内科

目的探讨基于微信平台的“三师共管”模式对中年脑卒中高危人群血压的影响。方法采用随机对照研究设计，以广西南宁市某社区卫生服务中心2024年1～10月筛查出的111例中年脑卒中高危人群作为研究对象，按随机数字表法将其分为对照组（56例）和观察组（55例）。对照组接受由社区卫生服务中心医师和护士实施的线下社区常规健康管理，在此基础上，观察组增加基于微信平台的“三师共管”（三级医院专科医师+社区卫生服务中心全科医师+脑心健康管理师）模式干预。比较两组干预第6个月时的脑卒中知识问卷得分，以及干预前、干预第6个月、第12个月时的收缩压、舒张压。结果组内不同时间点两组收缩压、舒张压的整体差异均有统计学意义（均P<0.05）；两两比较结果显示，干预前、干预第6个月时、干预第12个月时，两组收缩压、舒张压均逐渐下降（均P<0.05）。组间比较结果显示：干预前，两组舒张压、收缩压、脑卒中知识问卷总分差异均无统计学意义（均P>0.05）；干预第6个月时，观察组脑卒中知识问卷总分高于对照组（均P<0.05）；干预第6个月、第12个月时，观察组收缩压、舒张压均低于对照组（均P<0.05）。结论基于微信平台的“三师共管”模式能有效控制中年脑卒中高危人群的血压水平，提升疾病认知。

Objective To investigate the effect of a WeChat‑based "three‑professional co‑management" model on blood pressure in middle‑aged individuals at high risk for stroke. Methods A randomized controlled study design was adopted. A total of 111 middle‑aged individuals at high risk for stroke, screened at a community health service center in Nanning, Guangxi from January to October 2024, were enrolled as research subjects and assigned to a control group (n=56) or an observation group (n=55) with a random number table method. The control group received routine offline community health management delivered by physicians and nurses from the community health service center; on this basis, the observation group additionally received an intervention of WeChat‑based "three‑professional co‑management" model (involving tertiary hospital medical specialists, community health service center general practitioners, and brain‑heart health managers). The two groups were compared in terms of stroke knowledge questionnaire scores at the 6th month of intervention, as well as systolic and diastolic blood pressure before intervention, at the 6th month of intervention, and at the 12th month of intervention. Results Within each group, there were statistically significant overall differences in both systolic and diastolic blood pressure across the different time points (all P<0.05); pairwise comparison results showed that the systolic blood pressure and diastolic blood pressure of the two groups decreased gradually before intervention, at the 6th month of intervention, and at the 12th month of intervention (all P<0.05). Intergroup comparison results showed that there were no statistically significant differences in diastolic blood pressure, systolic blood pressure, and the total score of the stroke knowledge questionnaire between the two groups before intervention (all P>0.05); at the 6th month of intervention, the total score of the stroke knowledge questionnaire in the observation group was higher than that in the control group (P<0.05); at the 6th and 12th months of intervention, the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group (all P<0.05). Conclusion The WeChat‑based "three‑professional co‑management" model can effectively control blood pressure and improve disease awareness in middle‑aged individuals at high risk for stroke.

ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref