Objective To explore the effect of blood pressure telemonitoring based on the Internet of Things combining APP management on blood pressure control and self-care behaviors of patients with hypertension.Methods A total of 123 patients with primary hypertension were randomized into a control group of 61 and an observation group of 62,receiving either routine outpatient followups or blood pressure telemonitoring combined with APP management.Results After 4 months of intervention,the observation group had significant decrease in systolic and diastolic blood pressure,higher blood pressure control rate,and better self-care behaviors (except emotion regulation) than the control group (P＜0.05,P＜0.01).Conclusion Blood pressure telemonitoring and APP management can improve blood pressure control rate and self-care behaviors of patients with hypertension.It is an effective approach for chronic disease management.%目的 探讨基于物联网远程血压监测结合APP管理对高血压患者血压及自我护理行为的影响.方法 将123例原发性高血压患者随机分为观察组62例和对照组61例,对照组采用门诊常规管理,观察组实施远程血压监测结合APP管理.结果 干预4个月后,观察组收缩压、舒张压下降幅度、血压达标率显著高于对照组,自我护理行为(除外情绪减压)显著高于对照组(P＜0.05,P＜0.01).结论 对高血压患者实施远程血压监测与APP管理有利于提高患者血压这标率和改善自我护理行为,是实施慢性病管理的有效方法.
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