| Objectives: (1) To confirm awareness, attitude and response of hypertension inold people in community. (2) To clarify the effect of exercise on old hypertensives incommunity, and try to provide old hypertensives an effective way to administrate theirhypertension. (3)To probe impact of individual knowledge, awareness and attitude onexercise intervention on hypertensives.Methods: With the method of convenience sampling, 40 old hypertensiveswere chosen in this study. They were divided into two groups conveniently:experimental group and control group. They were asked to do as follows: (1)Questionnaire survey knowledge, awareness and attitude to hypertension werequestioned before and after the exercise, ADL was checked at the same time.(2)Exercise trial hypertensives in experimental group exercised for 12 weeks accordingthe exercise plan made by the researcher. Hypertensives in control group do thingsusually as before, and had no any interventions. Comparison of measured data betweentwo groups will be done 12 weeks later. All the data will be input the computer andanalysized by SPSS for Windows 13.0 software.Results: (1) According to the result of questionnaire survey, there are 70.0percent of the clients is supported by the retirement fee or pensions; 50.0 percent of theclients have more than 10 years history of hypertension; fees for hypertension everyyear vary from 0 to 10000 RMB dispersedly. There are 47.5 percent of thosehypertensions spend 1000-3999 RMB on hypertension each year. (2)About knowledge,awareness and attitude of hypertension questions, there are 25.0 percent of the clientscan understand what hypertension is correctly; 32.5percent of them can even tell whatthe upper and under date mean (SBP and DBP). 22.5 percent of the clients can't tellwhich is SBP, or which is DBP, and there are 45.0 percent of them don't even know thenumbers have their own meanings at all, they know nothing about what is hypertension.97.5 percent of the clients knew their disease form the doctor and get the very basicknowledge of hypertension from the doctor; 47.5 percent of the clients think that onecan control their blood pressure in all ways by themselves, while other 27.5 percent ofthem don't think so, and there are a few of them have no concept of this at all. Theyknew little about that if one can control his hypertension by themselves. 87.5percent of the clients think that control of hypertension with medicine is important or veryimportant; 85.0 percent of them think that lifestyle changing can influent one'shypertension; 45.0 percent of them think that hypertension is unavoidable, and 22.5percent of the clients don't know if hypertension can be avoided. 37.5 percent of theclients think that life habit such as diet habit is the most important factor to controlhypertension. 30.0 percent of them think medicine is the most important to controlhypertension. 17.5 percent of them think it important to alleviate one's stress, whileonly 7.5 percent of them think exercise is most important in hypertension control.According to the result, people with higher education know more knowledge abouttheir own illness. People who are supported with retirement fee or pensions know moreabout hypertension than those supported with children's money and helped by thegovernment. There are no significant differences on knowledge of hypertension ingender, age, nationality, recent treatment and expenditure on hypertension each year.(P＞0.05). (3)According to the T-test analysis of the data before and after inexperimental group, there are significant differences in SBP, DBP, sebum thickness (P＜0.05), which indicates that SBP and DBP decreases while sebum thickness increased after exercise. Ratio of waistline/sternline had no significant differencebefore and after exercise(P＞0.05), which indicates that exercise has not obvious effecton ratio of waistline/sternline. After exercise, in experimental group, SBP decreasedaveragely by 8.60mmHg, DBP decreased by 6.40mmHg. While in control group, SBPincreased averagely by 4.17mmHg and DBP increased averagely by 0.69mmHg aswell. Sebum thickness changes also before and after exercise. In experimental group, itincreased averagely by 0.18cm, while in control group, sebum thickness decreasedaveragely by 0.10cm. (4)From One-Way ANOVA analysis, it was found that nosignificant difference produced on blood pressure changing in gender, age, educationresource of life supporting and year's expenditure on hypertension while significantdifference on blood pressure changing appeared in nationality. Han Chinese got biggerdifference than Korean Chinese in blood pressure decreasing. (5) significant differenceexists in experimental group after exercise on scores of hypertension knowledge,P=0.046＜0.05. while there is no significant difference in control group, P＞0.05.Significant difference exists between experimental group and control group on scoresdifference before and after exercise, P=0.017＜0.05. Conclusion: (1) The blood pressure of old hypertensive is decreasedsignificantly in community after exercise, and SBP decreases more than DBP;(2) Oldhypertensives in community know little about hypertension and have much lessawareness of hypertension. They need more education on related knowledge from thesociety. (3)Exercising promote the knowledge and awareness of hypertension in oldhypertensives in community. |
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