摘要
目的探讨高血压运动干预中长期效果的可能影响因素。方法根据目前血压控制在基线血压水平以下与否,将近5年来完成1年运动干预的社区高血压患者分成干预有效和干预失败两组,募集各10人作为访谈对象。由经过统一培训的访谈员对其进行个体深度访谈,采用内容分析法进行分析。结果运动干预有效的被访谈对象长期依从性更好,而运动干预失败的被访谈对象存在一定的随意性;在对运动干预的态度上,运动干预有效的被访谈对象似乎更相信干预措施的效果。同时,无论该运动干预目前是否有效,被访谈对象在自我锻炼中都存在以下4方面问题(1)运动频度和持续时间不足;(2)没有掌握科学的运动强度控制方法;(3)运动动作不规范;(4)缺乏运动疗法相关知识,主要表现为访谈对象对高血压运动疗法效应持续时间和可逆性都一无所知。结论在开展社区高血压运动干预时,必须采取“建立专业指导队伍”、“完善运动处方”、“加强健康教育”等措施,提高运动疗法的实际效果。
Objective To explore the reality of the rehabilitative effect of physical exercise on hypertensive in community for longer period with the qualitative method. Methods In 2005, 20 hypertensive with exercise training during 2000 to 2001 were followed and grouped into two groups equally with the blood pressure lower than that in baseline study or not. All were interviewed by the method of Individual - depth Interview. The qualitative data were analyzed by the content analysis. Results Those patients with the blood pressure lower than that in baseline study had the better compliance on the exercise intervention and stronger trust on the rehabilitative effect of physical exercise. But all interviewees had something wrong about the exercise and hypertension. Conclusion The compliance and trust on the physical exercise could influenced the control of blood pressure level in patients with established hypertension for longer period. Take some measure to increase the effect of physical exercise.
出处
《中国全科医学》
CAS
CSCD
2006年第15期1270-1272,共3页
Chinese General Practice
关键词
高血压
运动疗法
社区
定性研究
Hypertension
Exercise therapy
Community
Qualitative research
