Constrution And Case Analysis Of Diet Management Model For Hypertensive Patients Based On Mobile Medical Care

Background Nowadays the prevalence of hypertension is increasing rapidly year by year,and the rate of awareness and control is low.Effective control of hypertension has become one of the major public health issues facing the world.In addition to drug treatment,diet is also particularly important in reduction and control of blood pressure in hypertensive patients.however,diet management is faced with the manpower,time,high cost,follow-up difficulties,health data update is not timely and other shortcomings.With the rise of mobile communication devices and the popularity of Internet use,the concept of “mHealth” emerged under the “Internet+” environment,which can provide a convenient medical service and personalized health management,in user and medical health.The establishment of a good interactive platform is an inevitable trend in the future healthcare industry.The actual scale application of mobile medical care also needs various types of health management research to explore and verify.Objective To solve the current difficulties in diet management,establish a mHealth-based chronic disease management model.Through small-scale trials,the feasibility of dietary management and dietary photo assessment techniques for hypertensive patients based on mobile internet was initially discussed in a case-by-case format.The impact and improvement of dietary behaviors and health indicators on patients were evaluated and used for later scale applications.for reference.Methods This study conducted dietary guidance and management of hypertensive patients based on the Internet health management platform and hypertension recommended DASH dietary guidelines.After the patient’s informed consent was entered into the group,the researchers and the patient used the “mHealth” App doctor and client,respectively,to allow the patient to send diet photos and text descriptions reflecting the diet.According to the dietary score table formulated to make a quantitative assessment,one of the DASH dietary principles scored 1 point,and did not achieve non-score.The three-meal dietary score of the breakfast,lunch and dinner was 6 points,and the one-day diet score was 10 points.In combination with the patient’s physical condition and dietary scores,a qualitative assessment was made to determine whether it was "correct." Encourage them to strive to meet the recommended dietary standards,and if not,continue to assess diet and feedback until the patient’s dietary behavior changes and maintains,achieving self-catering management.Daily dietary advice and counseling are provided in daily life to maintain communication and interaction with patients.Gather the patient’s dietary pictures and text data,and combine the real-time monitoring data of the health management background to observe the patient’s dietary behavior and body weight,blood pressure and other physiological indicators and emotional changes.Results This study constructed a hypertension-based diet management model based on mobile health care,including patient inclusion,dietary photo assessment and feedback,dietary behavior and health indicators,dietary and health assessments,and dietary management reviews.Combined with a small-scale trial and three typical case studies,it is found that mHealth based on mobile devices can provide users with food guidance,health education,health data collection,and feedback on health information at any time and anywhere.Researchers communicate and reduce time and labor costs.It is easier to collect dietary data through image delivery methods and image interpretation.It is easier to collect user health information through Bluetooth devices,and visual data display is also easier for users and health managers to accept.On the other hand,the rate of loss of patients participating in diet management was high,among them the 40-to 49-year-old population was the highest,and patients of older age had better adherence to diet photos.Patients with better compliance,after participating in dietary management,and receiving guidance from the DASH diet,the types of foods for each meal gradually increased,daily fruit intake increased,and cooking oil and salt intake decreased.The breakfast diet score increased by an average of 1.3 points;the lunch diet score increased by an average of 2.3 points;the dinner diet score increased by an average of 1.7 points;and the average daily diet score increased by 1.3 points.Dietary behavior can gradually change towards the direction of high blood pressure recommended diet,and systolic blood pressure decreased by an average of 13.3mmHg;diastolic blood pressure decreased by an average of 4.7mmHg,in addition to certain improvements in body weight and other physiological indicators,subjective evaluation of self has improved.Conclusion Based on mobile health care,the dietary management of hypertensive patients is feasible,which helps to change the dietary behaviors of patients through information collection,visual information feedback,health education,personalized health guidance,improve physical condition and health level,and reduce and save management costs.However,the next step is still to further optimize and implement semi-automated food photo recognition and assessment techniques on a large number of basic tasks,and to provide more real-time,personalized,and accurate feedback information to users to improve management efficiency and user compliance.In order to further realize the scale of diet and health management of patients with chronic diseases such as hypertension.