| Objectives: By combining standard antihypertensive treatment with non-pharmacological treatment modalities,which is the intervention of sending hypertension-related health education via We Chat group,the effects of We Chat group-based health education or other information intervention on the patients reported outcomes of hypertension,the improvement and control of patients’ blood pressure,and the level of patients’ health literacy were investigated.Methods: Patients with primary hypertension who were hospitalized in the hypertension ward of Yunnan Fu Wai Cardiovascular Hospital from April to August2022 were randomly selected and divided into an experimental group(standard antihypertensive treatment combined with health education intervention)and a control group(standard antihypertensive treatment).The intervention period was 3 months,and the Patient Reported Outcomes in Hypertension questionnaire containing the scale of Patient Reported Outcomes in Hypertension(PROISCD-HY),patient’s basic information on hypertension,patient health status,and health literacy knowledge was measured at baseline,1-month post-intervention,and 3-months post-intervention,respectively.A repeated measures ANOVA was used to compare the differences in patient-reported outcomes,patient blood pressure,and health literacy scores for hypertension between the two groups and for each group before and after the intervention.Results1.A total of 407 cases were diagnosed with primary hypertension during April-August2022,204 questionnaires were sent out,and 188 valid questionnaires were finally returned.There were 93 cases in the experimental group with a mean age of 43.09,and 95 cases in the control group with a mean age of 46.11.There were no statistical differences in demographic characteristics such as age,gender,education level,and other clinical indicators(24h ABP,TC,TG,etc.)as well as the scores of the domains of the patients reported outcomes and in the total scores of the scales between the two groups at baseline.(P<0.05)2.The results of the repeated measures ANOVA for the PRO score of hypertension in both groups from pre-intervention to 3 months post-intervention were as followed:(1)TOT of the PRO in both groups was 1 month after intervention > baseline and 3 months after intervention > baseline,only at 3 months after intervention the experimental group scored higher than the control group,and the difference was statistically significant.(2)GMD scores were higher in the experimental group than in the control group when measured at 1 month and 3 months post-intervention,and the differences were statistically significant;only the scores before and after the intervention differed in the control group,with 3 months post-intervention > baseline and 1-month post-intervention > baseline.(3)PHD score 3 months after intervention >1 month after intervention,3 months after intervention > baseline,at 1 month and 3 months after the intervention,the experimental group scored higher than the control group,and the difference was statistically significant.(4)MHD score in both groups 3months post-intervention > baseline and 1-month post-intervention > baseline,with the experimental group scoring higher than the control group at 3 months post-intervention.(5)SHD scores differed only in the control group,1-month post-intervention > 3 months post-intervention,and the scores of the two groups differed at 3 months post-intervention,with the experimental group scoring higher than the control group.(6)SBD scores were higher in the experimental group than in the control group at 1 month and at 3 months after the intervention,and there was no statistical difference between the scores of the two groups before and after the intervention.(7)SMD score was higher in both groups,which 1-month post-intervention > baseline and 3 months post-intervention > baseline and the experimental group scored higher than the control group at 1-month post-intervention and 3 months post-intervention,with statistically significant differences.3.Comparison of SBP and DBP between the two groups of patients before and after the intervention:In both groups,SBP at baseline > 1-month post-intervention and at baseline > 3 months post-intervention,and SBP in the experimental group(124.44±12.53)mm Hg was lower than that in the control group(129.00±14.18)only at3 months post-intervention.DBP also in both groups was baseline > 1-month after intervention and baseline > 3 months after intervention,and there was no statistical difference in DBP between the two groups before and after intervention.Conclusions1.We Chat-based health education interventions had a positive impact on PHD,MHD,SHD,GMD,SMD,and TOT scores for reported outcomes in patients with essential hypertension,with no significant impact on the SBD,but compared to control patients’ scores suggesting the necessity of health education interventions for patients with hypertension.2.Hypertension improved in a short period of time due to the effect of antihypertensive drugs.There was no difference in within-group changes in blood pressure between 1-month and 3 months after the intervention,and only SBP differed between groups at 3 months after the intervention,indicating that clinical studies of hypertension PRO are more meaningful when changes in clinical indicators are not significant. |
PDF Full Text Request