The Feasibility Intervention Model Was Discussed In Community Lifestyle Of Hypertension Patients

Objective:Study the changes of blood pressure before and after lifestyle intervention in patients with high blood pressure, and blood pressure control effect analysis. To provides basis for lifestyle intervention model in patients with hypertension. Methods: 1 The object of study 600 cases of patients with essential hypertension(eh) were extracted in shijiazhuang luquan jurisdiction,which ages were 35-70(including 35 years of age and the age of 70). 200 cases were randomly divided into(A) strengthen intervention group, education intervention(B) group and contral(C) group. 2 The content of the intervention Group B were educated before entering the group on a mission and management. Then the patient has a follow-up every two weeks until the blood pressure is controled,and every quarter for a follow-up after blood pressure was controlled stability.Group C were collected patient information only and not intervened. Group A on the basis the intervention group B were strengthened the management of lifestyle intervention and stratified follow-up interventions.Strengthen intervention measures including:(1)Management of low salt diet: The daily limit salt intake < 5 g combining management of control salt spoon and low sodium salt model;(2) Management of low fat diet: limit daily into edible oil < 25 g by the management pattern of oilcan control.(3)Management of sport: the management mode of individual movement project: consult with the patient movement scheme, using stick to regular aerobic exercise, such as walking, jogging, exercises, dancing, etc., each event 30 points, more than 5 days in a week.(4)Management of weight loss: in overweight and obese patients, by controlling the energy intake and increasing physical activity in patients with weight, it is advisable to 0.5 ~ 1.0 kg per week weight loss.(5) Management of quit smoking: SMS alerts management mode, via text message reminders to the dangers of tobacco smokers knowledge propaganda every week.(6)Management of control consumptive alcohol : daily alcohol intake men no more than 25 g, women no more than 15 g.(7) Management of healthy education: inform group patients health education lecture once a month.(8)Management of layering follow-up: high-risk patients: blood pressure were monitored once a week until it was controlled, and once a month after it was controled stability. Patients with moderate: blood pressure were monitored once two week until it was controlled, and once two month after it was controled stability.Low-risk patients: blood pressure were monitored once two week until it was controlled, and once two month after it was controled stability. Results: After the intervention management and treatment in patients with A, B group,the treatment effect was obviously higher than that of group C(P < 0.05). Group A and B there was no statistically significant difference of treatment effect(P > 0. 05). Control effect of patients blood pressure in group A, B is better than that of group C(P < 0.05). blood pressure control in patients of group A is better than that of group B(P < 0.05). Tobacco control group A is better than group B and C(P < 0.05). There was no significant difference effect between the tobacco control group B and C(P > 0. 05). There was no significant difference in three groups accused of alcohol(P > 0.05). Group A, B of exercise intervention effect is obviously better than that of group C(P < 0.001), Group A and B there was no statistically significant difference effect of exercise intervention(P > 0. 05). Three groups of different weight intervention effects no statistical significance(P > 0.05). There were no significant difference descend of TC, LDL- C levels and asending of HDL-C levels of patients and in all three group after intervention(P < 0.05). Intervention effect of TC, LDL – C in group A is better than that in group B and C(P < 0.05). There were no TC, LDL- C intervention effect significance differences between group B and C(P > 0.05).HDL- C intervention effect in group A, B is obviously better than that of group C(P < 0.05). There were no HDL- C intervention effect significance differences between group A and B(P > 0.05). There are significant differences in the outpatient expenses monthly between the group A, B and group C(P < 0.05). There are significant differences desending of the outpatient service monthly between group A and B(P < 0.05). Three groups of hospitalization rates has no statistical significance difference(P > 0.05). Conclusion: In patients with essential hypertension after lifestyle intervention management, average blood pressure level significant decline in hypertension patients. Control rates increased significantly, The treatment of hypertension patients after intervention management present dropped significantly. This research USES the life style in hypertensive patients is effective and feasible management mode,especially in the strengthening intervention effect is more apparent. Therefore, according to all community health resource situation, choose strengthening interventions or hypertension education intervention as chronic hypertension patients in community management mode. The rate of treatment and control of high blood pressure asend and benefit the patients with high blood pressure.