中国医学前沿杂志(电子版)
中國醫學前沿雜誌(電子版)
중국의학전연잡지(전자판)
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2015年
7期
4-8
,共5页
俞蔚%杨丽%章一丰%徐小玲%符雁翔%陈洁文%朱利月%丁芳%严静
俞蔚%楊麗%章一豐%徐小玲%符雁翔%陳潔文%硃利月%丁芳%嚴靜
유위%양려%장일봉%서소령%부안상%진길문%주리월%정방%엄정
高血压前期%高血压%危险因素%干预%效果
高血壓前期%高血壓%危險因素%榦預%效果
고혈압전기%고혈압%위험인소%간예%효과
Pre-hypertension%Hypertension%Risk factor%Intervention%Effect
目的:研究生活方式干预措施对社区高血压前期和高血压患者的影响,为高血压社区防治工作提供依据。方法选取浙江省嘉兴市和绍兴市社区的高血压前期及高血压患者448例为研究对象,将其分为对照组与干预组。对照组患者不给予个体化干预措施,维持目前生活方式。干预组患者给予为期1年的健康生活方式干预、技能培训和习惯培养,干预内容包括膳食管理、运动管理和戒烟限酒、心理平衡健康教育。结果经过12个月的个体化膳食管理和运动管理干预,随访研究结果显示,干预组患者摄油重和饮酒不良生活方式较对照组显著下降(4.31%︰12.78%,P<0.01;26.79%︰35.84%,P<0.05),收缩压较对照组仍然升高[(122.31±9.28)mmHg︰(118.72±14.94)mmHg, P<0.05]。干预组患者6分钟步行距离和健康状况自评较对照组显著上升[(551.09±9.46)m︰(489.63±4.48)m,(91.24±6.88)分︰(88.56±7.82)分,P<0.01]。干预组与对照组12个月与基线相关指标的差值进行比较,提示干预组患者体质指数(BMI)和腰围较干预前轻度下降,对照组升高,两组变化情况比较有显著差异[(-0.47±2.94)kg/m2︰(3.25±4.19)kg/m2,(-0.41±7.82)cm︰(1.31±3.87)cm,P<0.01]。两组收缩压和舒张压较干预前均下降,但干预组患者血压下降程度较对照组显著[(-6.61±7.74)mmHg︰(-3.62±7.54)mmHg,(-4.74±9.93)mmHg︰(-3.99±9.60) mmHg,P<0.01]。干预组患者血压知晓率、知晓正常高值血压范围、知晓高血压前期相关疾病、知晓有效治疗高血压前期的有效方法的人数构成比均较对照组高(P<0.05)。结论开展社区健康教育能够有效提高高血压前期和高血压患者防治知识水平,个体化生活方式干预能够有效控制体重,降低收缩压和舒张压水平,同时改善患者生活质量。
目的:研究生活方式榦預措施對社區高血壓前期和高血壓患者的影響,為高血壓社區防治工作提供依據。方法選取浙江省嘉興市和紹興市社區的高血壓前期及高血壓患者448例為研究對象,將其分為對照組與榦預組。對照組患者不給予箇體化榦預措施,維持目前生活方式。榦預組患者給予為期1年的健康生活方式榦預、技能培訓和習慣培養,榦預內容包括膳食管理、運動管理和戒煙限酒、心理平衡健康教育。結果經過12箇月的箇體化膳食管理和運動管理榦預,隨訪研究結果顯示,榦預組患者攝油重和飲酒不良生活方式較對照組顯著下降(4.31%︰12.78%,P<0.01;26.79%︰35.84%,P<0.05),收縮壓較對照組仍然升高[(122.31±9.28)mmHg︰(118.72±14.94)mmHg, P<0.05]。榦預組患者6分鐘步行距離和健康狀況自評較對照組顯著上升[(551.09±9.46)m︰(489.63±4.48)m,(91.24±6.88)分︰(88.56±7.82)分,P<0.01]。榦預組與對照組12箇月與基線相關指標的差值進行比較,提示榦預組患者體質指數(BMI)和腰圍較榦預前輕度下降,對照組升高,兩組變化情況比較有顯著差異[(-0.47±2.94)kg/m2︰(3.25±4.19)kg/m2,(-0.41±7.82)cm︰(1.31±3.87)cm,P<0.01]。兩組收縮壓和舒張壓較榦預前均下降,但榦預組患者血壓下降程度較對照組顯著[(-6.61±7.74)mmHg︰(-3.62±7.54)mmHg,(-4.74±9.93)mmHg︰(-3.99±9.60) mmHg,P<0.01]。榦預組患者血壓知曉率、知曉正常高值血壓範圍、知曉高血壓前期相關疾病、知曉有效治療高血壓前期的有效方法的人數構成比均較對照組高(P<0.05)。結論開展社區健康教育能夠有效提高高血壓前期和高血壓患者防治知識水平,箇體化生活方式榦預能夠有效控製體重,降低收縮壓和舒張壓水平,同時改善患者生活質量。
