Effectiveness on blood pressure control for hypertensive patients with Mobile Health Management in community

Abstract

Objectives To evaluate the effectiveness of mobile internet technology in management of hypertensive patients in community. Methods Total 556 hypertensive patients in community were randomly divided into mobile health management group (management group, n=270) and control group (n=286). Conventional antihypertensive medication was given for both groups. In management group additional mobile health management was performed, including real-time monitoring of blood pressure, reminding of medication by voice reminder and SMS through the information platform of automatic warning system. The blood pressure and blood lipid were measured, quality of life was evaluated by Nottingham Health Profile (NHP) and Life Satisfaction Index Z (LSIZ) scales; the incidence of complications, hospitalization or emergency admission related to hypertension were documented during the 1 year of follow up. Results After 1 year of follow up, the blood pressure and blood lipid decreased significantly (P 0.05). Score of knowledge related to health education in management group was significantly higher than that of pre-management (90.5±3.1 vs. 31.1±5.9, P 0.05). The scores of life satisfaction degree measured by LSIZ in management group and in control group were 9.53±3.03 and 8.30±2.96, respectively (P<0.01). Conclusion Mobile Health Management can effectively control blood pressure, reduce incidence of complications, enhance compliance of patients and improve quality of life for hypertensive patients in community. Key words: Hypertension; Disease managment; Community health services