Effects of WeChat combined with motivational interviewing in transitional care among young and middle-aged hypertension patients

Abstract

Objective To explore the effects of WeChat combined with motivational interviewing in transitional care among young and middle-aged hypertension patients. Methods By convenient sampling, we selected 129 young and middle-aged hypertension inpatients who were hospitalized in a classⅢ grade A hospital from June 2017 to March 2018 as subjects. All of the patients were randomly divided into observation group (n=66) and control group (n=63) . In the control group we adopted routine health education and routine telephone follow-up after discharge. Apart from that, for the observation group we carried out transitional care by WeChat combined with motivational interviewing. The medication adherence was compared with the Morisky medication adherence scale, and the blood pressure control rate was observed and compared between the two groups. Results Three months after intervention, the medication adherence of two groups all improved compared with that before intervention; the score of medication adherence of observation group and control group was (4.7±1.7) and (3.8±1.5) respectively with a statistical difference (t=3.192, P<0.05) . After intervention, the blood pressure control rate of observation group and control group was 60.3% and 51.5% respectively with a statistical difference (χ2=5.645, P<0.05) . Conclusions Transitional care by WeChat combined with motivational interviewing can improve medication adherence and blood pressure control of young and middle-aged hypertension patients which is worthy of clinical application. Key words: Hypertension; Young and middle aged; Medication adherence; Motivational interviewing