健步走对老年高血压患者肥胖和中心性肥胖的干预研究  

Study for the intervention effect of nurse lead Brisk walking for elder hypertension patients with obesity and visceral obesity

作　　者：夏莉娟[1] 张琳[2] 耿瑶[2] 宁艳花[2] 

机构地区：[1]宁夏医科大学附属总医院骨3科,宁夏银川750004 [2]宁夏医科大学护理学院,宁夏银川750004

出　　处：《护士进修杂志》2011年第23期2124-2127,共4页Journal of Nurses Training

基　　金：2008年国家自然科学基金资助项目(编号:30860298);2008年宁夏自然科学基金资助项目(编号NZ0883)

摘　　要：目的探索由护士引导的"健步走老年高血压社区干预"对其肥胖和中心性肥胖的作用,为老年高血压的社区运动干预实践提供一定的指导。方法选取宁夏银川市两个经济水平、地理位置无明显差异的社区,进行系统的高血压知识健康教育后,各随机抽取45位高血压患者,然后将两个社区随机分为干预社区和对照社区。干预社区采取由护士引导的、运用社会认知理论及个体化运动处方的"健步走干预";对照社区采用现有的高血压社区干预模式,6个月后比较其效果。两组均保持原有的饮食习惯及高血压用药。结果 (1)干预组的收缩压和舒张压均数分别降低11.25mmHg和9.09mmHg,与对照组比较差异有统计学意义(P<0.05);(2)干预6个月后,干预组的体重、腰围、体重指数分别下降3.36kg、6.39cm和1.41,与对照组相比,腰围的差异具有统计学意义(P<0.05);(3)干预组超重和肥胖各减少4例(9.09%),中心性肥胖减少20例(45.45%),与对照组相比,干预后中心性肥胖的差异具有统计学意义(P<0.05)。结论健步走对Ⅰ级、Ⅱ级高血压的控制能起到良好的辅助作用;对减重有一定效果,尤其是中心性肥胖者。Objective To study the intervention effect of brisk walking for the prevention of n obesity and visceral obesity among community elders with hypertension, to find out bases for further guide on the practice of physical activity for hypertension intervention Method Two communities were selected as research communities which are no obvious differences economically and geographically in Yinchuan city of Ningxia Hui Autonomous region. After systemic healthy education on hypertension in the two communities, 45 hypertensive subjects were randomly selected in each community based on the include criteria and exclude criteria. The communities were randomly selected as intervention community and control community. The intervention community was applied nurse lead brisk walking intervention, and the intervention used social cognitive theory as intervention theory and made brisk walking plan for every subject. The control community was applied the normal hypertension intervention. The effects of the interventions were compared after 6 months. The subjects were all kept the eating habits as usual and ate the same anti-hy-pertension medications. Result （1）The systolic blood pressure and diastolic blood pressure of the intervention group lowered 11.25mmHg and 9.09 mmHg, respectively. Compared with control group, The differences was significant （P〈0.05）. （2）After 6 months intervention, the mean of weight, waist line and BMI level of the intervention group subject decreased 3.36kg,6.39cm and 1.41 respectively. Compared with control group, the differences of the waist line between the two groups were statistically significant （P〈0.05）. （3）After 6 months intervention, the subjects of over weight and obesity of the intervention group all decreased 4 （9.09%）, the subjects of visceral obesity decreased 20（45.45%）. The differences of visceral obesity between the two groups were significant （P〈0.05）. Conclusion The nurse lead brisk walking intervention on hypertension among community eiders could im

关 键 词：健步走 老年高血压 社区干预 肥胖 中心性肥胖 

分 类 号：R471[医药卫生—护理学] R473.5[医药卫生—临床医学]