社区高血压患者生活方式干预的可行性模式探讨

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1、授予单位代码10089学号或申请号13625HebeiMedicalUniversity硕士学位论文科学学位社区高血压患者生活方式干预的可行性模式探讨作者姓名：梁晓莉导师：祖秀光主任医师专业：内科学（心血管病）二级学院：河北医科大学第二附属医院2015年03月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下,由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数

2、据、申报的专利等知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签名:导师签章二级学院领导盖章：讀年均片日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果,除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写,文责自负。目录中文摘要·············································································1英文摘要···················

3、··························································3英文缩写·············································································6研究论文社区高血压患者生活方式干预的可行性模式探讨前言·············································································7材料与方法··························

4、··········································8结果·············································································12附表·············································································15讨论······································································

5、·······20结论·············································································22参考文献·······································································23综述我国高血压流行状况及社区防治进展································26致谢························································

6、···························35个人简历·············································································36中文摘要社区高血压患者生活方式干预的可行性模式探讨摘要目的：研究高血压患者生活方式干预前后血压变化情况，进行血压防控效果分析，为探讨原发性高血压患者生活方式干预模式提供依据。方法：1研究对象抽取石家庄市鹿泉辖区内35-70岁之间（包括35岁及70岁）原发性高血压患者600例。随机分为强化干预（A）组200例，宣教干预（B）组20

7、0例，不干预（C）组200例。2干预内容B组在入组前进行一次宣教管理教育，之后血压未控制时每两周进行一次随访，血压控制稳定后每季度进行一次随访。C组仅采集患者信息，不进行干预。A组在B组干预的基础上进一步强化生活方式干预、分层随访管理干预措施。强化干预措施包括：①低盐饮食管理：采取控盐勺和服用低钠盐相结合模式，每日限制摄入食盐量＜5g。②低脂饮食管理：采用控油壶管理模式，限制每日进食油量＜25g。③运动管理：个体化运动方案管理模式：采取与患者商量运动方案方式，采用坚持经常性的有氧运动，如散步、慢跑、做操、跳舞等，每次活动30分，每周5天以上。④减重

8、管理：对于超重、肥胖患者，通过控制能量摄入和增加体力活动减轻患者体重，以每周减重0.5～1.0kg为宜。⑤戒烟管理：短信提