Effect of Internet-based self-management intervention mode on dietary status of hypertensive patients
ZHANG Jie1, WU Shu-ling2, WANG Hai-qing1, PANG Min-hui1, YANG Jian-wei1, ZHANG Jia-yi1, CHEN Xiong-fei3, WU Xue-ji3, PAN Bing-ying3, DONG Xiao-mei1
1. Basic Medical College of Jinan University, Guangzhou, Guangdong 510632, China; 2. Donghuan Community Health Service Center of Panyu District, Guangzhou, Guangdong 511494, China; 3. Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong 510440, China
Abstract：Objective To establish the Internet+ self-management platform, and to evaluate the effect of Internet+ self-management platform intervention mode on the dietary status of patients with hypertension. Methods One hundred and six patients with hypertension were recruited from three residential committees, A, B and C, in Panyu District of Guangzhou City in April 2016. They were randomly divided into the experimental group and the control group (each n=53). The experimental group accepted the Internet-based community hypertension self-management intervention mode, while the control group the conventional self-management intervention mode. The intervention time of both groups was 6 months. Dietary assessment and blood pressure measurement were carried out in the experimental group and the control group. The difference of dietary intake between the two groups before and after the intervention was analyzed by SPSS 21.0 software. Results There were no statistically significant differences in the daily actual intake of main food and the intake of main nutrients between the experimental group and the control group before the intervention (P>0.05). The actual intakes of salt, grain and potato in the experimental group after the intervention decreased by 1.44 g and 103.54 g respectively, the actual intake of calcium increased as compared with that before the intervention, and the actual intakes of poultry and aquatic products, sodium and cholesterol decreased as compared with those before the intervention,showing statistically significant differences (all P<0.05). The intake of vitamin C in the control group after the intervention reduced, with a statistically significant difference before and after the intervention (P<0.05). No statistically significant differences were observed in the actual intakes of other energy and nutrients before and after the intervention (all P>0.05). The actual intakes of salt, fat, grain and potato and poultry and aquatic products in the experimental group after the intervention were all less than those of the control group (all P<0.05), but the actual intakes of vegetables, eggs, fruits, milk and dairy products were more than those of the control group, with statistically significant differences (all P<0.05). The actual intakes of calcium, phosphorus, potassium, vitamin A, vitamin B1, vitamin B2 and vitamin C in the experimental group after the intervention were all more than those of the control group, but the actual intake of sodium was less than that of the control group, showing statistically significant differences (all P<0.05). Conclusions The Internet-based self-management intervention mode has positive significance for adjusting the dietary structure of hypertension patients, preventing and treating hypertension, and improving their health; and hence, it is a new measure for prevention and treatment of hypertension.
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2019, Vol. 26 
