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“指尖中心医院”APP在患高血压病的干部保健人群中的应用

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目的 探讨“指尖中心医院”APP在患高血压病的干部保健人群中的应用价值。方法 入
选2016年1月至2017年12月于南京市中心医院门诊就诊及干部保健对象中患有高血压病的干部保健人群
共1746人,随机分为传统门诊管理组和“指尖中心医院”APP管理组,跟踪随访至少18个月,观察两组
血压控制达标率、因心脑血管病住院率、医疗花费及对慢性病科普知识了解程度等指标并进行统计分
析。结果 “指尖中心医院”APP管理组血压控制达标率优于传统门诊管理组(81.9% vs. 62.5%);APP
管理组新发心脑血管事件率、因高血压病的住院率分别为5.3%、15.9%,低于传统门诊管理组的11.7%、
19.3%;APP管理组因高血压病住院天数平均为(9.2±1.4)天,少于传统门诊管理组的(12.5±1.8)
天;APP管理组年人均医疗花费为8974元,少于传统门诊管理组的13 628元;APP管理组完全及部分依从
的比例为88.5%,优于传统门诊管理组的67.9%;APP管理组对慢性病科普知识了解程度评分为(82.4±
7.3)分,高于传统门诊管理组的(63.7±9.4)分;所有差异均具有统计学意义(P均<0.05)。结论 应
用“指尖中心医院”APP管理高血压病的成效优于传统门诊管理,值得临床推广应用。

Abstract:

Objective To discuss the application value of Fingertip Central Hospital APP in health care
for governmental officials with hypertension. Methods The governmental officials with hypertension (n=1746)
were chosen from Central Hospital of Nanjing City from Jan. 2016 to Dec. 2017, and then divided randomly into
traditional outpatient management group (traditional group) and Fingertip Central Hospital APP management
group (APP group), and 2 groups were followed up for at least 18 months. The compliance rate of controlling blood
pressure (BP), hospitalization rate due to cardiovascular and cerebrovascular diseases, medical cost and knowledge
of chronic diseases were observed and given statistical analysis in 2 groups. Results The compliance rate of BP
controlling was higher in APP group than that in traditional group (81.9% vs. 62.5%). The incidence rate of newattack
cardiovascular and cerebrovascular events (5.3%) and hospitalization rate due to due to hypertension (15.9%)
were lower in APP group than those in traditional group (11.7%, 19.3%). The average inpatient days were (9.2±
1.4) d in APP group and (12.5±1.8) d in traditional group, annual medical cost per capita was 8974 yuan in APP
group and 13628 in traditional group, proportion of complete and partial compliance was 88.5% in APP group and
67.9% in traditional group, and scores of chronic disease knowledge were (82.4±7.3) in APP group and (63.7±9.4)
in traditional group (all P<0.05). Conclusion The efficacy of Fingertip Central Hospital APP is higher than that of
traditional outpatient management in BP controlling, which is worth clinical promoting.

基金项目:

江苏省干部保健科研项目(BJ15003);南京市医学科 技发展资金资助(QRX17203)

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