| Objective To explore the application effect of mobile medical treatment in the management of chronic hypertension in the elderly. Methods A hundred patients with hypertension aged 60 to 75 who were treated at six Chuzhou primary hospitals from June to October 2019 were selected and divided into observation group and control group according to random number table method, with 50 cases per group. The observation group adopted the mobile medical chronic disease management mode in primary hospitals, monitored and managed the daily blood pressure measurement of patients through mobile medical equipment, and took the geriatric department of the First People's Hospital of Chuzhou as the platform for remote consultation and guidance for patients with unstable blood pressure control and complications. The control group carried out the traditional chronic disease management mode in primary hospitals, with patients measuring their blood pressure daily at home and regular outpatient follow-up (one outpatient visit every two weeks), all for three months. The blood pressure control, treatment compliance and satisfaction of two groups of hypertension patients were observed. Results In the course of chronic disease management, blood pressure control was met in both groups. After management the reduction of systolic pressure (23.4±11.8) mmHg in the control group and the decrease of systolic pressure in the observation group reached (27.7±8.4) mmHg, which decreased significantly compared to the control group, and the difference was statistically significant (P<0.05). At (78.3±6.2) mmHg, the observation group was reduced to (76.1±4.7) mmHg, which was lower than the pre-management diastolic pressure (P<0.05), and the post-management diastolic pressure reduction control group was (13.0±9.0) mmHg, with an observation group of (15.2±8.2) mmHg, and there was no significant difference in the drop in diastolic pressure between the two groups (P<0.05). The treatment compliance score of the patients more than 12 points accounted for 90.0% in the observation group, 92% of the patients were satisfied with the consultation process, both higher than the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusions The application of mobile medical treatment in the management of chronic elderly hypertension patients is beneficial to improve patient blood pressure control, and improve patient compliance and satisfaction. |
