首页|强化定量运动管理技术在社区高血压患者管理中的应用效果分析

强化定量运动管理技术在社区高血压患者管理中的应用效果分析

扫码查看
目的 建立高血压强化定量运动管理技术,探讨强化定量运动与高血压的关系,为制定高血压的干预措施提供技术支持.方法 采用实验流行病学研究方法,于2021年6月,采取整群随机抽样方式抽取苏州工业园区4个社区,并将其以简单随机抽样的方式分为实验组、对照组社区各2个.采用系统抽样方法从实验组社区和对照组社区各抽取181名高血压患者,分别进行一年的强化定量运动干预及传统社区高血压管理,分析两组的血压、血脂及心率等指标,比较两组的干预效果.结果 干预后,干预组、对照组血压控制优良率分别为61.33%(111/181)、46.41%(84/181),干预组人群血压控制优良率高于对照组(x2=8.104,P=0.004),且收缩压、舒张压下降水平高于对照组(t值分别为3.654、3.516,P<0.001).干预后,干预组低密度脂蛋白胆固醇降低0.18 mmol/L,对照组高密度脂蛋白胆固醇水平下降0.07 mmol/L(t值分别为3.561、5.979,P<0.001),但干预组、对照组心率均较干预前下降(t值分别为5.405、2.485,P<0.001).调整混杂因素后,运动干预、心率均与高血压存在关联,RR分别0.498(95%CI:0.318~0.782)、1.036(95%CI:1.010~1.061),P<0.05.结论 强化定量运动能够改善高血压人群的血压、血脂等指标,提高高血压控制率.
Analysis on application effect of management technology of enhanced quantitative exercise in the management of hypertensive patients in community
Objective To establish the management technology of enhanced quantitative exercise for hypertension to ex-plore the relationship between enhanced quantitative exercise and hypertension,so as to provide technical support of the intervention measures for hypertension.Methods Experimental epidemiological research methods were used in this study.In June,2021,4 communities in Suzhou Industrial Park were selected by cluster random sampling,and they were randomly divided into experimental group and control group with 2 communities each by simple random sampling.A sys-tematic sampling method was used to select 181 hypertensive patients from each of the experimental and control communi-ties for 1 year of intensive quantitative exercise intervention and traditional community-based hypertension management,respectively,to analyze the indicators of blood pressure,blood lipids,and heart rate of the 2 groups,and to compare the effects of the interventions in the 2 groups.Results After intervention,hypertension under control in the intervention group and the control group were 61.33%(111/181)and 46.41%(84/181)respectively,and hypertension under control in the intervention group was higher than that in the control group(x2=8.104,P=0.004).Compared with the control group,the systolic and diastolic blood pressure in the interven-tion group decreased more obviously(t=3.654,3.516,P<0.001).After intervention,the low density lipoprotein choles-terol in the intervention group decreased by 0.18 mmol/L,and the high density lipoprotein cholesterol in the control group de-creased by 0.07mmol/L(t=3.561,5.979,P<0.001),but the heart rate of the intervention group and the control group decreased compared with that before intervention(t=5.405,2.485,P<0.001).After adjusting for confounding factors,exercise intervention and heart rate were obviously re-lated to hypertension,RR were 0.498(95%CI:0.318-0.782)and 1.036(95%CI:1.010-1.061)respectively,P<0.05.Conclusion Enhanced quantitative exercise can improve the blood pressure,blood lipid and other important inde-xes of hypertensive people,thus improving the control rate of hypertension.

HypertensionEnhanced quantitative exerciseCommunity interventionChronic disease

朱璇、周慧、黄彦珲、刘佳、周靓玥、陈小芳

展开 >

苏州工业园区疾病防治中心综合业务科,江苏 215021

苏州工业园区疾病防治中心主任室

苏州工业园区疾病防治中心慢性病防治科

高血压 强化定量运动 社区干预 慢性病

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(10)