Formative Study Of Exercise Intervention Program For Hypertensive Patients Oriented By Model And AI

Objectives(1)Design a preliminary exercise intervention program for hypertensive patients based on Trans-theoretical Model(TTM)and AI;(2)Conduct a preliminary evaluation of the designed exercise intervention program for hypertension patients.Methods(1)Choose 3 administrative villages from the administrative villages that have issued smart home sphygmomanometers in Jieshou City as on-site survey sites to investigate all diagnosed hypertensive patients;conduct on-site household surveys through self-designed structured questionnaires.The content mainly includes general demographic characteristics,blood pressure and exercise conditions,and a preliminary evaluation of 48 exercise intervention materials.Qualitative interviews with 40 hypertensive patients were selected at the survey site.The interviews mainly included the relevant knowledge of hypertensive patients on hypertension and exercise,and the acceptance and approval of human-machine coupled telephone,SMS,and letters.(2)After entering the questionnaire into Epi Data3.1,import it into SPSS16.0 for descriptive analysis,chi-square test,analysis of variance,logistic regression analysis,cluster analysis,etc.;some keywords in the questionnaire are analyzed using Blue MC website for word cloud image;Qualitative interview data using Nvivo11 qualitative analysis software for node coding and related analysis.(3)Based on the above research results,optimize the exercise intervention program designed for hypertensive patients.Results(1)A total of 92 valid questionnaires were collected,including 37 males(40.2%),65.2% were over 60 years old,illiteracy rate was 54.3%,and BMI and normal waist-to-hip ratio were 16.3% and 19.6% respectively,On-site blood pressure measurement standards accounted for 16.3%.(2)42.4% of the respondents stated that they regularly exercised.The only exercise methods were walking,running,square dancing,and rope skipping,and 34.1% of those who reported regular active joints;35.3% of them had more than 4 hours of daily rest time.(3)There is no significant difference in blood pressure values among hypertensive patients of different genders,ages,whether they increase exercise and whether they often move joints.(4)Binary logistic regression analysis showed that there was no statistically significant difference between women,married,higher education level,BMI and waist and hip increased movement and frequently active joints.Ordered multivariate logistic regression analysis showed that compared with junior high school and above,patients with illiteracy and elementary education had a shorter daily resting time,and the daily resting time of married persons was significantly lower than that of unmarried / widowed persons.The daily resting time of blood pressure patients was significantly higher than that of patients with tertiary hypertension.(5)The degree of understanding of 48 exercise intervention materials varies greatly among hypertensive patients,and the degree of understanding of some intervention materials is poor;the usefulness and achievement score of some intervention materials are low.(6)Hypertensive patients of different genders and educational levels have great differences in the understanding of exercise intervention materials,and the differences are statistically significant.(7)Hypertensive patients have deviations in the cognition of the etiology,harm and controllability of hypertension.For example,some patients believe that the cause of hypertension is caused by fever.(8)Hypertensive patients widely believe that exercise helps to control blood pressure,but there are many factors that restrict hypertension from adhering to exercise,such as: no time,lack of sports venues and other conditions,weather reasons,lack of exercise guidance,physical inconvenience,laziness,etc..(9)Hypertensive patients have a high degree of acceptance and trust in human interventions such as human-machine coupled telephone consultation,mobile phone text messages,and home smart sphygmomanometer voice broadcasts,but some patients are illiterate,unable to read text messages,and do not operate mobile phones and other issues.Conclusions(1)The blood pressure control rate of rural hypertensive patients is low,and only 16.3% of patients with high blood pressure meet the standard.Many hypertensive patients have insufficient understanding of the causes,controllability and harmfulness of hypertension,and even have misunderstandings.(2)The level of exercise in rural patients with hypertension is low,and the proportion of overweight and obese people is higher.Although most patients think that exercise can help control blood pressure,there are no restrictions on conditions such as time and sports venues,lack of exercise guidance,physical reasons,weather reasons,laziness,etc.are the main reasons for restricting exercise in patients with hypertension.(3)Hypertensive patients generally have a higher degree of understanding of the developed hypertension intervention materials,and there are a few sports intervention materials that have a poorer understanding;the degree of approval and usefulness of the developed exercise intervention materials are higher,and the exercise intervention materials need further optimization.(4)Hypertensive patients have a high degree of acceptance and trust in health education channels such as human-machine coupled telephone consultation,mobile phone text messages,and smart sphygmomanometer voice broadcast,but some illiterate patients cannot read the text messages.In the exercise intervention of hypertensive patients,it is necessary to combine multiple approaches and consider the intervention methods of illiterate patients.(5)Based on TTM and AI,this study formulates a set of feasible exercise intervention programs for hypertensive patients,integrates various conditions of the intervention objects,and implements individualized exercise interventions on the intervention objects from multiple ways.