通讯作者: 蔺雪峰, 1156961689@qq.com

DOI：10.12201/bmr.202603.00005

Intervention Study on the Intelligent Remote Management Model of Internet+ for Hypertensive Patients in the Perimenopausal Period

• 摘要：目 的 探究基于“互联网+ ”的智能远程管理模式在围绝经期高血压患者中的有效性，包括生理目标（血压达标率）与患者主观结局（用药依从性和睡眠质量水平），为后续临床应用提供依据。方 法 选取2024年6月至2025年1月于包头医学院第一附属医院就诊的处于围绝经期的原发性高血压患者，最终有效随访164例。对照组采用常规门诊随访管理模式，干预组采用基于“互联网＋”的智能远程管理模式。在管理前与管理后第1、3、6个月分别进行随访评估。结 果 使用重复测量方差分析，血压达标率：干预方式显著影响血压达标率，干预组血压达标概率约为对照组的2.42倍（B=0.88，P＜0.05）；用药依从性：干预方式显著影响依从性，干预组依从性等级随时间显著提高，为对照组的1.88倍（P＜0.05）；睡眠质量水平：干预方式显著影响睡眠质量，干预组匹兹堡睡眠质量指数量表（PSQI）总分随时间显著下降，既睡眠质量改善（交互效应P＜0.05）。结 论 基于“互联网+”的智慧化远程慢病管理模式在围绝经期高血压患者管理的血压达标率、用药依从性及睡眠质量方面均优于传统门诊随访管理模式，交互效应显示干预效果随时间呈现累积性改善。

  关键词： 互联网+; 远程管理模式; 围绝经期; 原发性高血压; 重复测量方差分析; 血压达标率

   

  Abstract: Objective To explore the effectiveness Objective To investigate the efficacy of an Internet Plus-based intelligent remote management model in perimenopausal hypertensive patients, including physiological outcomes (blood pressure control rate) and patient-reported outcomes (medication adherence and sleep quality), thereby providing evidence for subsequent clinical application. Methods Perimenopausal patients with primary hypertension who visited the First Affiliated Hospital of Baotou Medical College between June 2024 and January 2025 were enrolled, with 164 cases completing valid follow-up. The control group received conventional outpatient follow-up management, while the intervention group received an Internet Plus-based intelligent remote management model. Follow-up assessments were conducted at baseline and at 1, 3, and 6 months post-intervention. Results Using repeated measures analysis of variance: For blood pressure control rate, the intervention significantly influenced the control rate, with the intervention group demonstrating approximately 2.42 times higher odds of achieving target blood pressure compared to the control group (B=0.88, P<0.05). For medication adherence, the intervention significantly influenced adherence levels, with the intervention group showing significantly improved adherence grades over time, reaching 1.88 times that of the control group (P<0.05). For sleep quality, the intervention significantly influenced sleep quality outcomes, with the intervention group showing significant reduction in total Pittsburgh Sleep Quality Index (PSQI) scores over time, indicating improved sleep quality (interaction effect P<0.05). Conclusion The Internet Plus-based intelligent remote chronic disease management model outperforms traditional outpatient follow-up management in terms of blood pressure control rate, medication adherence, and sleep quality among perimenopausal hypertensive patients. The interaction effects demonstrate that intervention benefits exhibit cumulative improvement over time.

  Key words: Internet Plus; remote management model; perimenopause; essential hypertension; repeated-measures ANOVA; blood-pressure control rate.

  提交时间：2026-03-04

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• 序号	提交日期	编号	操作
  1	2026-02-12	10.12201/bmr.202603.00005V1	下载

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