社区高血压前期生活方式群组干预研究

李洋; 胡洁; 郭海健; 曲晨; 张徐军; 李小宁

doi:10.16462/j.cnki.zhjbkz.2016.10.001

社区高血压前期生活方式群组干预研究

doi: 10.16462/j.cnki.zhjbkz.2016.10.001

李洋¹,
胡洁¹,
郭海健²,
曲晨²,
张徐军^1, ,,
李小宁^2, ,

1. 东南大学公共卫生学院流行病与卫生统计学系, 江苏南京 210009;
2. 江苏省疾病预防控制中心健康教育所, 江苏南京 210009

基金项目:

江苏省疾病预防控制中心科教兴业工程项目（JKRC2011019）

详细信息

作者简介:
李洋(1991-),男,江苏南京人,在读硕士研究生。主要研究方向:慢性病流行病学。

中图分类号: R544.1;R181
计量
- 文章访问数: 341
- HTML全文浏览量: 95
- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2016-07-01
- 修回日期: 2016-08-27

Study on lifestyle group intervention among people with prehypertension in communities

LI Yang¹,
HU Jie¹,
GUO Hai-jian²,
QU Chen²,
ZHANG Xu-jun^{1
, ,},
LI Xiao-ning^{2
, ,}

1. Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing 210009, China;
2. Institute for Health Education, Jiangsu Province Center for Disease Control and Prevention, Nanjing 210009, China

摘要

摘要: 目的研究通过社区群组干预改善生活方式对高血压前期人群血压的影响。方法采用社区随机对照试验设计。干预组188人参与群组干预，对照组234人进行常规指导，用重复测量方差分析比较干预开展前、开展后6、12、18个月各指标变化情况。结果单因素重复测量方差分析结果显示，干预组中所有指标随时间变化均有统计学意义（均有P<0.05），其中饮酒量、吸烟量、油摄入量、盐摄入量、千步当量数、收缩压（systolic blood pressure，SBP）、舒张压（diastolic blood pressure，DBP）7个方面呈线性趋势；其中饮酒量通过干预减少了5.94 g/d，油、盐摄入量分别减少了4.47 g/d和0.56 g/d，千步当量数增加了10.10/d，SBP从（124.54±5.87）mmHg降低到（122.40±8.32）mmHg，DBP从（79.47±4.86）mmHg降低到（77.14±6.05）mmHg；而对照组中只有吸烟量、体质指数（body mass index，BMI）和DBP随时间变化有统计学意义且呈线性趋势（均有P<0.05）。多因素重复测量方差分析结果显示，吸烟量、盐摄入量、千步当量数、BMI和DBP的组间差异均有统计学意义（均有P<0.05），且后4个方面存在分组与时间的交互作用。结论社区群组干预对高血压前期人群的生活方式有改善作用，同时也有控制血压的效果。
- 高血压 /
- 生活方式 /
- 干预性研究 /
- 流行病学研究
Abstract: Objective To investigate the effect of improving lifestyle on people with prehypertension by group intervention. Methods A community-based randomized controlled trial was conducted among 4 streets. 188 objects in intervention group took part in the intervention activities and 234 objects in control group were not given the regular guidance. Data collected through questionnaire at baseline, 6 months, 12 months and 18 months after intervention were compared through repeated ANOVA measurement. Results All the subjects in the intervention group showed statistical significance (all P<0.05) and alcohol consumption, smoking, oil intake, salt intake, number of thousand step equivalent, systolic blood pressure (SBP), diastolic blood pressure (DBP) showed linear trends over time by univariate test of repeated measurement ANOVA. The alcohol consumption decreased 5.94 grams per day after intervention. The oil intake decreased 4.47 grams per day while salt intake decreased 0.56 grams per day. The number of thousand step equivalent increased 10.10 per day, and SBP decreased from (124.54±5.87) mmHg to (122.40±8.32) mmHg. DBP decreased from (79.47±4.86) mmHg to (77.14±6.05) mmHg. Only smoking, body mass index (BMI) and DBP had significant change over time in the control group. Smoking, salt intake, number of thousand step equivalent, BMI and DBP were significantly different (all P<0.05) between control and intervention groups, and the effect of interaction between groups and time span were statistically significant (all P<0.05) on indicators as salt intake, number of thousand step equivalent, BMI and DBP, by multivariate test of repeated measurement ANOVA. Conclusions Group intervention can be used to improve lifestyle of prehypertension people in community and control their blood pressure.
- Hypertention /
- Life style /
- Intervention studies /
- Epidemiologic studies

HTML全文

参考文献(16)

Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure:The JNC 7 Report[J]. JAMA, 2003,289(19):2560-2572.

中国高血压防治指南修订委员会. 《中国高血压防治指南》2005修订版[M]. 北京:人民卫生出版社, 2006.

杨雪帆,华俊杰,冯斐,等. 成都市武侯区18岁及以上居民高血压前期影响因素研究[J]. 中华疾病控制杂志, 2013,17(9):747-751.

凌梨梨,赵景波,许加亮,等. 高血压前期的流行病学研究进展[J]. 中华疾病控制杂志, 2010,14(1):63-67.

赵南,赵景波,赵玉娟,等. 哈尔滨市社区居民高血压前期患病率及其危险因素研究[J]. 中华疾病控制杂志, 2012,16(4):280-284.

楚洁,王临虹,徐爱强,等. 山东省成年人高血压与高血压前期流行情况及影响因素分析[J]. 中华预防医学杂志, 2014,48(1):12-17.

费方荣,叶真,丛黎明,等. 浙江省成年居民高血压前期患病率及其危险因素的研究[J]. 中华流行病学杂志, 2013,34(4):311-315.

金楠,李革,李会,等. 中国大陆地区成年人高血压前期发生率及危险因素的meta分析[J]. 南方医科大学学报, 2013,33(12):1738-1743.

俞蔚,杨丽,章一丰,等. 社区高血压前期和高血压患者生活方式干预研究[J]. 中国医学前沿杂志(电子版), 2015,7(7):4-8.

李和伟,杨洁,袁纲,等. 我国社区卫生服务现状与对策研究[J]. 中国公共卫生管理, 2015,31(2):137-139.

孙勇,李言,蒋海燕,等. 群组看病模式在社区高血压管理中的效果评价[J]. 中国初级卫生保健, 2011,25(10):39-41.

Jaber R, Braksmajer A, Trilling J. Group visits for chronic illness care: models, benefits and challenges[J]. Fam Pract Manag, 2006,13(1):37-40.

孙振球,徐勇勇. 医学统计学(第3版)[M]. 北京: 人民卫生出版社, 2013.

赵文华,翟屹,胡建平,等. 中国超重和肥胖造成相关慢性疾病的经济负担研究[J]. 中华流行病学杂志, 2006,27(7):555-559.

Kshirsagar AV, Carpenter M, Bang H, et al. Blood pressure usually considered normal is associated with an elevated risk of cardiovascular disease[J]. Am J Med, 2006,119(2):133-141.

陈伟伟,高润霖,刘力生,等. 《中国心血管病报告2014》概要[J]. 中国循环杂志, 2015,30(7):617-622.

施引文献

资源附件(0)

访问统计