摘要
目的探讨心血管病高危人群自我健康管理对其危险因素的影响,为建立高危对象自我健康管理模式提供理论依据。方法 2017年1—3月,咸宁市疾病预防控制中心工作人员采用电话通知,张贴招募海报,微信公众号发布消息等方式,在国家心血管病高危人群筛查与早期干预项目管理的高危人群中招募参与者。共招募研究对象175名,其中完成6次健康讲座活动和资料记录的共90名,应答率51.4%。自愿参加的高危人群分别在健康管理前及3个月强化干预后对参与者进行2次问卷调查、物理测量和实验室检查,对全程参与并体检结果完整的90名心血管病高危人群干预前后的健康检查数据进行统计分析。结果应用自我健康管理前后,通过分析数据显示,肉类摄入(χ2=13.932)、蔬菜水果摄入(χ2=7.257)、运动(χ2=18.137)、摄盐(χ2=8.314)、用药(χ2=22.589)均有明显改善,差异均有统计学意义(均P<0.05);血压(χ2=12.060)、体质指数(BMI)(χ2=7.858)、空腹血糖(χ2=4.339)、血脂(χ2=5.792)水平有明显改善,差异均有统计学意义(均P<0.05)。配对t检验发现,体重(t=5.792)、收缩压(t=4.89)、总胆固醇(t=7.23)、高密度脂蛋白胆固醇(t=10.94)、低密度脂蛋白胆固醇(t=3.11)等有所降低且差异均有统计学意义(均P<0.05)。结论自我健康管理能有效降低心血管病高危人群的危险因素,改善生活质量,降低其发病风险。
[Objective]To explore the influence of self-health management on risk factors of high-risk groups of cardiovascular diseases,and to provide theoretical basis for the establishment of self-health management model of high-risk groups.[Methods]From January-March,2017,Xianning Center for Disease Control and Prevention recruited participants from high-risk groups of national cardiovascular disease high-risk population screening and early intervention project management by telephone notification,recruitment posters and WeChat public account.A total of 175 subjects were recruited,including 90 who completed 6 health lecture activities and data recording,with a response rate of 51.4%.The participants of high risk population who volunteered to participate in the health management before and 3 months after the intensive intervention respectively conducted 2 questionnaires,physical measurements and laboratory tests.The statistical analysis was conducted on the physical examination data of 90 participants of high risk population who participated in the whole process and had complete physical examination results before and after the intervention.[Results]Before and after the application of self-health management,the results showed that me at intake(χ2=13.932),fruit and vegetable intake(χ2=7.257),exercise(χ2=18.137),salt intake(χ2=8.314),and drug administration(χ2=22.589)were all significantly improved,with significant differences(all P<0.05);blood pressure(χ2=12.060),body mass index(χ2=7.858),fasting glucose(χ2=4.339),and serum lipid(χ2=5.792)were obviously improved,with significant differences(all P<0.05).Paired t-test showed that body weight(t=5.792),systolic blood pressure(t=4.89),total cholesterol(t=7.23),high-density lipoprotein cholesterol(t=10.94),and low-density lipoprotein cholesterol(t=3.11)decreased and the differences were statistically significant(all P<0.05).[Conclusion]Self-health management can effectively reduce the risk factors,improve the quality of life and reduce the risk of cardiovascular disease
作者
廖晓兰
梁丽娜
LIAO Xiao-lan;LIANG Li-na(Department of Chronic Diseases,Xianning Center for Disease Control and Prevention,Xianning Hubei,437100,China)
出处
《职业与健康》
CAS
2019年第3期340-343,共4页
Occupation and Health
基金
中央补助地方公共卫生服务补助资金心血管病高危人群早期筛查与综合干预项目(2016)
关键词
健康管理
危险因素
心血管疾病
高危人群
Health management
Risk factor
Cardiovascular disease
High risk group
