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中文摘要: 摘 要:目的:研究中医体质辨识在残疾人群高血压健康管理中的应用效果。方法:选取 2023 年 1 月—2024 年 1 月在同
济大学附属养志康复医院进行体检的 262 例残疾人群高血压患者为研究对象,采用随机数字表法将其分成对照组和研究组,
每组各 131 例。给予对照组患者常规健康管理,给予研究组患者常规健康管理基础上的中医体质辨识健康管理。对比两组患
者干预前及干预 3 个月后的血压控制效果、高血压防治知识知晓情况、自我管理能力及生活质量。结果:两组患者干预前的
血压控制效果、高血压防治知识知晓率、自我管理能力和生活质量评分比较,差异无统计学意义 (P>0.05);两组患者干预
3 个月后舒张压及收缩压均降低,两组血压达标率、高血压防治知识知晓率、自我管理能力及生活质量评分均上升,且研究
组患者舒张压及收缩压均明显低于对照组患者,差异均有统计学意义 (t 值分别为 7.244、6.792,P<0.05);研究组患者血压
达标率、高血压防治知识知晓率、自我管理能力及生活质量评分均明显高于对照组患者。结论:联合中医体质辨识的健康管
理在残疾人群高血压患者中的应用效果显著,更有利于控制血压,提高患者对高血压防治知识的知晓率、自我管理能力和生
活质量。
Abstract:Abstract: OBJECTIVE To study the application effect of Traditional Chinese Medicine (TCM) constitution identification in
hypertension health management of disabled people. METHODS 262 patients with hypertension in Yangzhi Rehabilitation Hospital
affiliated to Tongji University from January 2023 to January 2024 were selected as the research object, and they were divided into
control group and study group by random number table method, with 131 patients in each group. The control group was given routine
health management, while the research group was given health management based on TCM constitution identification. The blood
pressure control effect, knowledge of hypertension prevention and treatment, self-management ability and quality of life of the two
groups were compared before and after intervention for 3 months. RESULTS There was no difference in blood pressure control effect,
awareness rate of hypertension prevention knowledge, self-management ability and quality of life score between the two groups
before intervention (P>0.05). Three months after the intervention, the diastolic blood pressure and systolic blood pressure of two
groups were decreased, while the blood pressure compliance rate, awareness rate of hypertension prevention knowledge,
self-management ability and quality of life score of two groups were increased. The diastolic blood pressure and systolic blood
pressure in the study group were obviously lower than those in the control group (t=7.244, 6.792, P<0.05), while the blood
pressure compliance rate, awareness rate of hypertension prevention knowledge, self-management ability and quality of life score in
the study group were obviously higher than those in the control group. CONCLUSION The application effect of health management
based on TCM constitution identification in disabled people with hypertension is remarkable, which is more conducive to controlling blood
pressure and improving patients’awareness rate of hypertension prevention knowledge, self-management ability and quality of life.
keywords: Keywords: disabled people hypertension Traditional Chinese Medicine constitution identification health management
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