Acceptance status of internet+ health management among hypertensive patients in Xuzhou city and its influencing factors / 中华全科医师杂志

ABSTRACT

Objective To investigate the acceptance status of intemet + health management among hypertensive patients in Xuzhou city and the related influencing factors.Methods An interviewing questionnaire survey on the acceptance of internet + health management was conducted among 1,200 hypertensive patients from Xuzhou community health service centers selected by randomized cluster sampling and stratified sampling methods from February tp August 2018,1 116 valid questionnaires were finally obtained with a response rate of 93.0％.The respondents were divided into two groups according to whether they would accept the internet + health management,and the general conditions and health management status of the two groups were compared.Results The acceptance rate of internet + health management was 71.9％ (802/1 116).The univariate analysis showed that age,education level,occupation,and monthly income of hypertensive patients were associated with the acceptance of internet + health management (P＜0.05);patients with family history of hypertension,cardiovascular and cerebrovascular complications and high health literacy had higher acceptance rate of internet+health management (P＜0.05).Multivariate analysis showed that educational levels of junior high school and above (OR=0.426,0.318,0.089),good sleep (OR=0.453) were protective factors for acceptance of internet+health management;while not knowing the diagnostic criteria for hypertension (OR=1.494),not knowing the blood pressure monitoring (OR=2.668),not knowing ECG monitoring (OR=2.247),quitting smoking (OR=2.444),no complications (OR=2.247),and not participating in community health management (OR=1.758) were the risk factors of acceptance of internet + health management for patients with hypertension.Conclusion The acceptance rate of internet+health management among hypertensive patients in Xuzhou city is relatively high.A variety of factors have impact on the acceptance of internet + health management.