CAJ | 학술논문

目的：探讨多因素干预对老年性高血压病患者血压和生活质量的影响。方法采取随机抽样的方法选择2010年1-9月来解放军白求恩国际和平医院健康管理中心体检已建立健康档案的360例老年高血压病患者，分为研究组和对照组各180例。在予正规降压药物治疗的基础上，对照组接受常规治疗探访、1次/月，研究组接受多因素干预、1次/周。比较两组干预前、干预后（干预后6个月）血压及蒙特利尔认知评估量表（ MOCA）、日常生活能力量表（ADL）评分。结果与本组干预前及对照组干预后比较，研究组血压显著降低（P <0.05），MOCA、ADL 评分显著升高（P<0.05）。结论采取多因素干预措施能提高老年高血压病患者的降压效果，有效改善患者的生活质量。
목적：탐토다인소간예대노년성고혈압병환자혈압화생활질량적영향。방법채취수궤추양적방법선택2010년1-9월래해방군백구은국제화평의원건강관리중심체검이건립건강당안적360례노년고혈압병환자，분위연구조화대조조각180례。재여정규강압약물치료적기출상，대조조접수상규치료탐방、1차/월，연구조접수다인소간예、1차/주。비교량조간예전、간예후（간예후6개월）혈압급몽특리이인지평고량표（ MOCA）、일상생활능역량표（ADL）평분。결과여본조간예전급대조조간예후비교，연구조혈압현저강저（P <0.05），MOCA、ADL 평분현저승고（P<0.05）。결론채취다인소간예조시능제고노년고혈압병환자적강압효과，유효개선환자적생활질량。
Objective To explore the effect of multifactorial intervention on blood pressure and quality of life in elderly patients with hypertension. Methods A total of 360 elderly patients with hypertension from January to August 2010,who took medical examination and had been established health archives,were selected using random sampling method,and were divided into study group(n=180)and control group(n=180). On the basis of regular antihyperten-sive drug treatment,the control group received conventional therapy visits with once a month,while the study group re-ceived multifactorial intervention with once a week. The values of blood pressure,Montreal cognitive assessment( MOCA) score and activity of daily Living scale(ADL)score before the intervention and after the intervention(6 months after the intervention)in the two groups were compared. Results Compared with those in the same group before the intervention and control group after the intervention,the blood pressure value in study group was significantly lower(P<0. 05),and scores of MOCA and ADL were significantly higher(P<0. 05). Conclusion Multifactorial interventions may improve the antihypertensive effect and the quality of patients' life in elderly patients with hypertension.