CN116206747A - Community hypertension patient digital and mobile health intervention system and operation method - Google Patents

Community hypertension patient digital and mobile health intervention system and operation method Download PDF

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CN116206747A
CN116206747A CN202310197334.1A CN202310197334A CN116206747A CN 116206747 A CN116206747 A CN 116206747A CN 202310197334 A CN202310197334 A CN 202310197334A CN 116206747 A CN116206747 A CN 116206747A
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intelligent
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mobile terminal
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孙婷
谢晖
马祖长
王茜
唐淑婷
徐雪洁
丁增辉
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BENGBU MEDICAL COLLEGE
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    • G—PHYSICS
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    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
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Abstract

A community hypertension patient digital and mobile health intervention system comprises a networking detection instrument, client medical equipment, a client intelligent mobile terminal, a community family doctor intelligent mobile terminal, a specialist doctor intelligent mobile terminal and a cloud server; the networking detection instrument is connected with a cloud server through the Internet, an intelligent decision module and a communication module are arranged in the cloud server, and the client intelligent mobile terminal, the community family doctor intelligent mobile terminal and the specialist intelligent mobile terminal exchange data with the cloud server through the Internet. Through community physical examination and patient self-checking uploading data, the cloud server intelligently gives intelligent evaluation results and personalized suggestions, the cases with abnormal indexes are transmitted to family doctors, the family doctors provide manual feedback and communicate treatment schemes with the specialists or reserve to visit according to the needs, so that each hypertensive patient can be urged to take reasonable diet, move fully, measure blood pressure and take medicine on time, and reasonable medical resources are called according to serious conditions.

Description

Community hypertension patient digital and mobile health intervention system and operation method
Technical Field
The invention relates to a community hypertension patient digital and mobile health intervention system and an operation method
Background
High blood pressure prevalence, but low awareness, treatment and control rates, cause severe disease and bring economic burden. Multimode comprehensive intervention, improving compliance is an important point of hypertension management. However, the highly dependent primary health care institutions have unbalanced medical resource distribution, and are not enough to provide convenient, reliable and continuous health promotion services related to blood pressure management. The digital and mobile health intervention technology achieves a certain effect, and is mainly embodied in the research development of a community chronic disease management system or a chronic disease management APP. However, such products suffer from several bottleneck problems in promotion and use: most of slow disease management platforms or systems are designed without related theoretical guidance such as medicine, management and the like, do not form internal logic of 'professionality', and are only one digital electronic case; mobile health intervention design is that the mobile phone APP is not professional enough because of insufficient participation of medical professionals, the trust of patients is not high, and the using intention of the mobile phone APP is low; both community health servers and hypertension residents are faced with the unprecedented situation of facing a variety of digital information bundles that are not fully analyzed.
Disclosure of Invention
The invention aims to solve the technical problem of providing a community hypertension patient digital and mobile health intervention system, which comprises a plurality of networking detection instruments, a plurality of client medical devices, a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of specialist doctor intelligent mobile terminals and a cloud server, wherein the cloud server intelligently gives reasonable advice according to different cases through uploading data of patient self-tests, transmits the cases with abnormal indexes to family doctors, and provides manual feedback for the cases by the family doctors, and communicates treatment schemes or appointment visits with the specialist doctors as required, so that each hypertension patient can be urged to take reasonable diet, sufficient exercise and take medicine on time, the abnormal index condition of the hypertension patient in the community can be rapidly found, and reasonable medical resources can be called according to serious conditions, so that the medical resources of all levels are maximally utilized.
The invention aims to solve the other technical problem of providing an operation method of the community hypertension patient digital and mobile health intervention system, which is reasonable in call on medical resources of all levels, easy to cultivate good habits of on-time self-check, reasonable diet, sufficient exercise, on-time medicine taking and regular measurement of blood pressure of the hypertension patient, and has the functions of mutual supervision and self supervision while treating.
