居家康复联合数字健康家庭服务模式对高血压患者管理的影

关键词：数字健康家庭服务模式  高血压  居家康复  疾病管理

Keywords:digital health home service model  hypertension  home rehabilitation  disease management

摘要：

      摘要 目的：研究居家康复联合数字健康家庭服务模式对高血压患者管理的影响。 方法：选取于徐州医科大学附属医院2023年1月至2023年12月参加数字化家庭服务模式项目的高血压患者400例为研究对象，运用随机数字表法将400例高血压患者分为观察组及对照组，每组各200例。对照组接受常规干预，观察组于此基础上辅以基于数字化家庭服务居家康复模式，干预持续6个月。观察干预前后高血压治疗态度和信念、高血压治疗依从性、运动时间、血压水平变化及心理状态的变化。 结果：干预6个月后，观察组高血压治疗态度和信念量表（ATRABS）、高血压治疗依从性量表（TASHP）各维度评分及运动时间均高于对照组（P＜0.05）；观察组血压水平均低于对照组，舒张压变化值、收缩压变化值高于对照组（P＜0.05）；干预6个月后，观察组焦虑抑郁量表评分均低于对照组（P＜0.05）。 结论：数字健康家庭服务模式与居家康复的联合应用，显著提升了高血压患者的生存质量和自我管理能力。

Abstract:

      Abstract Objective：To investigate the impact of digital health home service model combined with home rehabilitation on the management of hypertension patients. Method：Four hundred hypertensive patients participated in a digital home service model project at Xuzhou Medical University Affiliated Hospital from January 2023 to December 2023. Patients were randomly divided into an intervention group and a control group using a random number table method， with 200 patients in each group. The control group received standard intervention， while the intervention group additionally received a digital home service home rehabilitation model for 6 months. Outcomes assessed included attitudes and beliefs towards hypertension treatment， compliance with hypertension treatment， exercise time， blood pressure levels， and psychological status before and after intervention. Result：After 6 months， the intervention group had higher scores in all dimensions of the hypertension treatment attitude and belief scale （ATRABS） and the hypertension treatment adherence scale （TASHP）， as well as exercise time， compared to the control group （P<0.05）； The blood pressure levels in the intervention group were lower than those in the control group， and the changes in diastolic and systolic blood pressure were higher than those in the control group （P<0.05）； After 6 months of intervention， the anxiety and depression scores of the intervention group were lower than those of the control group （P<0.05）. Conclusion：The digital health home service model combined with home rehabilitation had a positive impact on hypertensive patients， significantly improved their attitudes and beliefs towards hypertension treatment， effectively increasing treatment compliance and exercise time， controlling blood pressure levels， and reducing the occurrence of negative emotions.