行为指导对正常高值血压人群依从性的影响及干预措施

Influence of behavioral guidance on blood pressure and body mass in population with high normal blood pressure

目的:研究行为指导对正常高值血压人群依从性的影响。方法:使用自编的调查问卷对2010年5月至2010年10月入住广州疗养院的军队疗养员中628例正常高值血压者进行相关危险因素的调查研究,并对其进行24周的行为指导和干预,并对干预前、后变化情况做比较分析。结果:与干预前比较,干预后正常高值血压人群不良行为[高钠饮食(61.62%比39.49%)、高糖高脂饮食(53.34%比33.12%)、饮酒(49.36%比28.98%)、缺乏运动(67.83%比37.58%)]显著减少(P<0.01),血压[收缩压:(135.46±6.11)mmHg比(127.38±7.23)mmHg,舒张压:(86.52±3.41)mmHg比(81.86±5.20)mmHg]、人体质量指数[(24.04±4.13)kg/m2比(22.56±3.15)kg/m2]和腰身指数[(0.5±0.52)比(0.46±0.53)]明显下降(P<0.05)。结论:行为指导能减少正常高值血压人群不良行为,有效降低其血压和人体质量。

Objective： To study influence of behavioral guidance on blood pressure and body mass in population with high normal blood pressure. Methods： A total of 628 army convalescents with high normal blood pressure admitted in Guangzhou sanatorium from May 2010 to Oct 2010 received survey for relative risk factors using self - design questionnaire. Their behaviors were guided and intervened for 24 weeks, and changes before and after intervention were compared and analyzed. Results： Compared with before intervention, there were significant decrease in unhealthy behaviors [high sodium diet （61.62% vs. 39.49%）, high- sugar and high- fat diet （53.34% vs. 33.12%）, drinking （49.36% vs. 28.98%） and lack of exercise （67.83% vs. 37.58%）, P〈0.01 all], blood pressure [systolic blood pressure： （135.46 ± 6.11） mmHg vs. （127. 38 ± 7.23） mmHg, diastolic blood pressure： （86.52 ± 3.41） mmHg vs. （81.86 ± 5. 20） mmHg], body mass index [ （24. 04 ± 4.13） kg/m2 vs. （22.56 ± 3.15） kg/m2 ] and waist - height ratio [ （0.5 ± 0.52） vs. （0.46 ± 0.53）] in population with high normal blood pressure after intervention, P〈 0.05 all. Conclusion： Behavioral guidance may decrease blood pressure and body mass in population with high normal blood pressure