (7.44±1.35), and the difference was statistically significant (t=9.164, P<0.05). The excellent and good compliance rate of the study group was 81.04%, much higher than that of the control group (44.64%), χ²=16.216, P<0.05. The satisfaction rate of the study group was 96.55%, and that of the control group was 66.08% (χ²=17.614, P<0.05). Conclusion Based on the "slow health" Internet platform, hypertensive encephalopathy can effectively control blood pressure level, stabilize blood pressure variability, improve patient compliance and nursing satisfaction through routine nursing.