In order to solve the technical problems, the invention provides a digital and mobile health intervention system for community hypertension patients, which comprises the following steps:
the system comprises a plurality of networking detection instruments, a plurality of client medical devices, a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of special doctor intelligent mobile terminals and a cloud server;
all networking detection instruments are provided with processing units for connecting the Internet and recording user information and data, all networking detection instruments are connected with a cloud server through the Internet, an intelligent decision module and a communication module are arranged in the cloud server, and the networking detection instruments comprise a sphygmomanometer, a cardiovascular system detector, an arteriosclerosis detector, a human body composition detector and a national physique detector which are arranged in a community health service center;
the client medical equipment comprises an intelligent blood pressure instrument convenient for self-checking, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions;
all the client intelligent mobile terminals, the community family doctor intelligent mobile terminals and the specialist intelligent mobile terminals exchange data with the cloud server through the Internet.
In order to solve the other technical problem, the invention provides an operation method of a digital and mobile health intervention system for community hypertension patients, which comprises the following steps:
(1) Each hypertensive patient in the community is provided with an intelligent sphygmomanometer convenient for self-detection, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions;
the hypertension patient carries out blood pressure self-checking every day through an intelligent blood pressure meter to obtain daily blood pressure;
the patients suffering from hypertension take medicines at regular time and quantity every day according to the reminding of the intelligent medicine box;
the method comprises the steps that a hypertensive patient records the movement condition of each day and the change condition of each index of the body through wearable intelligent equipment every day, and a corresponding daily statistical file is generated;
the method comprises the steps that a hypertension patient uploads daily blood pressure, medicine taking conditions and daily statistics files of a wearable intelligent device to a cloud server through a client intelligent mobile terminal every day, the hypertension patient regularly goes to a community to perform regular health detection by using a networking detection instrument, detection contents are also uploaded to the cloud server, the cloud server establishes independent health files for each hypertension patient, and the health files comprise physiological index monitoring, psychological health condition monitoring, life habit monitoring and physical activity monitoring;
(2) The cloud server receives the data uploaded by all the hypertension patients, integrates the data, and then an intelligent decision module in the cloud server provides targeted intelligent feedback for each hypertension patient according to the uploaded data;
for hypertensive patients with no obvious abnormality in data, intelligent feedback includes exercise prescriptions, weekly exercise plans, recommended intake of diet, drug prescriptions, blood pressure control targets, and medication monitoring reminders;
for a hypertensive patient with obvious abnormality in data, namely when each index reaches an early warning high value of a cloud server, the cloud server transmits corresponding data of the hypertensive patient to a home doctor intelligent mobile terminal, and the home doctor carries out targeted manual feedback on the hypertensive patient according to the abnormal condition of the data to adjust a treatment scheme, wherein the content of the manual feedback comprises an improvement scheme in the aspects of exercise, diet and medication, and the improvement scheme comprises a daily exercise plan, a diet plan and a medication plan for a week;
(3) The hypertension patient with no obvious abnormality of data regulates exercise, diet and medicine taking according to intelligent feedback, and the daily exercise content, diet condition, blood pressure and medicine taking condition are uploaded according to the step (1), and the intelligent decision module compares and processes and judges the uploaded data;
the method comprises the steps that a hypertensive patient with obvious abnormality in data improves the existing exercise, diet and administration schemes according to the improvement scheme of a family doctor, and the daily exercise scheme, the diet scheme and the administration scheme are subjected to daily card punching through a client intelligent mobile terminal, and the family doctor carries out state evaluation on the corresponding hypertensive patient according to the daily card punching condition and a daily uploaded statistical file;
after the daily exercise plan, the diet plan and the medicine taking plan for a week are completed, if no improvement exists or a greater degree of data abnormality occurs in a week, the cloud server sorts the abnormal data into a visual report and simultaneously sends the visual report to the client intelligent mobile terminal and the family doctor intelligent mobile terminal of the hypertension patient, the family doctor feeds back to the specialist, the specialist gives a treatment scheme or appointment for the doctor, and the family doctor and the specialist respectively communicate with the specialist intelligent mobile terminal through the family doctor intelligent mobile terminal;
preferably, the intelligent feedback in the step (2) further comprises sports knowledge science popularization, deshu diet individual guidance, reasonable medication advice and blood pressure monitoring related knowledge.
