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健步走与健康教育相结合对同煤职工高血压患者血压的影响

王聪,  黄建军,  任志英,  孙晨明,  王彤

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文章导航 > 中华疾病控制杂志  > 2016 >  20(2): 134-137,145
王聪, 黄建军, 任志英, 孙晨明, 王彤. 健步走与健康教育相结合对同煤职工高血压患者血压的影响[J]. 中华疾病控制杂志, 2016, 20(2): 134-137,145. doi: 10.16462/j.cnki.zhjbkz.2016.02.007
引用本文: 王聪, 黄建军, 任志英, 孙晨明, 王彤. 健步走与健康教育相结合对同煤职工高血压患者血压的影响[J]. 中华疾病控制杂志, 2016, 20(2): 134-137,145. doi: 10.16462/j.cnki.zhjbkz.2016.02.007
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WANG Cong, HUANG Jian-jun, REN Zhi-ying, SUN Chen-ming, WANG Tong. The effect of walking and health education on blood pressure in hypertensive patients of Datong Coal Mine Group[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(2): 134-137,145. doi: 10.16462/j.cnki.zhjbkz.2016.02.007
Citation: WANG Cong, HUANG Jian-jun, REN Zhi-ying, SUN Chen-ming, WANG Tong. The effect of walking and health education on blood pressure in hypertensive patients of Datong Coal Mine Group[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(2): 134-137,145. doi: 10.16462/j.cnki.zhjbkz.2016.02.007
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健步走与健康教育相结合对同煤职工高血压患者血压的影响

doi: 10.16462/j.cnki.zhjbkz.2016.02.007

  • 1. 山西医科大学公共卫生学院统计教研室, 山西 太原 030001;

  • 2. 大同煤矿集团有限公司总医院, 山西 大同 037003;

  • 3. 山西省心血管病医院门诊部, 山西 太原 030024

基金项目: 

全国统计科学研究计划项目（2013LY009）

详细信息
    作者简介:

    王聪(1988-),男,山西高平人,在读硕士研究生。主要研究方向:煤矿工人健康状况调查与分析;黄建军(1958-),男,山西大同人,主任医师,学士。主要研究方向:神经外科。

  • 中图分类号: R544.1;R181

The effect of walking and health education on blood pressure in hypertensive patients of Datong Coal Mine Group

  • 1. Department of Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan 030001, China;

  • 2. The General Hospital of Datong Coal Mine Group, Datong 037003, China;

  • 3. Patient Department, The Cardiovascular Disease Hospital of Shanxi Province, Taiyuan 030024, China

    摘要
  • 摘要: 目的 探讨8周健步走与健康教育对高血压患者血压的影响。方法 选取同煤集团中央机厂高血压患者124人，随机分为4组，即健步走组、健康教育组、健步走+教育组、对照组。干预前后分别对血压进行测量，观察其干预效果。结果 健步走组与健步走+教育组的退出率相比，其差异有统计学意义（χ2=5.34，P=0.021），健步走+教育组的平均步走次数多于健步走组（t=2.19，P=0.034）。对干预前后血压差值进行析因设计的协方差分析显示，健步走和健康教育对降低血压不存在交互效应（收缩压F=0.18，P=0.675；舒张压F=0.76，P=0.386）。健步走对血压的干预效应差异有统计学意义（收缩压F=9.85，P=0.002；舒张压F=14.17，P<0.001）；而健康教育干预对血压的效应均无统计学意义（收缩压F=0.61，P=0.436；舒张压F=0.81，P=0.371）。结论 本次健步走能够降低血压,而健康教育未能降低血压，但是提高了高血压患者的运动依从性。并且健步走和健康教育对血压的干预效果不存在交互作用。
    Abstract: Objective The aim of this study was to discuss the influences of 8 weeks of walking and health education on blood pressure. Methods 124 patients with hypertension were selected from Datong Coal Mine Group central factory, and then they were randomly divided into four groups, included walking group, health education group, walking plus health education group and control group. Blood pressure was measured and then the intervention effect was observed before and after the intervention. Results There were significant difference between the drop-out rate of walking and walking plus health education group (χ2=5.34,P=0.021),the step frequency of walking plus health education group was more than the walking groups (t=2.19,P=0.034). The factorial design of covariance analysis showed that walking and health education had no interaction effect on lower blood pressure (systolic blood pressure F=0.18,P=0.675; diastolic blood pressure F=0.76,P=0.386).Walking intervention effect on blood pressure was statistically significant(systolic blood pressure F=9.85,P=0.002; diastolic blood pressure F=14.17,P<0.001); And the effect of health education intervention on blood pressure had no statistical significance (systolic blood pressure F=0.61, P=0.436; diastolic blood pressure F=0.81,P=0.371). Conclusions The walking could reduce blood pressure, the health education was unable, but it could improve exercise adherence in hypertensive patients. There was no interaction effect between walking and health education on blood pressure.
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出版历程
  • 收稿日期:  2015-10-16
  • 修回日期:  2015-12-17

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