不同膳食模式在社区老年高血压患者家庭管理中的应用
摘要
目的探讨不同膳食模式在社区老年高血压患者家庭管理中的应用方法与效果。方法选择社区老年高血压患者130例作为研究对象,根据膳食应用的不同分为观察组80例与对照组50例,对照组在家庭管理中给予常规膳食模式干预。观察组在家庭管理中给予饮食疗法控制高血压膳食模式,两组护理观察时间为3个月。结果护理期间观察组的人际支持、运动锻炼、营养、健康责任、自我实现的生活方式依从性评分都显著高于对照组(P<0.05)。两组患者护理期间均未发生不良反应,护理后两组的舒张压(DBP)与收缩压(SBP)都显著低于护理前(P<0.05),护理后观察组的DBP与SBP也显著低于对照组(P<0.05)。护理后观察组的三酰甘油(TG)与总胆固醇(TC)都显著低于护理前(P<0.05),且都低于对照组(P<0.05),对照组护理前后TG与TC对比无显著差异(P>0.05)。护理后观察组的躯体化、心理、生理、社交评分都显著低于对照组(P<0.05)。结论饮食疗法控制高血压膳食模式在社区老年高血压患者家庭管理中的应用能提高良好生活方式的依从性,促进降低血压,也能降低血脂水平,从而改善患者的预后生活质量。
引文
1 程道梅.H型高血压及其膳食营养干预的研究进展[J].广西医学,2017;39(4):519-22.
2 徐幽琼,张晓阳,刘小华,等.福州市城乡居民高血压患病率及相关因素研究[J].现代预防医学,2017;44(21):3918-23.
3 Sung KC,Ryu S,Cheong ES,et al.All-cause and cardiovascular mortality among Koreans:effects of obesity and metabolic health[J].Am J Prev Med,2015;49(1):62-71.
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7 Hussain SM,Daly RM,Wang Y,et al.Association between serum concentration of 25-hydroxyvitamin D and the risk of hip arthroplasty for osteoarthritis:result from a prospective cohort study[J].Osteoarthritis Cartilage,2015;23(12):2134-40.
8 Yu Y,Lv Y,Yao B,et al.A novel prescription pedometer-assisted walking intervention and weight management for Chinese occupational population[J].PLoS One,2018;13(1):e0190848.
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11 Sanches Machado d′Almeida K,Ronchi Spillere S,Zuchinali P,et al.Mediterranean diet and other dietary patterns in primary prevention of heart failure and changes in cardiac function markers:a systematic review[J].Nutrients,2018;10(1):E58.
12 程丽.终止高血压膳食疗法在高血压中的临床护理效果研究[J].内蒙古中医药,2017;36(11):175-6.
13 Zhang H,Fan Q,Xie H,et al.Elevated serum cyclophilin B levels are associated with the prevalence and severity of metabolic syndrome[J].Front Endocrinol(Lausanne),2017;8:360.
14 Vicinanza R,Troisi G,Cangemi R,et al.Aging and adherence to the Mediterranean diet:relationship with cardiometabolic disorders and polypharmacy[J].J Nutr Health Aging,2018;22(1):73-81.
15 解晔,李秋梅,杨文彬.扬州市城乡居民食盐摄入量与血压水平的影响调查[J].江苏预防医学,2017;28(5):555-6.
16 Dos Santos EM,Brito DJA,Calado IL,et al.Sodium excretion and associated factors in urine samples of African descendants in Alcantara,Brazil:a population based study[J].Ren Fail,2018;40(1):22-9.
17 张翼,袁佳.乐山市市中区成年常住居民营养及健康状况调查[J].现代医药卫生,2017;33(20):3100-3.
18 Zenner ZP,Gordish KL,Beierwaltes WH.Free radical scavenging reverses fructose-induced salt-sensitive hypertension[J].Integr Blood Press Control,2017;11:1-9.
19 王佳,洪忠新,武力,等.改善膳食模式对北京市房山区张坊村中老年超重或肥胖高血压患者血压和人体成分及血脂谱的影响研究[J].中国全科医学,2017;20(3):290-8.
20 Tang Y,Wu H,Shao B,et al.Celosins inhibit atherosclerosis in ApoE(-/-) mice and promote autophagy flow[J].J Ethnopharmacol,2017;215:74-82.
21 Diaconu CC,Dediu GN,Iancu MA.Drug-induced arterial hypertension-a frequently ignored cause of secondary hypertension:a review[J].Acta Cardiol,2018;1:1-7.
22 黄丽,姚春霞.上海市松江区居民2007年与2012年膳食结构和健康状况比较[J].上海预防医学,2017;29(6):444-7.