Preferably, in the step (3), the hypertension patient and the family doctor communicate online through the client intelligent mobile terminal and the family doctor intelligent mobile terminal.
Preferably, the cloud server is provided with an interactive sharing module, and the hypertension patient uploads the detection results of daily diet, exercise condition and daily networking monitoring instrument to the interactive sharing module through the client intelligent mobile terminal to interact, share, communicate and exercise PK with other hypertension patients.
The invention has the advantages that: the invention provides a community hypertension patient digital and mobile health intervention system which comprises a plurality of networking detection instruments (such as a sphygmomanometer, a cardiovascular system detector, an arteriosclerosis detector, a human body composition detector and a national physique detector which are arranged in a community health service center), a plurality of client medical devices (comprising a self-checking-facilitating intelligent sphygmomanometer, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions: a smart bracelet), a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of special doctor intelligent mobile terminals and a cloud server, wherein the intelligent mobile terminals are commonly referred to as smart phones, a hypertension patient and a family doctor (community doctor) log in through the smart phones, data are uploaded through corresponding APP after the self-checking of the hypertension patient, the cloud server gives reasonable suggestions according to different intelligence of each case, the family doctor's mobile phones APP transmits abnormal index cases to the family doctor, the family doctor also provides artificial feedback for the smart phones through the mobile phones APP of the family doctor, and communicates with the special doctor according to requirements or the scheme, so that the patients can take medical resources of the hypertension patient and the severe medical doctor can take the medical resources reasonably and rapidly according to the severe medical conditions. Through supervision and intervention to daily sports contents, diet conditions and medicine taking conditions, the good habits of on-time self-checking, reasonable diet, sufficient exercise and on-time medicine taking of the hypertension patients can be easily cultivated, and the interaction sharing module is used for interaction, sharing, communication and exercise PK with other hypertension patients, so that the effects of mutual supervision and self supervision are achieved while the hypertension patients are treated.
Drawings
Fig. 1 is a schematic flow chart of the present invention.
Detailed Description
With reference to figure 1 of the drawings,
a community hypertension patient digital and mobile health intervention system:
the system comprises a plurality of networking detection instruments, a plurality of client medical devices, a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of special doctor intelligent mobile terminals and a cloud server;
all networking detection instruments are provided with processing units for connecting the Internet and recording user information and data, all networking detection instruments are connected with a cloud server through the Internet, an intelligent decision module and a communication module are arranged in the cloud server, and the networking detection instruments comprise a sphygmomanometer, a cardiovascular system detector, an arteriosclerosis detector, a human body composition detector and a national physique detector which are arranged in a community health service center;
the client medical equipment comprises an intelligent blood pressure instrument convenient for self-checking, an intelligent medicine box with reminding and detecting functions and an intelligent bracelet with body monitoring and movement recording functions;
all hypertensive patients, community family doctors, and special doctors in hospitals exchange data with the cloud server through corresponding APP on the smart phone.
