社区干预对高血压患者生活方式和行为习惯的影响

目的:探讨社区干预对高血压患者生活方式和行为习惯的影响。方法:将200例社区高血压患者随机分为试验组和对照组,每组100例。对照组门诊随诊,试验组在此基础上给予社区干预,时间1年。观察比较两组干预前、后生活方式和行为习惯的变化和血压控制效果。结果:两组干预1年后健康促进生活方式量表Ⅱ各维度分和总分均较干预前显著增高(F=695.414,599.960,199.360,566.346,276.237,289.369,415.927,3648.129;P0.001),但试验组增高幅度显著大于对照组(t=11.546,13.316,12.246,13.313,5.523,6.654,10.856,31.795;P0.001);在干预后第3、6、9、12个月末,两组血压均较干预前显著降低(F=828.999,659.796;P0.001),但试验组降压幅度显著大于同期对照组(t=5.771,5.572,4.284,3.672,4.479,4.937,4.172,3.049;P0.01)。结论:社区干预能显著改善高血压患者生活方式和行为方式,有利于血压控制。

Influence of Community Intervention on Lifestyle and Behavior Habits of Patients with Hypertension

Objective :To explore the influence of community intervention on lifestyle and behavior habits of the pa‐tients with hypertension .Methods :All 200 patients with hypertension in community were randomly assigned into the test group and the control group .Each had 100 cases .The patients in the test group received a community interven‐tion for a year while the patients in the control group received an outpatient service follow - up .The change of lifes‐tyle and behavior habits and the control effect of the blood pressure of the patients were observed and compared .Re‐sults :In the 12th end of month after intervention ,all factors and total scores of health - promoting lifestyle profile Ⅱin the both groups were significantly higher than those before intervention (F = 695 .414 ,599 .960 ,199 .360 ,566 .346 , 276 .237 ,289 .369 ,415 .927 ,3648 .129 ;P < 0 .001) .But the increase range of the scores in the test group was signifi‐cantly bigger than those in the control group (t = 11 .546 ,13 .316 ,12 .246 ,13 .313 ,5 .523 ,6 .654 ,10 .856 ,31 .795 ;P <0 .001) .The blood pressure of the patients after intervention was significantly lower than those before in the both groups(F = 828 .999 ,659 .796 ;P < 0 .001) .But the depression range of blood pressure in the test group was signifi‐cantly bigger than those in the control group (t = 5 .771 ,5 .572 ,4 .284 ,3 .672 ,4 .479 ,4 .937 ,4 .172 ,3 .049 ;P < 0 .01) . Conclusion :The community intervention can significantly improve the patients'lifestyle and behavior habits .It is con‐ducive to control of blood pressure of the patients .