健康生活方式对社区慢性病患者干预效果研究
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摘要
目的探讨健康生活方式干预对慢性非传染性疾病(以下简称"慢性病")社区居民的干预效果。方法选择200名符合研究条件的慢性病患者作为研究对象,实施为期12个月的健康生活方式干预,进行定期检查和随访,并对干预前后的生活方式、一般体检和慢性病相关生化指标进行评估和比较。结果与干预前比较,受试患者的膳食结构趋向合理、不良习惯多有改善,运动量和运动积极性提高,心理状态有较大程度的改善,BMI干预前(23. 6±3. 0) kg/m2,干预后(22. 1±2. 9) kg/m2,t=9. 246,P<0. 01,腰围干预前(79. 5±7. 3) cm,干预后(77. 9±5. 6) cm,t=7. 151,P<0. 01,差异有统计学意义。结论健康生活方式干预可以降低居民慢性病危险因素的暴露水平,增强身体素质,有利于慢性病防控。
Objective To explore the effect of healthy lifestyle intervention on patients with chronic diseases in communities. Methods Two hundred patients with chronic diseases were selected as study subjects,and healthy lifestyle intervention was implemented for 12 months. Examination and follow-up were periodically conducted,and life styles,general physical examination and chronic disease related biochemical indicators before and after the intervention were evaluated and compared. Results Compared with conditions before intervention,patients' dietary structures tended to become reasonable,bad habits were significantly reduced,the enthusiasm and amount of exercise were improved,and the mental state was bettered significantly. Statistically significant differences were found in BMI before intervention( 23. 6 ± 3. 0) kg/m2,after intervention( 22. 1±2. 9) kg/m2,t= 9. 246,P<0. 01 and waist circumference before intervention( 79. 5±7. 3) cm,after intervention( 77. 9±5. 6) cm,t = 7. 151,P<0. 01. Conclusion Healthy lifestyle intervention can reduce the exposure levels of risk factors in residents with chronic diseases and improve their physical constitution and is beneficial for prevention and control of chronic diseases.
Objective To explore the effect of healthy lifestyle intervention on patients with chronic diseases in communities. Methods Two hundred patients with chronic diseases were selected as study subjects,and healthy lifestyle intervention was implemented for 12 months. Examination and follow-up were periodically conducted,and life styles,general physical examination and chronic disease related biochemical indicators before and after the intervention were evaluated and compared. Results Compared with conditions before intervention,patients' dietary structures tended to become reasonable,bad habits were significantly reduced,the enthusiasm and amount of exercise were improved,and the mental state was bettered significantly. Statistically significant differences were found in BMI before intervention( 23. 6 ± 3. 0) kg/m2,after intervention( 22. 1±2. 9) kg/m2,t= 9. 246,P<0. 01 and waist circumference before intervention( 79. 5±7. 3) cm,after intervention( 77. 9±5. 6) cm,t = 7. 151,P<0. 01. Conclusion Healthy lifestyle intervention can reduce the exposure levels of risk factors in residents with chronic diseases and improve their physical constitution and is beneficial for prevention and control of chronic diseases.
引文
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[12]高霞,张东.北京市西城区社区健康生活方式示范创建效果评估[J].职业与健康,2016,32(6):833-835.
[13]季震南,罗琼姝,张永开,等.健康生活方式与行为与健康的关系及干预策略[J].海峡预防医学杂志,2011,20(4):11-12.
[14]于红.健康教育对社区慢性病患者的干预作用[J].中国实用神经疾病杂志,2010,13(12):27-28.
[15]马丽.健康教育对社区慢性病患者的干预体会[J].内蒙古中医药,2013,32(23):125-126.
[16]高学军,高忠萱.浅谈健康教育在社区防治慢性病工作中的作用[J].中外医疗,2010,29(23):144-144.
[2]徐幽琼,王春兰,郑能雄,等.福州市社区糖尿病健康教育干预效果评价[J].中国慢性病预防与控制,2012,20(15):566-568.
[3]王细川.改变生活方式远离慢性病的困扰[J].中国老年保健医学,2011,9(2):73-74.
[4]宋伶.老年糖尿病病人的健康教育[J].护理研究,2007,21(5c):1334-1335.
[5]第三次全国死因调查主要情况[J].中国肿瘤,2008(5):344-345.
[6]张军成.论健康生活方式是防控慢性病的首要策略[J].江苏卫生保健,2014,16(5):62-63.
[7]楼君芳,宋平,潘建清,等.慢性高危人群的健康生活方式干预效果评价[J].中国慢性疾病预防与控制,2012,20(3):324-326.
[8]张根长.健康教育在社区慢性病防治中的地位[J].中国初级卫生保健,2011,25(11):40-41.
[9]陈水琴.对社区慢性病患者实施综合干预的效果评价[J].吉林医学,2014,35(34):7767-7768.
[10]赵文华,施小明,张娟,等.全民健康生活方式行动的实施策略与科学证据[J].中国慢性病预防与控制,2013,21(3):257-259.
[11]欧阳平,石生瑞,刘晓峰,等.兰州市居民健康生活方式的现况调查[J].中国初级卫生保健,2010,24(11):24-25.
[12]高霞,张东.北京市西城区社区健康生活方式示范创建效果评估[J].职业与健康,2016,32(6):833-835.
[13]季震南,罗琼姝,张永开,等.健康生活方式与行为与健康的关系及干预策略[J].海峡预防医学杂志,2011,20(4):11-12.
[14]于红.健康教育对社区慢性病患者的干预作用[J].中国实用神经疾病杂志,2010,13(12):27-28.
[15]马丽.健康教育对社区慢性病患者的干预体会[J].内蒙古中医药,2013,32(23):125-126.
[16]高学军,高忠萱.浅谈健康教育在社区防治慢性病工作中的作用[J].中外医疗,2010,29(23):144-144.