An operation method of a community hypertension patient digital and mobile health intervention system comprises the following steps:
(1) Each hypertensive patient in the community is provided with an intelligent sphygmomanometer convenient for self-detection, an intelligent medicine box with reminding and detecting functions and an intelligent bracelet with body monitoring and movement recording functions;
the hypertension patient carries out blood pressure self-checking every day through an intelligent blood pressure meter to obtain daily blood pressure;
the patients suffering from hypertension take medicines at regular time and quantity every day according to the reminding of the intelligent medicine box;
the method comprises the steps that a hypertensive patient records the movement condition of each day and the change condition of each index of the body through an intelligent bracelet every day, and a corresponding daily statistical file is generated;
daily blood pressure, medicine taking conditions and daily statistics files of a wearable intelligent device are uploaded to a cloud server by a client intelligent mobile terminal every day, the patients with hypertension regularly go to communities and use a networking detection instrument to carry out regular health detection, core indexes such as arteriosclerosis evaluation indexes (baPWV), heart function evaluation indexes (SEVR) and the like are obtained, information such as past medical history, physical symptoms, physical activity conditions and the like is obtained through questionnaires at a mobile terminal, detection contents are also uploaded to the cloud server, the cloud server establishes independent health files for each patient with hypertension, and the health files comprise physiological index monitoring, mental health condition monitoring, life habit monitoring and physical activity monitoring;
(2) The cloud server receives the data uploaded by all the hypertension patients and then integrates the data, an intelligent decision module in the cloud server provides targeted intelligent feedback for each hypertension patient according to the uploaded data, an intelligent exercise prescription in a health care mode, a scientific health care mode and a habit maintenance mode is generated, and feedback content is sent to a mobile phone APP of the corresponding hypertension patient;
for hypertensive patients with no obvious abnormality in data, intelligent feedback includes exercise prescriptions, weekly exercise plans, recommended intake of diet, drug prescriptions, blood pressure control targets, and medication monitoring reminders;
for a hypertensive patient with obvious abnormality in data, namely when each index reaches an early warning high value of a cloud server, the cloud server transmits corresponding data of the hypertensive patient to a mobile phone APP of a family doctor (community doctor), the family doctor carries out targeted artificial feedback for adjusting a treatment scheme on the hypertensive patient according to the abnormal condition of the data, the content of the artificial feedback comprises improvement schemes in the aspects of exercise, diet and medication, and the improvement schemes are specifically a daily exercise scheme, a diet scheme and a medicine taking scheme for a period of time, and the schemes are transmitted to the mobile phone APP of the hypertensive patient;
(3) The hypertension patient with no obvious abnormality of data regulates exercise, diet and medicine taking according to intelligent feedback, and the daily exercise content, diet condition, blood pressure and medicine taking condition are uploaded according to the step (1), and the intelligent decision module compares and processes and judges the uploaded data to play roles of daily monitoring and intelligent intervention;
the hypertension patient with obvious abnormality in data improves the existing exercise, diet and medicine taking schemes according to the improvement scheme of the family doctor, the improvement content is sent to the APP of the hypertension patient, the hypertension patient carries out daily card punching (plays the roles of monitoring and intervention) on the daily exercise plan, diet plan and medicine taking plan set by the family doctor through the reminding function of the APP of the mobile phone, and the family doctor carries out state evaluation on the corresponding hypertension patient according to the daily card punching condition and the daily uploaded statistical file;
after the daily exercise plan, the diet plan and the medicine taking plan for a week are completed, if no improvement exists or a greater degree of data abnormality occurs in a week, the cloud server sorts the abnormal data into a visual report and sends the visual report to a mobile phone APP of a hypertensive patient and a mobile phone APP of a family doctor at the same time, the family doctor feeds back to the specialist through the mobile phone APP, and the specialist gives a treatment scheme or reserves the treatment of the hypertensive patient in time through the mobile phone APP;
and (2) intelligent feedback also comprises sports knowledge science popularization, deshu diet individual guidance, reasonable medication advice and blood pressure monitoring related knowledge.
The push content in this embodiment is shown in table 1:
TABLE 1
Figure BDA0004107781270000061
Figure BDA0004107781270000071
In the step (3), the hypertension patient and the family doctor communicate online through the client intelligent mobile terminal and the family doctor intelligent mobile terminal.
