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目的:探讨社区干预对高血压患者生活方式和行为习惯的影响。方法:将200例社区高血压患者随机分为试验组和对照组,每组100例。对照组门诊随诊,试验组在此基础上给予社区干预,时间1年。观察比较两组干预前、后生活方式和行为习惯的变化和血压控制效果。结果:两组干预1年后健康促进生活方式量表Ⅱ各维度分和总分均较干预前显著增高(F=695.414,599.960,199.360,566.346,276.237,289.369,415.927,3648.129;P<0.001),但试验组增高幅度显著大于对照组(t=11.546,13.316,12.246,13.313,5.523,6.654,10.856,31.795;P<0.001);在干预后第3、6、9、12个月末,两组血压均较干预前显著降低(F=828.999,659.796;P<0.001),但试验组降压幅度显著大于同期对照组(t=5.771,5.572,4.284,3.672,4.479,4.937,4.172,3.049;P<0.01)。结论:社区干预能显著改善高血压患者生活方式和行为方式,有利于血压控制。
Objective: To explore the impact of community intervention on lifestyle and behavior of hypertensive patients. Methods: 200 patients with community hypertension were randomly divided into experimental group and control group, 100 cases in each group. Control group outpatient follow-up, the experimental group on the basis of community intervention, time 1 year. The changes of lifestyle and behavior before and after intervention and the effect of blood pressure control were observed and compared between the two groups. Results: After one year intervention, the dimensions and total scores of Health Promotion Lifestyle Scale Ⅱ were significantly higher than those before intervention (F = 695.414,599.960,199.360,566.346,276.237,289.369,415.927,3648.129; P <0.001) (T = 11.546,13.316,12.246,13.313,5.523,6.654,10.856,31.795; P <0.001). At the end of the 3rd, 6th, 9th and 12th months after the intervention, both groups Blood pressure was significantly lower than before intervention (F = 828.999,659.796; P <0.001), but the amplitude of blood pressure in the experimental group was significantly higher than that in the control group (t = 5.771,5.572,4.284,3.672,4.479,4.937,4.172,3.049; P <0.01). Conclusion: Community intervention can significantly improve the lifestyle and behavior of hypertensive patients, which is good for blood pressure control.