跨理论模型建构的健康教育促进高血压患者规律运动的效果分析

Trans-theoretical model based intervention affecting on physical activity promotion for patients with ;hypertension

目的：探讨跨理论模型建构的健康教育对促进高血压患者规律运动的效果。方法在苏州某医院通过方便取样收集118例高血压患者为研究对象,根据随机数字表随机分为干预组（ n=56）和对照组（n=62）,干预组接受跨理论模型建构的运动干预措施,对照组接受常规运动教育,比较两组干预效果。结果两组患者不同随访时间的行为改变阶段和运动行为评分比较差异有统计学意义（F =46.37,50.44；P〈0.01）。干预组收缩压（124.93±10.29）mmHg、舒张压（78.32±8.42）mmHg,分别低于对照组的（133.24±11.87）、（83.02±7.97）mmHg,差异有统计学意义（t值分别为-4.05,-3.11；P〈0.01）。结论跨理论模型建构的健康教育可有效促进高血压患者规律运动。

Objective To evaluate the effectiveness of trans-theoretical model （ TTM ） based intervention for patients with hypertension to promote physical activity. Methods A total of 118 patients were selected and randomly divided into experimental group （n=56） and control group （n=62） by random number table. The patients of the experimental group received the TTM-based intervention while the patients of the control group received the conventional intervention. The results of two groups were compared. Results The score of behavior changing stage and motor behavior of different follow-up time in two groups had significant differences （F=46. 37,50. 44;P 〈0. 01）. The systolic pressure was （124. 93 ± 10. 29） mmHg, diastolic pressure （78.32 ±8.42） mmHg in the experimental group that were lower than （133. 24 ± 11. 87）, （83. 02 ± 7.97）mmHginthecontrolgroup（t= -4.05, -3.11; P〈0.01）.Conclusions TTMbasedinterventionis effective for patients with hypertension to promote physical activity.