心脏步行对急性冠脉综合征患者血压的影响

T. Vidhya, C. Kanniammal, J. Mahendra, G. Valli
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摘要

背景:心血管疾病(CVD)是印度城乡人口死亡的主要原因,也是世界范围内死亡的主要原因。高血压是一个主要的危险条件,在急性冠脉综合征患者的并发症中起着关键作用。根据世界卫生组织(2012年)的数据,高血压是世界上导致死亡的头号原因,也是心脏病和中风的主要风险因素。目的:1)了解研究组和对照组急性冠脉综合征患者检测前后血压水平。ii)确定心脏步行对ACS患者血压的影响。iii)将所选背景变量与研究组和对照组后测收缩压水平相关联。方法:采用准实验设计。采用非概率型有目的抽样方法,选择50例确诊为ASC的患者入院治疗并参加心脏门诊。实验组进行为期一个月的心脏行走干预。结果:研究组患者收缩压、舒张压(BP)前后比较,差异有统计学意义(p < 0.001),对照组无差异。研究组与对照组收缩期后和舒张期后血压比较,差异有统计学意义,**p < 0.001。结论:心脏步行是稳定ACS患者血压的最有效方法,可预防卒中等并发症的发生。
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Effectiveness of Cardiac Walking on Blood Pressure Among Patients with Acute Coronary Syndrome
Background: Cardiovascular diseases (CVD) are the leading cause of the mortality in urban and rural India and foremost causes of the death worldwide. Hypertension is a major risk condition that plays a pivotal role regarding the complications for those diagnosed with Acute Coronary Syndrome. According to the World Health Organization (2012), hypertension is the number one cause of mortality in the world and it is a major risk factor for cardiac diseases and stroke. Objectives: i) To identify the level of blood pressure (BP) in pre and post test among study and control group of patients with acute coronary syndrome. ii) Determine the effect of cardiac walking on blood pressure among patients with ACS. iii) Associate the selected back ground variables with the level of systolic BP in the post test among study and control group. Methods: A quasi experimental design was adopted for this study. There are 50 Patients diagnosed with ASC admitted for the treatment and attending cardiac OPD were selected by purposive sampling technique of non- probability type. The intervention cardiac walking given for a period of one month to the study group. Findings: The comparison of before and after systolic and diastolic blood pressure (BP) within study group depicted statistically significant difference at **p less than 0.001 but not in control group. The comparison of post systolic and diastolic BP between study and control group inferred that there was statistically significant difference at **p less than 0.001. Conclusion: Cardiac walking is most effective way to stabilize the blood pressure among patients with ACS in order to prevent further complications such as stroke.
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