摘要
目的:评价家庭医生指导下的运动干预对高血压患者运动自我效能变化的影响。方法:随机抽取4位家庭医生管理的100名高血压患者组成干预组,抽取另外2位家庭医生管理的100高血压患者组成对照组。干预组患者的平均年龄为(69.25±5.99)岁,其中男性35名,女性65名;对照组患者平均年龄为(73.07±47.91)岁,其中男性39名,女性61名。对对照组患者进行传统的社区高血压管理方式;干预组患者接受家庭医生的个体化运动指导。比较两组干预前后血压、运动情况及运动自我效能情况。结果:干预1年后,两组患者的收缩压、舒张压、BMI均未见明显变化(P>0.05);干预组患者有家庭医生指导运动、经常运动、健步走、中等强度运动时间超过150 min、运动前热身的比例显著增加,运动自我效能量强的比例明显高于干预前,差异均有统计学意义(均P<0.05),对照组上述指标的干预前后差异无统计学意义(P>0.05)。结论:家庭医生指导下的运动干预对高血压患者的运动自我管理效能有促进作用,今后社区高血压管理中应充分发挥家庭医生作用,增强患者自我管理效能,控制血压,延缓并发症发生,提高生活质量。
Objective:To evaluate the effect of the exercise intervention under the guidance of the family doctors on the change of exercise self-efficacy in hypertensive patients.Methods:Using random sampling,100 hypertension patients managed by four family doctors were randomly selected to form an intervention group and 100 hypertension patients managed by other two family doctors were selected to form a control group.The average age of the intervention group was(69.25±5.99)years old,including 35 males and 65 females;the average age of the control group was(73.07±47.91)years old,including 39 males and 61 female.The patients in the control groups were given traditional community hypertension management;the patients in the intervention group received the individualized exercise guidance of the family doctors.Blood pressure,exercise and exercise self-efficacy were compared between the two groups before and after intervention.Results:After one year of intervention,there were no significant changes in systolic blood pressure,diastolic blood pressure and BMI between the two groups(P>0.05);the patients in the intervention group had the family doctors to guide exercise,regular exercise,vigorous walking,moderate intensity exercise for more than 150 minutes,the proportion of warm-up before exercise increased significantly,and the proportion of strong exercise self-efficacy was significantly higher than that before intervention(all P<0.05),there was no significant difference in the above indexes in the control group before and after intervention(P>0.05).Conclusion:The exercise intervention under the guidance of the family doctors had the promotion role for the exercise self-management efficiency of hypertension patients.In the future,the family doctors should be brought into full play in the community hypertension management,enhance patients’selfmanagement efficiency,control blood pressure,and delay the occurrence of complications,and improve the quality of life.
作者
黄芸
孙兰
姚婷
严蓓
HUANG Yun;SUN Lan;YAO Ting;YAN Bei(Public Health Center of Xinhong Community Health Service Center of Minhang District,Shanghai 201100,China)
出处
《上海医药》
CAS
2022年第4期44-47,共4页
Shanghai Medical & Pharmaceutical Journal
基金
闵行区卫生和计划生育委员会科研课题(2018MW31)。
关键词
高血压
运动干预
自我管理
自我效能
hypertension
exercise intervention
self-management
self efficacy