목적:연구생활방식간예조시대사구고혈압전기화고혈압환자적영향,위고혈압사구방치공작제공의거。방법선취절강성가흥시화소흥시사구적고혈압전기급고혈압환자448례위연구대상,장기분위대조조여간예조。대조조환자불급여개체화간예조시,유지목전생활방식。간예조환자급여위기1년적건강생활방식간예、기능배훈화습관배양,간예내용포괄선식관리、운동관리화계연한주、심리평형건강교육。결과경과12개월적개체화선식관리화운동관리간예,수방연구결과현시,간예조환자섭유중화음주불량생활방식교대조조현저하강(4.31%︰12.78%,P<0.01;26.79%︰35.84%,P<0.05),수축압교대조조잉연승고[(122.31±9.28)mmHg︰(118.72±14.94)mmHg, P<0.05]。간예조환자6분종보행거리화건강상황자평교대조조현저상승[(551.09±9.46)m︰(489.63±4.48)m,(91.24±6.88)분︰(88.56±7.82)분,P<0.01]。간예조여대조조12개월여기선상관지표적차치진행비교,제시간예조환자체질지수(BMI)화요위교간예전경도하강,대조조승고,량조변화정황비교유현저차이[(-0.47±2.94)kg/m2︰(3.25±4.19)kg/m2,(-0.41±7.82)cm︰(1.31±3.87)cm,P<0.01]。량조수축압화서장압교간예전균하강,단간예조환자혈압하강정도교대조조현저[(-6.61±7.74)mmHg︰(-3.62±7.54)mmHg,(-4.74±9.93)mmHg︰(-3.99±9.60) mmHg,P<0.01]。간예조환자혈압지효솔、지효정상고치혈압범위、지효고혈압전기상관질병、지효유효치료고혈압전기적유효방법적인수구성비균교대조조고(P<0.05)。결론개전사구건강교육능구유효제고고혈압전기화고혈압환자방치지식수평,개체화생활방식간예능구유효공제체중,강저수축압화서장압수평,동시개선환자생활질량。
ObjectiveTo investigate the effect of lifestyle intervention on patients with hypertension or pre-hypertension, provide evidence of hyperension prevention and treatment.Method448 patients with hypertension or pre-hypertension in Jiaxing and Shaoxing communities in Zhejiang province. Control group keep the usual lifestyle without individual intervention; intervention group was given 1 year healthy lifestyle education, skill and habit training, intervention included diet management, exersice management, smoking and drinking cessation, psychological balance education.ResultThrough 12 months’ individual management including of diet and exersice management, the resluts showed that, compared with control group, taking more oil and drinking in intervention group dramaticly declined (4.31% vs 12.78%,P<0.01; 26.79% vs 35.84%,P<0.05), systolic pressure rised [(122.31±9.28) mmHg vs (118.72±14.94) mmHg,P<0.05], 6 minutes walking distance and slf-reported health markly rised [(551.09±9.46) m vs (489.63±4.48) m, (91.24±6.88) vs (88.56±7.82),P<0.01]. The difference value of intervention and control group indicated BMI and waistline slight declined [(-0.47±2.94) kg/m2 vs (3.25±4.19) kg/m2, (-0.41±7.82) cm vs (1.31±3.87) cm,P<0.01]. SBP and DBP declined in both groups, but they declined more remarkable in intervention group [(-6.61±7.74) mmHg vs (-3.62±7.54) mmHg, (-4.74±9.93) mmHg vs (-3.99±9.60) mmHg,P<0.01]. The rates of hypertension awarness, knowing the value range of pre-hypertension, knowing the associated diseases of pre-hypertension, knowing the effective treatment of pre-hypertension were high in intervention group (P<0.05).ConclusionCommunity-based lifestyle intervention could effectively improve the knowledge of patients with pre-hypertension or hypertension, and effectively control weight, lower SBP and DBP, and improve the living quality of patients.