智慧型健康小屋在正常高值血压职业人群血压管理中的应用效果  

Effect of the Smart Health Hut in blood pressure management of a prehypertensive workplace population

作　　者：马俊 向亚利 谷灿[1] Ma Jun;Xiang Yali;Gu Can(Xiangya Nursing School,Central South University,Changsha 410013,China;Health Management Center,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 510009,China)

机构地区：[1]中南大学湘雅护理学院,长沙410013 [2]中山大学附属第五医院健康管理中心,珠海510009

出　　处：《中华健康管理学杂志》2021年第1期49-53,共5页Chinese Journal of Health Management

基　　金：护理学湖南省重点实验室(2017TP1004);湖南省自然科学基金(2018JJ6050)。

摘　　要：目的探讨智慧型健康小屋在正常高值血压职业人群血压管理的干预效果。方法2019年5月7至17日在中南大学湘雅三医院签约的体检单位中随机抽取的一家企业单位内招募到的符合纳排标准的共154例正常高值血压在职人员按照Excel中的Random函数随机分为试验组与对照组,试验组给予基于智慧型健康小屋的精准健康管理方案,对照组给予传统的纸质宣传册的健康管理,干预时间为8周。采用成组t检验比较两组人群的血压、自我管理能力各维度及总分间的差异,采用配对t检验比较干预前后各组血压、自我管理能力各维度及总分间的差异。结果干预前两组各指标差异均无统计学意义,干预8周后,试验组自我管理总分、自我管理行为、自我管理认知及自我管理环境得分均明显高于对照组[(107.75±9.21)比(97.38±6.99),(53.27±5.81)比(48.59±4.93),(33.44±4.27)比(31.63±3.42),(21.04±3.14)比(17.16±2.30)](均P<0.01);试验组人群收缩压、舒张压均较对照组有更明显的下降[(124.01±4.60)比(126.88±3.52),(78.41±5.93)比(80.53±4.89)](均P<0.05)。结论基于智慧型健康小屋的健康管理方式能够显著提高正常高值血压职业人群的自我管理能力,降低该人群的血压。Objective To analyze the effects of the Smart Health Hut in the health management of an workplace population with prehypertension.Methods One-hundred and fifty-four employees with prehypertension recruited from an enterprise were randomly divided into the experimental and control groups in May 2019.The intervention group patients had accurate health management based on the Smart Health Hut for eight weeks,and those in the control group were with a traditional health education brochure.Group t-tests compared blood pressure differences,self-management ability in various dimensions,and the total scores between the two groups.Matched pairs t-tests compared those differences between before and after intervention in the same group.Results There was no statistically significant difference between the two groups before intervention.After the eight-week intervention,the total score,the scores of self-management behavior,cognition,and the environment of the experimental group were significantly higher than in the control group[(107.75±9.21)vs(97.38±6.99),(53.27±5.81)vs(48.59±4.93),(33.44±4.27)vs(31.63±3.42),(21.04±3.14)vs(17.16±2.30)].Systolic blood pressure and diastolic blood pressure in the experimental group were significantly lower than those in the control group[(124.01±4.60)vs(126.88±3.52),(78.41±5.93)vs(80.53±4.89)],and the difference was significant.Conclusion The Smart Health Hut can significantly improve the workplace population′s self-management ability with normal high blood pressure and control their blood pressure.

关 键 词：健康管理 正常高值血压 职业人群 

分 类 号：R132[医药卫生—劳动卫生]