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一项太极拳锻炼计划改善了高血压门诊患者的运动行为并降低了血压。

A Tai Chi exercise programme improved exercise behaviour and reduced blood pressure in outpatients with hypertension.

作者信息

Lo Hui-Ming, Yeh Ching-Yi, Chang Shu-Chuan, Sung Huei-Chuan, Smith Graeme D

机构信息

Department of Nursing, St Mary College, Yilan, Taiwan; Institute of Medical Sciences, Tzu-Chi University, Hualien, Taiwan.

出版信息

Int J Nurs Pract. 2012 Dec;18(6):545-51. doi: 10.1111/ijn.12006.

Abstract

This two-group pretest and posttest quasi-experimental study aimed to evaluate the effects of a Tai Chi exercise programme on exercise behaviour and blood pressure (BP) in outpatients with hypertension. The experimental group (n = 27) received the Yang-style Tai Chi exercise programme three times a week for 8 weeks. The control group (n = 31) received routine care with no Tai Chi exercise. Exercise behaviour and exercise time using Routine Health Care Behaviour scale and BP were assessed at baseline and 8 weeks. The experimental group had a significant improvement on exercise behaviour (t = 2.11, P < 0.001) and exercise time (t = 1.44, P = 0.003), and a significant reduction in systolic BP (t = 2.57, P <  0.001) and diastolic BPs (t = 2.86, P < 0.001) compared with those of the control group. Tai Chi is an inexpensive and viable exercise and can improve exercise behaviour and BP control in outpatients with hypertension. Tai Chi exercise might offer outpatients with hypertension additional options, such as an adjunct to formal cardiac rehabilitation or as an exercise alternative in their management of hypertension. Nursing staff can easily learn and incorporate this exercise in patient education or care planning in the care of patients with hypertension in outpatient settings.

摘要

这项两组前后测准实验研究旨在评估太极拳锻炼计划对高血压门诊患者运动行为和血压的影响。实验组(n = 27)每周进行3次杨氏太极拳锻炼计划,共8周。对照组(n = 31)接受常规护理,不进行太极拳锻炼。在基线和8周时,使用常规保健行为量表评估运动行为和运动时间,并测量血压。与对照组相比,实验组的运动行为(t = 2.11,P < 0.001)和运动时间(t = 1.44,P = 0.003)有显著改善,收缩压(t = 2.57,P < 0.001)和舒张压(t = 2.86,P < 0.001)有显著降低。太极拳是一种经济可行的运动,可改善高血压门诊患者的运动行为和血压控制。太极拳锻炼可能为高血压门诊患者提供额外的选择,例如作为正式心脏康复的辅助手段或作为高血压管理中的运动替代方案。护理人员可以轻松学习并将这项运动纳入门诊高血压患者的患者教育或护理计划中。

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