基于物联网的中医运动养生法在老年高血压患者中的循证研究  

Evidence-based Research on the Exercise Regimen of TCM in the Elderly with Hypertension Based on the Internet of Things

作　　者：张先庚 李燕[3] 付梦雪 杨玲娜[3] 吴际军[3] Zhang Xiangeng Li Yan Fu Mengxue Yang Lingna Wu Jijun(Sichuan Nursing Vocational College, Chengdu 610100, China Collaborative Innovation Center of Sichuan for Elderly Care and Health, Chengdu 610500, China Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China)

机构地区：[1]四川护理职业学院,成都610100 [2]成都医学院四川养老与老年健康协同创新中心,成都610500 [3]成都中医药大学,成都611137

出　　处：《成都医学院学报》2017年第5期541-545,共5页Journal of Chengdu Medical College

基　　金：2016年四川省社科规划项目(No:SC16B050);四川省科技厅科技支撑计划项目(No:2014SZ0154)

摘　　要：目的探讨基于物联网的中医运动养生法对老年高血压患者生存质量的干预效果。方法选取成都某老年公寓高血压老人78例,随机分为试验组(n=40)与对照组(n=38)。对照组进行定期随访与指导的常规护理;试验组在常规护理基础上遵循循证理念进行太极拳、八段锦等中医运动养生法干预。两组在干预前后采用症状自评量表(self-reporting inventory,SCL-90)、血压值、体质指数(BMI)及血糖水平等进行效果评价。结果干预3个月后,两组SCL-90量表中恐怖与精神病性2个维度比较,差异具有统计学意义(P<0.05);干预6个月后,两组血压值、SCL-90总分及各维度得分评分比较,差异具有统计学意义(P<0.05)。结论基于物联网的中医运动养生法能有效控制老年高血压的相关指标,改善老年高血压患者的躯体不良症状,对促进其身心健康,提高生活质量、主观幸福感和生存质量具有重要意义,值得进一步推广应用。Objective To investigate the interventional effect of the exercise regimen of TCM on the life quality of the elderly with hypertension. Methods A total of 78 elderly patients with hypertension in some apartment for the elderly were selected and divided randomly into the intervention group （n= 40） and the control group （n=38）. The control group was given the conventional care in the regular follow-up and guidance, while the intervention group was given the interventional care including Tai Chi and Baduanjin on the basis of the evidence- based theory besides the conventional care. The data including the score of SCL-90, blood pressure, BMI and blood glucose before and after intervention in the two groups were recorded and compared to evaluate the effect. Results The dimensions of phobia anxiety and psychoticism in SCL-90 were statistically different after 3 months of intervention （P〈0.05）, and there were significant differences after 6 months of intervention between two groups in the blood pressure, the total score of SCL-90, and the scores of each dimension （P〈0.05）. Conclusion The exercise regimen of TCM based on the internet of things can effectively control the indexes related to the elderly hypertension and improve the adverse symptoms. It plays an important role in improving the physical and mental health of the elderly with hypertension and ameliorating their life quality and subjective well-being, so it is worthy of further popularization and application.

关 键 词：运动养生 老年高血压 生存质量 循证研究 

分 类 号：R248.1[医药卫生—中医临床基础]