Research on Practice Effect of WeChat Software on the Treatment Compliance of Patients with Hyperlipidaemia_West China Medical Journal

Authors：

 TANGDan-ni , FANGRong-hua , MAQing ,  LIRong-qiong

Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIRong-qiong, Email: lrqhxjk@163.com

Keywords：

Hyperlipidaemia; Compliance; WeChat

DOI：

10.7507/1002-0179.20140256

Video：

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Objective To investigate the practice effect of WeChat on the treatment compliance of patients with hyperlipidaemia in general out-patient department. Methods From June 2012 to May 2013, 178 patients with hyperlipidaemia who could use WeChat software were selected. The patients were randomly divided into the control group (87 patients) and experimental group (91 patients). All the patients were treatment with routine nursing intervention. The experimental group was giving nursing intervention based on WeChat. After 180 days, the compliance score and serum lipid level of the patient were tested and analyzed. Results The score in experimental group on the treatment compliance were as follows:diet:6.57±0.78, take medicine:8.64±1.13, exercise:5.11±0.97, and return visit:5.75±0.74; the percentage effective control of lipid level was 93.4%. The score of the control group on the treatment compliance were as follows diet:4.63±1.23, take medicine:6.91±0.73, exercise:3.98±0.54, and return visit:4.86±0.39; the percentage effective control of lipid level was 57.5%. The difference in the results between two groups is significant (P<0.05). Conclusion Applying WeChat software on nursing intervention for patients with hyperlipidaemia may increase the treatment compliance and enhance the control of serum lipid level.

Citation： TANGDan-ni, FANGRong-hua, MAQing, LIRong-qiong. Research on Practice Effect of WeChat Software on the Treatment Compliance of Patients with Hyperlipidaemia. West China Medical Journal, 2014, 29(5): 838-840. doi: 10.7507/1002-0179.20140256 Copy

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1. 王文, 朱曼璐, 王擁軍, 等. 心血管病已成為我國重要的公共衛生問題——《中國心血管病報告2011》概要[J]. 中國循環雜志, 2012, 27(6):409-411.
2. 方圻, 王鐘林, 寧田海, 等. 血脂異常防治建議[J]. 中華心血管病雜志, 1997, 25(3):169-172.
3. 陳國良, 劉立偉, 謝爽, 等. 高密度脂蛋白膽固醇代謝及其對冠心病影響的研究進展[J]. 心血管病學進展, 2010, 31(3):360-363.
4. 李曉紅, 彭小莉. 社區高血壓患者自我效能與治療依從性的相關性研究[J]. 實用心腦肺血管病雜志, 2011, 19(12):2067-2068.
5. 黃梅, 王吉平, 展玉梅, 等. 短信支持對經皮冠狀動脈介入術患者服藥依從性的影響[J]. 上海護理, 2011, 11(4):17-20.
6. 中國成人血脂異常防治指南制訂聯合委員會. 中國成人血脂異常防治指南[J]. 中華心血管病雜志, 2007, 35(5):390-419.
7. World Health Organization. Adherence to long-term therapies:evidence for action[R]. Geneva:World Health Organization, 2003:17-39.
8. 舒光明, 羅紅, 劉學菊. 生活方式干預應用于高脂血癥患者的防治效果評價[J]. 現代護理, 2008, 14(5):681-683.
9. 任艷玲, 馮紅萍. 強化干預對乙型肝炎肝硬化抗病毒治療依從性的影響研究[J]. 華西醫學, 2014, 29(2):311-314.
10. 王小仙. 手機短信在健康教育傳播中的作用[J]. 中國健康教育, 2011, 27(4):311-313.
11. Szilagyi PG, Adams WG. Text messaging:a new tool for improving preventive services[J]. JAMA, 2012, 307(16):1748-1749.
12. 涂文校, 汪韶潔, 張云, 等. 青島市居民接觸各類大眾傳播渠道及健康傳播可及情況調查[J]. 中國慢性病預防與控制, 2008, 16(2):117-120.
13. 張玉英, 馬杏云, 侯改英. 不同干預措施對提高手衛生依從性的臨床研究[J]. 中國全科醫學, 2012, 15(17):2002-2004.
14. Smith DH, Kramer JM, Perrin N, et al. A randomized trial of direct-to-patient communication to enhance adherence to beta-blocker therapy following myocardial infarction[J]. Arch Intern Med, 2008, 168(5):477-483.
15. Lauck S, Johnson JL, Ratner PA. Self-care behaviour and factors associated with patient outcomes following same-day discharge percutaneous coronary intervention[J]. Eur J Cardiovasc Nurs, 2009, 8(3):190-199.
16. Aynes RB, Taylor DW, Sackett DL. Compliance in health care[M]. Baltimore:Johns Hopkins University Press, 1979:1-10.
17. Cherry SB, Benner JS, Hussein MA, et al. The clinical and economic burden of nonadherence with antihypertensive and lipid-lowering therapy in hypertensive patients[J]. Value Health, 2009, 12(4):489-497.
18. 王蕾. 高血脂病人藥物治療依從性及影響因素調查分析[J]. 青島醫藥衛生, 2007, 39(1):57-59.

West China Medical Journal

Research on Practice Effect of WeChat Software on the Treatment Compliance of Patients with Hyperlipidaemia

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