23 Oishi K,Ohyama S,Higo-Yamamoto S.Chronic sleep disorder induced by psychophysiological stress induces glucose intolerance without adipose inflammation in mice[J].Biochem Biophys Res Commun,2018;495(4):2616-21.
2 徐幽琼,张晓阳,刘小华,等.福州市城乡居民高血压患病率及相关因素研究[J].现代预防医学,2017;44(21):3918-23.
3 Sung KC,Ryu S,Cheong ES,et al.All-cause and cardiovascular mortality among Koreans:effects of obesity and metabolic health[J].Am J Prev Med,2015;49(1):62-71.
4 Tayer-Shifman OE,Bar-On Y,Pereg D,et al.Physical training in a medical fitness room for patients with chronic diseases:functional and metabolic outcomes[J].Isr Med Assoc J,2018;20(1):20-4.
5 Peairs AD,Shah AS,Summer S,et al.Effects of the dietary approaches to stop hypertension(DASH) diet on glucose variability in youth with type 1 diabetes[J].Diabetes Manag(Lond),2017;7(5):383-91.
6 王兰香,石晓蓉,李锡明,等.高血压患者120例干预效果观察[J].中国综合临床,2015;31(1):22-6.
7 Hussain SM,Daly RM,Wang Y,et al.Association between serum concentration of 25-hydroxyvitamin D and the risk of hip arthroplasty for osteoarthritis:result from a prospective cohort study[J].Osteoarthritis Cartilage,2015;23(12):2134-40.
8 Yu Y,Lv Y,Yao B,et al.A novel prescription pedometer-assisted walking intervention and weight management for Chinese occupational population[J].PLoS One,2018;13(1):e0190848.
9 朱建霞,卢明程,曾金生,等.原发性高血压患者社区移动健康管理模式效果分析[J].中华全科医师杂志,2015;14(2):90-4.
10 Bratoeva K,Stoyanov GS,Merdzhanova A,et al.Manifestations of renal impairment in fructose-induced metabolic syndrome[J].Cureus,2017;9(11):e1826.
11 Sanches Machado d′Almeida K,Ronchi Spillere S,Zuchinali P,et al.Mediterranean diet and other dietary patterns in primary prevention of heart failure and changes in cardiac function markers:a systematic review[J].Nutrients,2018;10(1):E58.
12 程丽.终止高血压膳食疗法在高血压中的临床护理效果研究[J].内蒙古中医药,2017;36(11):175-6.
13 Zhang H,Fan Q,Xie H,et al.Elevated serum cyclophilin B levels are associated with the prevalence and severity of metabolic syndrome[J].Front Endocrinol(Lausanne),2017;8:360.
14 Vicinanza R,Troisi G,Cangemi R,et al.Aging and adherence to the Mediterranean diet:relationship with cardiometabolic disorders and polypharmacy[J].J Nutr Health Aging,2018;22(1):73-81.
15 解晔,李秋梅,杨文彬.扬州市城乡居民食盐摄入量与血压水平的影响调查[J].江苏预防医学,2017;28(5):555-6.
16 Dos Santos EM,Brito DJA,Calado IL,et al.Sodium excretion and associated factors in urine samples of African descendants in Alcantara,Brazil:a population based study[J].Ren Fail,2018;40(1):22-9.
17 张翼,袁佳.乐山市市中区成年常住居民营养及健康状况调查[J].现代医药卫生,2017;33(20):3100-3.
18 Zenner ZP,Gordish KL,Beierwaltes WH.Free radical scavenging reverses fructose-induced salt-sensitive hypertension[J].Integr Blood Press Control,2017;11:1-9.
19 王佳,洪忠新,武力,等.改善膳食模式对北京市房山区张坊村中老年超重或肥胖高血压患者血压和人体成分及血脂谱的影响研究[J].中国全科医学,2017;20(3):290-8.
20 Tang Y,Wu H,Shao B,et al.Celosins inhibit atherosclerosis in ApoE(-/-) mice and promote autophagy flow[J].J Ethnopharmacol,2017;215:74-82.
21 Diaconu CC,Dediu GN,Iancu MA.Drug-induced arterial hypertension-a frequently ignored cause of secondary hypertension:a review[J].Acta Cardiol,2018;1:1-7.
22 黄丽,姚春霞.上海市松江区居民2007年与2012年膳食结构和健康状况比较[J].上海预防医学,2017;29(6):444-7.
23 Oishi K,Ohyama S,Higo-Yamamoto S.Chronic sleep disorder induced by psychophysiological stress induces glucose intolerance without adipose inflammation in mice[J].Biochem Biophys Res Commun,2018;495(4):2616-21.