摘要
目的探讨健康管理对非住院高血压患者的治疗效果。方法2010年1月至2011年1月在我中心就诊的非住院高血压患者319例，按就诊顺序分为对照组（n=160）和健康管理组（n=159），于入组当时和研究结束后分别测量血压、身高、体重、血脂、空腹血糖、体质指数（BMI）等指标，并进行健康问卷调查。对照组由专人监督用药，并定期随诊调整药物治疗方案；健康管理组除执行对照组药物干预方案外，制定全面的健康管理计划，进行生活方式干预。随访12个月，比较两组血压、BMI、血脂、空腹血糖、生活方式等指标，分析健康管理措施的效果。结果两组基线数据差异无统计学差异，具有可比性。干预后健康管理组收缩压、舒张压下降均比对照组更为明显，差异有统计学意义（t=2．701、2．306，P〈0．05）；健康管理组BMI及总胆固醇水平与对照组比较均有改善，差异有统计学意义（t=2．111、2．227，P〈0．05）；但干预后三酰甘油、空腹血糖、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇水平健康管理组与对照组相比，差异无统计学意义（t=1．460、0．374、1．586、0．226，P〉0．05）。干预后两组患者在吸烟比例方面差异无统计学意义（X2=2．787，P〉0．05），健康管理组患者能够较多的坚持运动、改善饮食结构，对治疗的依从性较高，观察结束时健康管理组的健康满意度也较高，差异均有统计学意义（X2=59．459、52．018、6．321、5．392，P〈0．05）。结论健康管理可以改善非住院高血压患者的临床指标及生活方式，效果优于单纯药物治疗。
Objective To study the effects of health management on blood pressure and lifestyle of hypertensive outpatients. Methods A total of 319 hypertensive outpatients were randomly assigned to the control group （n = 160 ） or the health management group （n = 159 ）. Pharmacologic therapy was given to the control group, while in the health management group, intensive health management combined with pharmacologic therapy was conducted. Blood pressure, height, body weight （ BW）, total cholesterol （ TC ）, and fasting blood glucose （FBG） of the participants were measured and compared at baseline and 12 months. Results There were no significant differences of clinical characteristics between two groups at baseline. After 12 months＇ intervention, more significant decrease of systolic blood pressure and diastolic blood pressure was found in the health management group （t values were 2. 701 and 2. 306, respectively; both P 〈 0. 05 ）. There were statistically significant differences of body mass index （BMI） and serum TC levels between the control and the health management group （ t values were 2. 111 and 2. 227, respectively ; P 〈 0.05）. After the intervention, two groups showed no significant difference in current cigarette smoking （X2= 2. 787, P 〉 0. 05 ）. The participants in the health management group showed improved physical exercises,diet,and adherence to treatment at the end of the observation （X2 values were 59. 459,52. 018, 6. 321 and 5. 392, respectively ; all P 〈 0. 05 ）. Conclusion Compared with pharmacologic therapy, health management combined with pharmacologic therapy could significantly improve clinical parameters and life style of hypertensive patients.
出处
《中华健康管理学杂志》
CAS
2013年第2期82-85,共4页
Chinese Journal of Health Management
基金
中央保健专项资金科研课题（B2009A055）
关键词
高血压
生活方式
健康管理
Hypertension
Life style
Health management
