摘要
目的 评估“互联网+”健康管理对慢性病高风险人群生活方式和健康指标的影响,为进一步优化基于“互联网+”健康管理提供建议。方法 2021年11—12月在重庆市4个区筛查符合慢性病高风险人群标准的社区居民2 243名为研究对象,将研究对象以社区卫生服务中心为单位整群随机分为干预组与对照组,利用信息化平台对干预组进行为期1年的干预。对照组仅接受社区日常的健康管理。两组研究对象干预前后均进行相同的问卷调查、血压测量和实验室检测。采用SPSS 25.0进行χ^(2)检验,采用倍差法拟合logistic回归模型进行干预净效应分析。结果 参与全程干预和干预前后调查的共计2 035人,其中干预组1 135人,对照组900人。倍差法分析结果显示,干预后蔬菜水果摄入不足(OR=1.60,95%CI:1.23~2.09)、红肉摄入过多(OR=1.57,95%CI:1.11~2.23)、主动减盐(OR=2.18,95%CI:1.69~2.83)、血压正常(OR=2.68,95%CI:2.02~3.56)、血糖正常(OR=3.56,95%CI:2.33~5.43)、血脂正常(OR=1.79,95%CI:1.32~2.41)的比例增加,而身体活动达标(OR=0.41,95%CI:0.32~0.54)、业余时间的静态行为>2 h/d (OR=0.43,95%CI:0.32~0.56)和中心性肥胖(OR=0.65,95%CI:0.50~0.86)的比例下降,均有统计学意义(P<0.05,P<0.01)。结论 “互联网+”健康管理可以明显改善慢性病高风险人群的健康指标,但对生活方式的改善需要持续开展干预。
Objective To evaluate the influencing of internet health management on lifestyles and health indicators of residents with high risk of no communicable chronic diseases in Chongqing,and provide the suggestion for improving the internet health management.Methods From November to December 2021,2243 community residents meeting the criteria for high risk population of non-communicable chronic diseases in 4 districts of Chongqing were screened as the subjects.The subjects were randomly divided into intervention group and control group in clusters with community health service centers as the units.The intervention group was intervened through an information platform for one year,while the control group only received daily community health management.The investigation was performed with the same questionnaire,blood pressure measurement and laboratory test before and after the intervention.Theχ^(2) test was used to analyze the data,the difference-in-difference method fitted to the logistic regression model was used to analyze the intervention net effect.The used software was SPSS 25.0.Results A total of 2035 people participated in the whole intervention and the surveys before and after the intervention,including the intervention group(1135 cases)and the control group(900 cases).The results of the difference-in-differences analysis showed that after the intervention,the proportions of insufficient vegetable and fruit intake(OR=1.60,95%CI:1.23-2.09),excessive red meat intake(OR=1.57,95%CI:1.11-2.23),active salt reduction(OR=2.18,95%CI:1.69-2.83),normal blood pressure(OR=2.68,95%CI:2.02-3.56),normal blood glucose(OR=3.56,95%CI:2.33-5.43),and normal blood lipids(OR=1.79,95%CI:1.32-2.41)increased,while the proportions of the subjects with sufficient physical activity(OR=0.41,95%CI:0.32-0.54),static behavior during leisure time>2 hours per day(OR=0.43,95%CI:0.32-0.56),and central obesity(OR=0.65,95%CI:0.50-0.86)decreased(P<0.05 or P<0.01).Conclusion The internet health management for population with high risk of non-communicab
作者
丁贤彬
陈婷
周庆
许杰
白雅敏
刘敏
DING Xianbin;CHEN Ting;ZHOU Qing;XU Jie;BAI Yamin;LIU Ming(Institute of Chronic and No-communicable Disease Control and Prevention,Chongqing Center for Disease Prevention and Control,Chongqing 400042,China;不详)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2024年第8期580-584,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
全国慢性病高风险人群健康管理项目(MBGY-2017-003)
中国疾病预防控制中心慢病中心慢性病高风险人群健康管理项目(202061)。
关键词
慢性病
高风险人群
互联网+健康管理
效果评估
健康指标
Non-communicable chronic diseases
High risk population
Internet health management
Effect assessment
Healthy indicator
