网络干预对中年高血压患者生活方式和行为习惯的影响  

Influence of network intervention on lifestyle and behaviors habit of middle - aged patients with hypertension

作　　者：黎秀华[1] 阮美生[2] 钟平[3] 刘春华[1] 胡华龙[1] 丹荣华[2] 

机构地区：[1]湖北省通城县人民医院内科,437400 [2]湖北科技学院附属第二医院内科,湖北省咸宁437100 [3]咸宁市疾病预防控制中心慢病管理科,湖北省咸宁437100

出　　处：《中国基层医药》2016年第9期1315-1320,共6页Chinese Journal of Primary Medicine and Pharmacy

基　　金：湖北省卫生和计划生育委员会科研项目（WJ2015GB033）

摘　　要：目的探讨网络干预对中年高血压患者生活方式和行为习惯的影响。方法将300例中年高血压患者采用分层随机分配法分为研究组和对照组,每组150例。两组均按高血压诊疗常规给予降压药治疗,对照组门诊随诊,研究组进行网络干预,时间2年。比较两组干预前、后生活方式和行为习惯的变化。结果干预前两组生活方式和行为习惯各项差异均无统计学意义（均P〉0.05）;干预后12个月末,两组间吸烟控制、规律作息、业余爱好、心理平衡4项差异均无统计学意义（均P〉0.05）,其余各项研究组均优于对照组,差异均有统计学意义（Z=-3.062、-2.509、-2.239、-2.056、-2.126、-2.045、-2.023,均P〈0.05）;干预后24个月末,研究组各项指标均优于对照组,差异均有统计学意义（Z=-4.078、-3.792、-2.080、-2.098、-1.985、-2.478、-2.173、-2.478、-3.290、-2.514、-2.730,均P〈0.05）。结论网络干预有助于中年高血压患者改善生活方式和行为习惯,较门诊随诊模式效果优越。Objective To explore the influence of network intervention on lifestyle and behaviors habit of themiddle - aged patients with hypertension. Methods All 300 middle - aged patients with hypertension were randomlyassigned into the study group and the control group. Each group had 150 cases. All patients in the both two groupswere given hypotensive drugs according to treatment specification of hypertension. The patients in the study groupreceived a network intervention for 2 years, while the patients in the control group received an outpatient service follow- up. The difference of lifestyle and behaviors habit of the patients in the two groups were observed and compared.Results There were no significant differences with all items of the lifestyle and behaviors habit of the patientsbetween the two groups before intervention（ P 〉 0. 05） . In the 12th end of month after intervention, there were nosignificant differences between the two groups with the items of smoking control, working and resting regularly, hobbyand psychological balance（ P 〉 0. 05） , but other items in the study group were significantly better than those in thecontrol group（ Z = -3. 062, - 2. 509, - 2. 239, - 2. 056, - 2. 126, - 2. 045, - 2. 023, all P 〈 0. 05） . In the 24thend of month after intervention, all items in the study group were significantly better than those in the control group（ Z = -4. 078, -3. 792, -2. 080, -2. 098, -1. 985, -2. 478, -2. 173, -2. 478, -3. 290, -2. 514, -2. 730, allP 〈 0. 05） . Conclusion The network intervention can significantly improve lifestyle and behaviors habit of themiddle - aged patients with hypertension. Its effect is much better than that of outpatient service follow - up.

关 键 词：高血压 网络干预 生活方式 行为习惯 

分 类 号：R544.1[医药卫生—心血管疾病]