CAJ | 학술논문

目的评价自测血压对高血压患者的行为依从性、生活方式及血压的影响.方法118名老年原发性高血压患者随机分为对照组和自测血压组.6个月后测量各组患者的血压,评价其行为依从性水平,了解其生活方式.结果与对照组相比,自测血压组患者行为依从性提高,舒张压[(74.85±14.19)vs(82.12±13.64)mmHg(1 mmHg=0.133 kPa)]、男性腰围[(78.03±6.68)vs (81.94±7.36)cm]、膳食盐[(7.56±2.34)vs(8.76±1.96)g/d]、油摄入量[(26.17±6.60)vs(29.85±6.12)g/d]、吸烟率(3.4%vs 15.5%)降低,积极参加运动的比例升高(P<0.05);体质量指数、收缩压、女性腰围差异则没有统计学意义(P>0.05).结论高血压患者实施自测血压有助于提高治疗行为依从性,建立健康的生活方式,更好地控制舒张压.
목적평개자측혈압대고혈압환자적행위의종성、생활방식급혈압적영향.방법118명노년원발성고혈압환자수궤분위대조조화자측혈압조.6개월후측량각조환자적혈압,평개기행위의종성수평,료해기생활방식.결과여대조조상비,자측혈압조환자행위의종성제고,서장압[(74.85±14.19)vs(82.12±13.64)mmHg(1 mmHg=0.133 kPa)]、남성요위[(78.03±6.68)vs (81.94±7.36)cm]、선식염[(7.56±2.34)vs(8.76±1.96)g/d]、유섭입량[(26.17±6.60)vs(29.85±6.12)g/d]、흡연솔(3.4%vs 15.5%)강저,적겁삼가운동적비례승고(P<0.05);체질량지수、수축압、녀성요위차이칙몰유통계학의의(P>0.05).결론고혈압환자실시자측혈압유조우제고치료행위의종성,건립건강적생활방식,경호지공제서장압.
Objective To evaluate the effect of self blood pressure monitoring on knowledge, compliance and behaviour of elderly hypertensive patients. Methods A total of 118 elderly hypertensive patients were randomly divided into control group and self blood pressure monitoring group. After 6-month’s intervention, knowledge, compliance, and behaviour of the patients were re-assessed by questionnaires. Results The comparison between two groups indicated that self blood pressure monitoring group resulted in much lower diastolic blood pressure [(74.85±14.19) vs (82.12±13.64) mmHg], waist circumference of men [(78.03±6.68) vs (81.94±7.36)cm], intake of salt [(7.56±2.34) vs (8.76±1.96)g/d], oil [(26.17±6.60) vs (29.85±6.12)g/d], less smoking consumption (3.4% vs 15.5%), and bigger portion of regular exercise (P<0.05) while had no effect on BMI, systolic blood pressure, women ’s waist circumference (P>0.05). Conclusion Self blood pressure monitoring could significantly improve compliance and establish healthy life style, which leads to the improvement of blood pressure control.