Yen L L, Patrick W K, Chie W C
Institute of Public Health, National Taiwan University, Taipei, Republic of China.
Prev Med. 1996 May-Jun;25(3):339-45. doi: 10.1006/pmed.1996.0064.
Even though the effectiveness of mediation and relaxation skills is controversial in blood pressure control, extensive field studies are limited. A national study targeting 50 communities randomly selected from northern Taiwan was conducted to test and compare the effectiveness of hypertension control incorporating three strategies.
Five hundred ninety hypertensives identified from 3,128 adults at a screening survey among the 50 communities were invited to participate in the study and were randomly assigned to three treatment modalities, (a) relaxation techniques training at home, (b) routine blood pressure measurement by a health professional, and (c) reading self-learning packages, or to a control group.
After a 2-month intervention period, the three treatment groups showed a significant reduction in systolic blood pressure levels compared with the control group (11.0 mm Hg for group 1, 9.2 mm Hg for group 2, and 5.1 mm Hg for group 3). The relaxation group had the most significant reduction in systolic blood pressure levels, followed by the routine blood pressure monitoring group and the self-learning group. However, the effect of relaxation training at home was not significantly greater than routine blood pressure measurement by a health professional.
尽管调解和放松技巧在血压控制方面的有效性存在争议，但广泛的实地研究有限。开展了一项针对从台湾北部随机选取的50个社区的全国性研究，以测试和比较采用三种策略进行高血压控制的效果。
在50个社区的筛查调查中，从3128名成年人中识别出590名高血压患者，邀请他们参与研究，并随机分配到三种治疗方式中，（a）在家进行放松技巧训练，（b）由健康专业人员进行常规血压测量，（c）阅读自学资料包，或分配到对照组。
经过2个月的干预期后，与对照组相比，三个治疗组的收缩压水平均显著降低（第1组降低11.0毫米汞柱，第2组降低9.2毫米汞柱，第3组降低5.1毫米汞柱）。放松组的收缩压水平降低最为显著，其次是常规血压监测组和自学组。然而，在家进行放松训练的效果并不显著优于由健康专业人员进行常规血压测量的效果。