The cloud server is provided with an interactive sharing module, and the hypertension patient uploads the daily diet, the exercise condition and the detection result of the daily networking monitoring instrument to the interactive sharing module to interact, share, communicate and exercise PK with other hypertension patients through the client intelligent mobile terminal.
The invention has the advantages that: the invention provides a community hypertension patient digital and mobile health intervention system which comprises a plurality of networking detection instruments (such as a sphygmomanometer, a cardiovascular system detector, an arteriosclerosis detector, a human body composition detector and a national physique detector which are arranged in a community health service center), a plurality of client medical devices (comprising a self-checking-facilitating intelligent sphygmomanometer, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions: a smart bracelet), a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of special doctor intelligent mobile terminals and a cloud server, wherein the intelligent mobile terminals are commonly referred to as smart phones, a hypertension patient and a family doctor (community doctor) log in through the smart phones, data are uploaded through corresponding APP after the self-checking of the hypertension patient, the cloud server gives reasonable suggestions according to different intelligence of each case, the family doctor's mobile phones APP transmits abnormal index cases to the family doctor, the family doctor also provides artificial feedback for the smart phones through the mobile phones APP of the family doctor, and communicates with the special doctor according to requirements or the scheme, so that the patients can take medical resources of the hypertension patient and the severe medical doctor can take the medical resources reasonably and rapidly according to the severe medical conditions. Through supervision and intervention to daily blood pressure, sports content, diet condition, medicine taking condition, the good habit of on-time self-checking, reasonable diet, sufficient exercise, on-time measurement of blood pressure and medicine taking of hypertension patients is easily cultivated, and interaction, sharing, communication and sports PK (physical training) of other hypertension patients are realized through the interaction sharing module, so that the effects of mutual supervision and self supervision are also realized during treatment.
If the patient agrees to conduct management of exercise, diet, medication, blood pressure monitoring, automated digital and ambulatory intervention protocols will be generated based on behavioral modification wheel theory and microelectronic intervention theory. The health education content of four intervention blocks of exercise intervention, diet intervention, blood pressure monitoring and medication management is formed, and the behavioral intervention technology (such as reminding, feedback and the like) for increasing compliance is implemented through APP. The requirements and attitudes of the intervention objects are fully considered in the process of forming the scheme, and the scheme is adjusted.
Behavior modification techniques corresponding to the behavior modification round theory nine intervention functions are shown for example in table 2:
table 2:
Figure BDA0004107781270000081
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Figure BDA0004107781270000091
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Figure BDA0004107781270000101
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Figure BDA0004107781270000111
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Claims (5)

1. a community hypertension patient digital and mobile health intervention system is characterized in that:
the system comprises a plurality of networking detection instruments, a plurality of client medical devices, a plurality of client intelligent mobile terminals, a plurality of community family doctor intelligent mobile terminals, a plurality of special doctor intelligent mobile terminals and a cloud server;
all networking detection instruments are provided with processing units for connecting the Internet and recording user information and data, all networking detection instruments are connected with a cloud server through the Internet, an intelligent decision module and a communication module are arranged in the cloud server, and the networking detection instruments comprise a sphygmomanometer, a cardiovascular system detector, an arteriosclerosis detector, a human body composition detector and a national physique detector which are arranged in a community health service center;
the client medical equipment comprises an intelligent blood pressure instrument convenient for self-checking, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions;
all the client intelligent mobile terminals, the community family doctor intelligent mobile terminals and the specialist intelligent mobile terminals exchange data with the cloud server through the Internet.
