Analysis of the effectiveness of digitized management in integrated medical and preventive care for hypertension through chronic diseases outpatient services
Objective To enhance hypertension management in primary medical institutions by analyzing the effective-ness of digitized management of medical-preventive integration for hypertension based on integrated outpatient services for chronic diseases.Methods In September 2021,772 hypertensive patients aged 35-79 were selected from the outpatient department of Kaixuan Subdistrict Community Healthcare Center.According to the random principle,388 cases were as-signed to the intervention group and 384 to the control group.The intervention group adopted digitized management of medical-preventive integration based on integrated outpatient services for chronic diseases,while the control group adopt-ed a routine community hypertension management based on general outpatient services.After 18 months of intervention,statistical analysis assessed changes in lifestyle,blood pressure compliance rate,and combined compliance rats for blood pressure,blood glucose,and lipid levels in both groups before and after intervention.Factors influencing blood pressure compliance at the study endpoint were also analyzed.Results Following the intervention,the alcohol consumption,obe-sity,and abdominal obesity rates in the intervention group were improved[18.8％(73 cases)vs.27.1％(104 cases),5.4％(21 cases)vs.11.7％(45 cases),31.2％(121 cases)vs.45.1％(173 cases),respectively],which were statistically significant compared to the control group(x2=7.468,19.627,15.738,P＜0.05).The blood pressure com-pliance rate and the combined compliance rate of blood pressure,blood glucose,and lipid in the intervention group[61.9％(240 cases)and 53.4％(207 cases),respectively]were higher than those in the control group[44.3％(170 cases)and 28.1％(108 cases),respectively],with statistically significant(x2=23.964,50.843,P＜0.05).Multiva-riate logistic regression analysis showed that receiving digital integrated medical and preventive management(OR=1.587,95％CI:1.161-2.171),blood glucose control(OR=2.056,95％CI:1.294-3.266),and blood lipid control(OR=1.490,95％CI:1.042-2.131)were independent promoting factors for blood pressure control(P＜0.05).Con-clusion The digitized management of medical-preventive integration based on integrated chronic disease outpatient serv-ices can improve the effectiveness of blood pressure disease management.
HypertensionDigitizationIntelligent managementMedical and preventive integration
维普
万方数据
