目的:了解乌鲁木齐市脑卒中高危人群健康素养水平及相关影响因素，从而为乌鲁木齐市脑卒中一级预防提供策略支持。方法:采用便利抽样法，选取2019年6月—2020年4月在新疆医科大学健康管理中心接受健康体检的脑卒中高危人群为研究对象，共2 368名。应用自行构建的脑卒中风险评估模型筛选脑卒中高危人群，采用慢性病患者健康素养量表了解该人群的健康素养情况，并采用多重线性回归分析该人群健康素养的影响因素。结果:脑卒中高危人群的慢性病患者健康素养量表总分为（95.55±8.84）分。4个维度的具备率由高到低依次为经济支持、健康信息获取能力、健康意愿、交流互动能力。单因素分析结果显示，不同年龄、婚姻状况、学历人群的慢性病患者健康素养量表得分比较，差异有统计学意义（ P<0.05）。多重线性回归分析结果显示，年龄、学历、婚姻状况是脑卒中高危人群健康素养的影响因素（ P<0.05）。 结论:乌鲁木齐市脑卒中高危人群健康素养水平受年龄、婚姻状况分布、文化程度分布的影响，应根据本地区脑卒中高危人群的特点做好其健康教育及健康促进工作。

Objective:To investigate the effect of early integrated Chinese and western medicine cluster intervention strategy on the prevention of intensive care unit acquired weakness(ICUAW).Methods:A total of 70 patients admitted to the ICU were divided into the intervention group and the control group by random digits table method with 35 cases each. The control group was given limb pressure treatment and limb rehabilitation exercise according to ICU nursing routine, and the intervention group was given early integrated Chinese and western medicine cluster intervention based on the control group, after intervention, the incidence of ICUAW, muscle strength, Barthel index score, mechanical ventilation time, length of stay in ICU and total length of stay between the two groups were compared.Results:The Medical Research Council score of the intervention group and control group were respectively (53.23±5.94) and (43.94±12.58), the Barthel index score were (79.57±7.80) and (66.14±19.25), the incidence of ICUAW were 17%(6/35) and 46%(16/35), the mechanical ventilation time were (162.26±72.27) and (254.06±126.22) h, the length of stay in ICU were (12.20±4.98) and (15.57±6.04) d, the total length of stay were (18.83±6.76) and (23.09±7.88) d, and the differences were statistically significant ( t values were -3.82-3.69, χ2 value was 6.63, P<0.05 or 0.01) . Conclusions:Early integrated Chinese and western medicine cluster intervention strategycan reduce the incidence of ICUAW, improve the muscle strength and daily life activities of patients, shorten the mechanical ventilation time, ICU length of stay and total length of stay in critically ill patients.

Objective? To investigate the status of Urumqi community hypertensive patients' self-management behaviors and the influencing factors. Methods? Using random cluster sampling method, five health service stations in five districts of Urumqi City were selected from March to August 2018, and one community was selected from each district as the research site to investigate hypertensive patients registered in the community. General Information Questionnaire, Hypertensive Patients' Self-Management Behaviour Rating Scale(HPSMBRS), High Blood Pressure-Health Literacy Scale into China (C-HBP-HLS) and Therapeutic Adherence Scale for Hypertensive Patients(TASHP) were used in the study. A total of 605 questionnaires were distributed and 599 valid questionnaires were collected. Results? The total score of self-management behavior of 599 community hypertension patients was (126.27±19.88), standardized score was (76.53), which was at the medium level; the health literacy score was (47.79±14.88), the standardized score was (79.65); the treatment compliance score was (97.23±20.00), and the standardized score was (77.78). Multivariate linear regression analysis showed that economic burden, course of disease, health literacy and treatment compliance were the influencing factors of self-management behavior in patients with hypertension, and 53.2% of dependent variables could be explained by independent variables. Conclusions? The self-management behavior of hypertension patients in Urumqi community is at a medium level, and affected by economic burden, course of disease, health literacy, treatment compliance. It is suggested that medical workers strengthen health education for hypertension patients, which is conducive to improving their self-management ability.

ObjectiveTo systematic analyze the intervention effects of early ambulation on ICU acquired weakness(ICU-AW) in ICU patients. MethodsThe Cochrane Library, PubMed, EMBASE, MEDLINE, CBM, CNKI and Wanfang database were searched via computer for randomized controlled trials on early ambulation to prevent ICU-AW in ICU patients from the data base establishment date to February 10th, 2019.After screening literature, extracting data and evaluating the quality of literature, Meta-analysis was carried out with RevMan 5.3 software. ResultsFinally, 11 randomized controlled trials were included. Meta-analysis results showed that the incidence of ICU-AW was RR=0.52, 95%CI was (0.41, 0.66); muscle strength (MRC-score) WMD=8.08, 95%CI was (6.27, 9.81); Barthel index WMD=18.24, 95%CI was (7.27, 29.2); mechanical ventilation time was WMD=-1.29, 95%CI was (-1.96, -0.61); ICU hospitalization time was MD=-1.81, 95%CI was (-2.78,-0.84); total hospitalization time WMD=-3.39, 95%CI (-5.91, -0.88). ConclusionsBased on the present evidence, early ambulation can reduce the incidence of ICU-AW, improve the activity of daily life ability of patients,shorten the duration of mechanical ventilation, length of stay in ICU and hospital, which is worthy of clinical application.