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Abstract
Objective: To evaluate a new management model using mobile health for senile hypertension. Methods: This medical service combined traditional medical treatment with Mobile Health. We use it to explore a new and effective model of elderly hypertension management and the most effective and lowest cost management crowd. According to the randomized controlled design of trial, 105 old hypertensive patients participated in the study voluntarily in the Qingdao Municipal Hospital were randomly divided into the experimental group (75 cases) and control group (30 cases). Experimental group is divided into geriatric specialist group (25 cases), general practitioner group (25 cases) and nurse group (25 cases). Blood pressure was administered in experimental (with the new model) and control groups (with the traditional model) for 2 months to compare their blood pressure and the decrease of them. Results: Blood pressure was compared between the two groups before and after administration. The systolic blood pressure (SBP) of experimental group is 162.44 ± 13.970 mmHg before administration. SBP of experimental group is 147.69 ± 13.509 mmHg after administration, the difference is statistically significant (P = 0.000). The diastolic blood pressure (DBP) of experimental group is 91.58 ± 10.822 mmHg before administration. DBP of experimental group is 84.64 ± 10.412 mmHg after administration, P = 0.003. SBP of control group is 159.93 ± 15.238 mmHg before administration. The systolic blood pressure of control group is 152.33 ± 14.115 (mmHg) after administration. P is 0.167 (P > 0.05). The difference was not statistically significant. DBP of control group is 94.73 ± 12.401 (mmHg) before administration. DBP of control group is 90.60 ± 11.115 (mmHg) after administration. P is 0.345 (P > 0.05). The difference was not statistically significant. The decrease of SBP of geriatric specialist group, general practitioner group and nurse group is 18.40 ± 11.764 mmHg, 14.47 ± 9.44 mmHg, 10.80 ± 6.026 mmHg. The difference was not statistically significant (P > 0.05). The decrease of DBP of geriatric specialist group, general practitioner group and nurse group is 9.33 ± 7.451 mmHg vs. 5.33 ± 6.287 mmHg vs. 6.13 ± 5.069 mmHg (P > 0.05). Conclusion: The new model is effective and it works well for controlling blood pressure of elderly hypertensive patients. Especially with the doctors and patients’ families, the management effect has been obviously improved. Medical interventions make the new model more scientific. The management of geriatric specialists, general practitioners and nurses is equally valid.
Highlights
The rapid development of intelligent wearable devices and intelligent terminals has brought the management of chronic diseases into the era of mobile medical care
Selection of Qingdao municipal hospital as the research point, according to a randomized controlled trial design, into the Qingdao municipal hospital voluntarily participate in the study of senile hypertension patients, 105 were randomly divided into experimental group 75 cases and control group 30 cases, the experimental group is divided into the geriatrics specialist group of 25 cases, the general practitioner (GP) group of 25 cases, the nurse group of 25 people
The randomized control evaluation shows that geriatricians, general practitioners and nurses are effective in management, and there is no significant difference in the management process and management effect among the management groups
Summary
The rapid development of intelligent wearable devices and intelligent terminals has brought the management of chronic diseases into the era of mobile medical care. The WTO defines mobile medical care as mobile Internet devices, such as mobile phones, computers and body movement monitoring, which includes electronic medical records, remote consultation and various terminal monitoring devices. Mobile medicine extends the medical service and technology, combines the traditional medical and health service with the new Internet technology, improves the quality of medical and health service and guarantees the effect of medical service through the utilization of information resources. China’s health management and mobile medical mode are still not mature and in the stage of development discussion. This study discusses the effectiveness and feasibility of the “new mode of mobile platform management” for community hypertension management in the elderly
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