摘要
目的探究慢性病健康管理模式在内科体检慢性病患者中的应用效果。方法选取2020年6月至2022年1月于本院体检科接受体检的80例慢性病患者作为研究对象,采用随机抽签法分为观察组和对照组,每组40例。对照组行常规健康检查,观察组在对照组基础上采用慢性病健康管理模式,比较两组干预前后体格指标[体重指数(BMI)、腰臀比(WHR)]、血压[收缩压(SBP)、舒张压(DBP)]、血生化指标[血清尿酸(SUA)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FPG)]、不良生活习惯发生率。结果干预后,观察组BMI、WHR及SBP、DBP水平均低于对照组,差异有统计学意义(P<0.05)。干预后,观察组SUA、TC、TG、LDL-C、FPG水平均低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。干预后,观察组吸烟、饮酒、体力活动不足、蔬菜摄入不足、畜禽肉类摄入过多、水果摄入不足发生率均低于对照组,差异有统计学意义(P<0.05)。结论慢性病健康管理模式应用于慢性病患者体检中效果显著,有利于改善患者的体格指标、血压水平及生化指标,降低不良生活习惯的发生率。
Objective To explore the application effect of chronic disease health management mode in medical physical examination of patients with chronic disease.Methods A total of 80 patients with chronic diseases who received physical examination in the physical examination department of our hospital from June 2020 to January 2022 were selected as the research subjects,and they were divided into the observation group and the control group according to random drawing method,with 40 cases in each group.The control group only received regular physical examination,while the observation group adopted the chronic disease health management model on the basis of the control group,the physique indexes(body mass index[BMI],waist-to-hip ratio[WHR]),blood pressure(systolic blood pressure[SBP],diastolic blood pressure[DBP]),blood biochemistry indicators(serum uric acid[SUA],total cholesterol[TC],triacylglycerol[TG],low density lipoprotein cholesterol[LDL-C],high density lipoprotein cholesterol[HDL-C],fasting blood glucose[FPG]),and the incidence of bad living habits were compared between the two groups before and after the intervention.Results After intervention,the BMI,WHR,and the levels of SBP,DBP in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the levels of SUA,TC,TG,LDL-C and FPG in the observation group were lower than those in the control group,and the level of HDL-C was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the incidence rates of smoking,drinking,insufficient physical activity,insufficient vegetable intake,excessive livestock and poultry meat intake,and insufficient fruit intake in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The chronic disease health management mode has significant effect on the physical examination of patients with chronic diseases,which is conducive to
作者
赵文
杨同明
栾瑞芝
ZHAOWen;YANG Tongming;LUAN Ruizhi(Physical Examination Center,Dong'e County Maternal and Child Health Care Hospital,Liaocheng,Shandong,252200,China)
出处
《当代医学》
2022年第25期70-74,共5页
Contemporary Medicine
关键词
慢性病
内科
体检
健康管理模式
Chronic diseases
Internal medicine
Physical examination
Health management model
