老年高血压患者行为改变与血压值关系探讨  

Relationship between Behavioral Change and Blood Pressure among Elderly Hypertensive Retired PLA Cadres

作　　者：胡晓敏[1] 林雨峰[1] 刘献朝[1] 何新建[2] 贾继明[1] 

机构地区：[1]新疆军区卫生防疫大队,新疆乌鲁木齐830011 [2]新疆军区联勤部卫生处,新疆乌鲁木齐830011

出　　处：《中国健康教育》2001年第12期719-721,共3页Chinese Journal of Health Education

摘　　要：目的　探讨行为改变与血压值的关系 ,以及老年高血压患者健康教育中行为干预的注意点。方法　把军区离休干部高血压患者分为干预组和对照组 ,进行两年的健康教育干预 ,并进行血压监测。结果　干预组血压正常的人数显著增加 ( χ2 =2 7 0 75 ,P <0 0 1 )。坚持服药行为对控制血压有显著意义 ( χ2 =4 5 9,P <0 0 5 ) ;在坚持服药的人群中 ,血压正常者其他卫生行为平均形成率 ( 76 0 0 % )高于血压较高者 ( 2 3 5 2 % )。结论　坚持服药可有效控制血压 ,低钠饮食、不吸烟或减少吸烟支数、适宜运动。Objective To study the relationship between behavioral change and blood pressure among elderly patients with hypertension Methods Seventy one retired PLA cadres in Urumqi, Xinjiang Uigur Autonomous Region, were included in the intervention group by random sampling Seventy four retired cadres with the similar background were included in the control group Health education intervention was conducted in the intervention group for two years During the intervention, blood pressure was measured periodically and questionnaire survey was conducted before and after interrention to both groups Results After intervention, the number of patients with normal blood pressure increased significantly in the intervention group in comparison with that in control group (χ 2=27 075, P<0 01) The number of patients whose blood pressure had decreased to normal was significantly higher among those compliant with doctor's orders than among those who failed to be compliant (χ 2=4 59, P<0 05) The healthy behavior forming rate of those with normal blood pressure (76 00%) was significantly higher than that of those with higher blood pressure (23 52%) Conclusion Patient compliance (taking anti hypertension drugs persistently) helps control hypertension effectively Low sodium diet, non smoking or reducing number of cigarettes smoked, appropriate exercise,and weight reduction help control hypertension to a certain degree

关 键 词：高血压 行为改变 老年军 血压值 

分 类 号：R544.1[医药卫生—心血管疾病]