【摘要】 目的探讨手机微信软件在原发性高血压患者出院随访中的应用。方法纳入2014年6月—12月72例原发性高血压患者,随机分为微信随访组和电话随访组,每组36例,随访频率均为1次/周,持续3个月。统计两组患者血压、心率、体质量指数(body mass index,BMI),评估患者生活方式,比较两组患者随访时间、再入院率、服药依从性、满意度及失访率等方面。结果两组患者在出入院时的血压、心率以及BMI比较,差异无统计学意义(P>0.05)。随访结束后,微信随访组和电话随访组分别有1例和2例患者失访,两组失访率差异无统计学意义(P=1.000)。两组患者随访期间平均血压、平均心率、平均BMI、摄盐依从性、服药依从性、患者满意度及再入院率比较,差异均无统计学意义(P>0.05);但微信随访组患者吸烟量、饮酒量及平均每周随访时间均少于电话随访组,而平均运动时间多于电话随访组,差异均有统计学意义(P<0.05)。结论利用手机微信软件对原发性高血压患者进行出院随访实用性强,效果确切,可有效改善患者生活方式,提高随访效率。更多还原

【Abstract】 Objective To explore the application of We Chat software in the follow-up of patients with primary hypertension.Methods Seventy-two patients with primary hypertension treated between June and December 2014 were randomly divided into two groups,We Chat group and phone group,with 36 in each.The patients in both the two groups were followed up once a week for three months.We recorded patients’ blood pressure,heart rate,and body mass index(BMI),assessed their life style,and compared follow-up time,rate of readmission,satisfaction degree,medication compliance and follow-up loss rate between the two groups.Results There were no significant differences in blood pressure,heart rate and BMI between the two groups(P>0.05).At the end of the follow-up,there were no significant differences in blood pressure,heart rate,BMI,salt-intake compliance,medicine-intake compliance,patient satisfaction,follow-up loss rate,and readmission rate between the two groups(P>0.05),but patients in the We Chat group were less than those in the Phone group in terms of average weekly smoking,alcohol consumption,and follow-up time(P<0.05),and were better in terms of average weekly sport-time(P<0.05).Conclusion The application of We Chat software for follow-up in patients with primary hypertension can effectively improve the patients’ life style and follow-up efficiency.更多还原