饮食及运动量化行为干预在社区高血压患者健康管理中的应用及效果评价

Application and effect evaluation of diet and exercise quantitative behavior intervention in health management of patients with hypertension in the community

目的了解实施饮食及运动量化行为干预对社区高血压患者的整体效果。方法以天津市某社区2017年7月以前确诊的高血压患者为调查对象,采用抛硬币的方式平均分为常规组(常规健康管理干预)和干预组(饮食及运动量化行为干预),两组各为50例,观察期限2年,对比分析饮食及运动量化行为干预在社区高血压患者健康管理过程中的应用及效果。结果干预组满意人数为48人,满意度为96.00%,常规组满意人数为42人,满意度为84.00%,两组满意度比较,差异有统计学意义(P<0.05)。干预后干预组患者收缩压为(123.72±11.72)mm Hg,舒张压为(78.51±5.24)mm Hg,常规组患者收缩压为(130.26±7.94)mm Hg,舒张压为(85.68±3.47)mm Hg,改善效果较好。两组患者收缩压、舒张压比较,差异均有统计学意义(均P<0.05)。干预后干预组患者饮食及运动指标相比常规组患者较为改善,且相关血清学指标均优于常规组患者,差异均有统计学意义(均P<0.05)。结论饮食及运动量化行为干预效果显著,不仅可以有效改善社区高血压患者的血压指标、饮食及运动指标、血清学指标,同时可提高患者对社区医护人员的满意度。

Objective To understand the overall effect of implementing quantitative behavioral interventions in diet and exercise on patients with hypertension in the community.Methods The hypertensive patients diagnosed before July 2017 in a community in Tianjin were as the survey object,and divided into the routine group(routine health management intervention)and the intervention group(quantitative behavioral intervention of diet and exercise)by flipping a coin,50 cases in each group.The observation period was2 years.The application and effect of quantitative behavior intervention of diet and exercise in the health management of hypertensive patients in the community were compared and analyzed.Results The number of satisfied people in the intervention group was 48,with a satisfaction rate of 96.00%,and the number of satisfied people in the routine group was 42,with a satisfaction rate of 84.00%.There was a statistically significant difference in satisfaction rate between the two groups(P<0.05).After the intervention,the systolic blood pressure of the intervention group was(123.72±11.72)mm Hg,and the diastolic blood pressure was(78.51±5.24)mm Hg,the systolic blood pressure of the routine group was(130.26±7.94)mm Hg,and the diastolic blood pressure was(85.68±3.47)mm Hg,the improvement effect was better.The differences in systolic and diastolic blood pressure between the two groups were statistically significant(all P<0.05).After the intervention,the diet and exercise indexes of patients in the intervention group were better than those in the routine group,and the related serological indexes were better than those in the routine group,and the differences were statistically significant(all P<0.05).Conclusion The quantitative behavioral intervention of diet and exercise is effective.It can not only effectively improve the blood pressure index,diet and exercise index,and serological index of hypertensive patients in the community,but also improve the satisfaction of patients with community medical staff.