2. The method of operating a community hypertensive patient digital and ambulatory health intervention system of claim 1, wherein:
(1) Each hypertensive patient in the community is provided with an intelligent sphygmomanometer convenient for self-detection, an intelligent medicine box with reminding and detecting functions and a wearable intelligent device with body monitoring and movement recording functions;
the hypertension patient carries out blood pressure self-checking every day through an intelligent blood pressure meter to obtain daily blood pressure;
the patients suffering from hypertension take medicines at regular time and quantity every day according to the reminding of the intelligent medicine box;
the method comprises the steps that a hypertensive patient records the movement condition of each day and the change condition of each index of the body through wearable intelligent equipment every day, and a corresponding daily statistical file is generated;
the method comprises the steps that a hypertension patient uploads daily blood pressure, medicine taking conditions and daily statistics files of a wearable intelligent device to a cloud server through a client intelligent mobile terminal every day, the hypertension patient regularly goes to a community to conduct health detection by using a networking detection instrument, detection content is also uploaded to the cloud server, and the cloud server establishes independent health files for each hypertension patient, wherein the health files comprise physiological index monitoring, psychological health condition monitoring, life habit monitoring and physical activity monitoring;
(2) The cloud server receives the data uploaded by all the hypertension patients, integrates the data, and then an intelligent decision module in the cloud server provides targeted intelligent feedback for each hypertension patient according to the uploaded data;
for hypertensive patients with no obvious abnormality in data, intelligent feedback includes exercise prescriptions, weekly exercise plans, recommended intake of diet, drug prescriptions, blood pressure control targets, and medication monitoring reminders;
for a hypertensive patient with obvious abnormality in data, namely when each index reaches an early warning high value of a cloud server, the cloud server transmits corresponding data of the hypertensive patient to a home doctor intelligent mobile terminal, and the home doctor carries out targeted manual feedback on the hypertensive patient according to the abnormal condition of the data to adjust a treatment scheme, wherein the content of the manual feedback comprises an improvement scheme in the aspects of exercise, diet and medication, and the improvement scheme comprises a daily exercise plan, a diet plan and a medication plan for a week;
(3) The hypertension patient with no obvious abnormality of data regulates exercise, diet and medicine taking according to intelligent feedback, and the daily exercise content, diet condition, blood pressure and medicine taking condition are uploaded according to the step (1), and the intelligent decision module compares and processes and judges the uploaded data;
the method comprises the steps that a hypertensive patient with obvious abnormality in data improves the existing exercise, diet and administration schemes according to the improvement scheme of a family doctor, and the daily exercise scheme, the diet scheme and the administration scheme are subjected to daily card punching through a client intelligent mobile terminal, and the family doctor carries out state evaluation on the corresponding hypertensive patient according to the daily card punching condition and a daily uploaded statistical file;
after the daily exercise plan, the diet plan and the medicine taking plan for a week are completed, if no improvement exists or a greater degree of data abnormality occurs in a week, the cloud server sorts the abnormal data into a visual report and simultaneously sends the visual report to the client intelligent mobile terminal and the family doctor intelligent mobile terminal of the hypertension patient, the family doctor feeds back to the specialist, the specialist gives a treatment scheme or appointment for a doctor, and the family doctor and the specialist respectively communicate with the specialist intelligent mobile terminal through the family doctor intelligent mobile terminal.
3. A method of operating a community hypertensive patient digital and ambulatory health intervention system as in claim 2, wherein: the intelligent feedback in the step (2) also comprises sports knowledge science popularization, deshu diet individual guidance, reasonable medication advice and blood pressure measurement related knowledge.
4. A method of operating a community hypertensive patient digital and ambulatory health intervention system as in claim 2, wherein: in the step (3), the hypertension patient and the family doctor communicate online through the client intelligent mobile terminal and the family doctor intelligent mobile terminal.
5. A method of operating a community hypertensive patient digital and ambulatory health intervention system as in claim 2, wherein: the cloud server is provided with an interactive sharing module, and the hypertension patient uploads the daily diet, the exercise condition and the detection result of the daily networking monitoring instrument to the interactive sharing module to interact, share, communicate and exercise PK with other hypertension patients through the client intelligent mobile terminal.
CN202310197334.1A 2023-02-28 2023-02-28 Community hypertension patient digital and mobile health intervention system and operation method Pending CN116206747A (en)

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