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Evaluation of the application effect of “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases on the improvement of blood pressure in target surveillance population in community
Received date: 2022-01-27
Accepted date: 2022-06-20
Online published: 2022-08-19
Supported by
National Key R&D Program of China(2018YFC1312803);National Natural Science Foundation of China(81974266)
·To evaluate the effect of “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases on the improvement of blood pressure in target surveillance population in community.
·Target surveillance population in community who participated in the annual physical examination provided by the National Basic Public Health Service project at least twice in Xintang Town, Zengcheng District, Guangzhou from January 2020 and July 2021 were enrolled, and divided into regular management group (n=2 987) and “co-prevention and co-management” model group (n=2 876) based on whether they had received “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases or not. The regular management group received the regular management mode which included an annual physical examination. In addition to regular treatment, the “co-prevention and co-management” model group received “Internet+ health education”, and their villages were provided with wearable electrocardiogram monitoring equipment. The baseline levels (before the intervention) of the two groups were compared, and the differences of blood pressure changes between the two groups before and after the interventions were observed. Covariance analysis was used to analyze whether the effect of different intervention measures on blood pressure was affected by its baseline blood pressure level. Multi-variable linear regression model was used to explore the association between the “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases and the control of blood pressure and other cardio-cerebrovascular disease risk factors.
·Compared with the regular management group, the baseline levels of systolic blood pressure (SBP) and diastolic blood pressure (DBP) in the “co-prevention and co-management” model group were higher (both P=0.000). After the median intervention time of 227 days, the changes of SBP and DBP in the “co-prevention and co-management” model group before and after the interventions were -0.28 mmHg (95% CI -0.94?0.37, P=0.398) and -0.68 mmHg (95% CI -1.09?-0.27, P=0.001), respectively; the changes in the regular treatment group were 2.92 mmHg (95% CI 2.29?3.54, P=0.000) and -0.12 mmHg (95% CI -0.51?0.28, P=0.554), respectively; the differences of SBP and DBP before and after the intervention between the two groups were 3.20 mmHg (95% CI 2.29?4.11, P=0.000) and 0.56 mmHg (95% CI -0.01?1.13, P=0.055), respectively. Covariance analysis showed that after adjusting for SBP before the intervention, compared with the regular treatment group, the SBP in the “co-prevention and co-management” model group was reduced by 2.06 mmHg (P=0.000). In the multi-variable linear regression model, after adjusting the confounding factors, the “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases was associated with lower SBP (P=0.000).
·The application of “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases among target surveillance population in community can help improving the control of systolic blood pressure.
Guodong LI , Shaohua YAN , Qiuxia ZHANG , Li LEI , Xinlu ZHANG , Hongbin LIANG , Junyan LU , Min XIAO , Wei LUO , Jun PU , Jiancheng XIU . Evaluation of the application effect of “Internet+”-based “co-prevention and co-management” health management model for cardio-cerebrovascular diseases on the improvement of blood pressure in target surveillance population in community[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022 , 42(6) : 797 -804 . DOI: 10.3969/j.issn.1674-8115.2022.06.015
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