网络干预对中青年高血压患者生活方式的影响  

The influence of network intervention on lifestyle of young and middle-aged patients with hypertension

作　　者：黄玲燕[1] 阮美生[2] 钟平[3] 阮娅芳 王淼[1] 徐鑫[2] 

机构地区：[1]湖北咸宁市中心医院、湖北科技学院附属第一医院,437100 [2]湖北科技学院附属第二医院 [3]湖北咸宁市疾病预防控制中心

出　　处：《中国临床保健杂志》2017年第2期137-141,共5页Chinese Journal of Clinical Healthcare

基　　金：湖北省卫生计生委科研项目(WJ2015GB033)

摘　　要：目的探讨网络干预对中青年高血压患者生活方式的影响。方法将300例中青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、后生活方式的变化和血压控制效果。结果在干预后第12和24月末,两组健康促进生活方式量表Ⅱ各维度积分和总分均较干预前显著升高(均P<0.01),但研究组上升幅度均显著大于对照组(均P<0.01);在干预后第6、12、18、24个月末,两组血压均较干预前降低(均P<0.01),但研究组降压幅度显著大于对照组(均P<0.01)。结论网络干预有助于中青年高血压患者改善生活方式,有利于血压控制,较门诊随访模式效果优越。Objective To explore the influence of network intervention on lifestyle of the young and middle- aged patients with hypertension. Methods All 300 young and middle-aged patients with hypertension were randomly assigned into the study group and the control group. Each had 150 cases. All patients of the both groups were treated with hypotensive drugs according to conventional diagnosis and treatment of hypertension. The patients in the study group received a network intervention for 2 years while the patients in the control group received an outpatient service follow-up. The change of lifestyle and the control effect of the blood pressure of the two groups were observed and com-pared before and after the intervention. Results At the end of 12th and 24th month after the intervention, all the fac-tors and total scores of health-promoting lifestyle profile II in the two groups were significantly higher than those before the intervention （P 〈0. 01 ）. The score increase in the study group was significantly more than that in the control group （P 〈0. 01）. The blood pressure after intervention was significantly lower than that before intervention in the two groups （ P 〈 0. 01） . The decrease of blood pressure in the study group was significantly more than that in the control group （P 〈 0. 01） . Conclusion The network intervention can significantly improve lifestyle of the young and middle-aged patients with hypertension and it is beneficial to control blood pressure of the patients.

关 键 词：高血压 干预性研究 生活方式 中年人 青年人 

分 类 号：R544.1[医药卫生—心血管疾病]