The Effects of Regular Endurance Exercise Training on Blood Pressure Control and Quality of Life in Patients with Hypertension

Autor: Pei-Ti Chen, 陳蓓蒂
Rok vydání: 2002
Druh dokumentu: 學位論文 ; thesis
Popis: 90
Hypertension nowadays has become to be one of the most prevalent chronic disease as we might have to draw a highlight to its relatively induced complications caused by high blood pressure in order to take some loads off from those individual patitents, their families, the society, also the entire medical environment that we shared all together. A built-up regular exercise habit is believed to efficiently improve hypertensive patients to get their blood pressure under better control; also to attain better quality of life eventually. The purpose of this study is set to explore the effects of regular endurance exercise training on the blood pressure control and quality of life for those patients with hypertension. A quasi-experimental methodology was applied to guide the study. Targeted objects of this study are patients with grade 1 or grade 2 hypertension, who met the designated criteria of this study were referred by a cardiovascular outpatient service clinic at a teaching hospital in Taipei. Twenty-five patients enrolled in our study that was randomly assigned to either exercise group or comparison group. The exercise group has fifteen persons participated and the control group has ten. The exercise group members were given their individual excise program according to each person’s 60-70 % heart rate reserve to join a ten-week, three times a week exercise endurance training program while the control group remained their living pattern as their usual way. Data were collected by using the personal data chart, SF-36 (Short-Form-36 Health Survey), treadmill exercise testing. And the data collection is based on three different timing which are: before the study, the sixth week, and the tenth week of the study period. Data analysis was conducted in aspects of percentage, average, standard deviation, Chi-square test, t-test, repeated measure ANOVA, and Pearson Correlation in order to probe the effects and correlation of regular endurance exercise training to blood pressure control and quality of life in hypertensive patients. Research outcome showed the numbers as followed: (1) Hypertensive patients’ had made an acknowledged improvement by noticing a figure of 13.07 mmHg (p=0.000) dropping in resting systolic blood pressure and a figure of 6.27 mmHg (p=0.000) decreasing in diastolic blood pressure after regular endurance exercise training. (2) Quality of life scored in sequential concepts as for: physical functioning (p=0.01), body pain (p=0.01), general health condition (p=0.01), vitality (p=0.01), social function (p=0.01), role limitations due to emotional problems (p=0.02), were all revealed an outstanding improvement after regular endurance exercise training was conducted. (3) Hypertensive patients who attended the endurance excise training program had showed that decreased resting systolic blood pressure was highly and positively correlated with the improvement in the subscore of body pain on SF-36 (r=0.55, p=0.03), whereas the decreased diastolic blood pressure was also positively correlated with the subscore of physical functioning on SF-36 (r=0.53, p=0.04). Based on the results of this study, hypertensive patient’s resting systolic and diastolic blood pressure and quality of life was significantly improved after carrying out a regular endurance exercise training, they also get their blood pressure better controlled as well as to have their quality of life enhanced in consequence of this study.
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