The Effect and Satisfaction of Mobile Network in the Hypertension Management of Community-dwelling Older Adults

Abstract

Background In the context of the deep integration of information technology with various industries, as well as the strong promotion of the development of smart healthcare by the country, the management of chronic diseases in community has also been gradually explored and transformed from the traditional mode to the informationized and intelligent management mode. In the case of deep aging gradually, it is necessary to clarify whether informationized chronic disease management is effective for the elderly population.Objective To understand the role of mobile network in the management of chronic diseases in the elderly, so as to provide reference for research on informationized management of related chronic diseases.Methods Using convenience sampling method, a total of 650 elderly hypertensive patients registered with community health service centers in four communities under the jurisdiction of Linghe District, Jinzhou City were selected as study subjects from January to July 2022. The study subjects were divided into the intervention group and control group based on the principle of prioritizing the proximity of living location under informed voluntary consent, with 325 cases in each group. The control group was treated with routine community chronic disease management and face-to-face follow-up once every two months. The intervention group was treated with network hypertension management based on the control group, with an intervention of 6 months. The effects were evaluated using the Hypertension Knowledge Level Scale (HK-LS), Therapeutic Adherence Scale for Hypertensive Patients (TASHP), and Hypertension Patients Self-Management Behavior Rating Scale (HPSMBRS), and a satisfaction survey was conducted.Results After the intervention, the scores of HK-LS, TASHP and HPSMBRS dimensions in the intervention group were higher than those in the control group (P<0.05) ; 93.5% (275/294) of the older adults believed that mobile network-assisted hypertension management facilitated access to medical care, 86.4% (254/294) believed that it saved the cost of medical care, and 80.6% (237/294) believed it facilitated condition monitoring. Further survey of the factors affecting the effect of management were mainly physical factors, psychological factors, and dissatisfaction with hardware and software equipment.Conclusion Mobile network assisted hypertension management in community can effectively improve the knowledge level, treatment compliance, and self-behavior management ability of elderly patients with hypertension, with high level of satisfaction.

Keywords

• hypertension|chronic disease|community chronic disease management|aged|mobile network|patient satisfaction|treatment outcome