慢性病量化行为干预模式在社区卫生服务中的应用研究

Application of the Quantitative Behavior Intervention of Chronic Diseases in Community Health Services

目的探索慢性病量化行为干预模式在社区卫生服务慢性非传染性疾病防治中的作用。方法应用“知己能量监测仪”和“知己生活方式疾病综合防治系统软件”对62例患有慢性病的社区居民进行饮食、运动量化干预管理,根据患者的病情制定适宜的运动量和摄入量,同时对其不良嗜好或习惯予以纠正,对心理问题予以疏导。结果通过量化行为干预,提高了慢性病患者的健康意识,有效运动量平均增加99·7kcal,膳食结构不合理者减少了21·7%,达到了治疗性生活方式调整的目的。经强化管理期,巩固期追访,血压、空腹血糖、餐后血糖、糖化血红蛋白间差异均有显著性意义(P<0·05)。结论慢性病量化行为干预模式具有科学化、个性化、数字化的特点,患者易掌握、执行,医生便于监测,是社区卫生服务对慢性病防控的突破点,也是促进社区卫生服务可持续发展的方法和途径。

Objective Explore the effect of the quantitative behavior intervention on prevention and treatment of chronic non - infectious diseases in Community Health Services. Methods The Know Yourself Energy Monitor and the Life Style Disease Synthetic Prevention and Cure System Software were taken for 62 residents with chronic diseases in community in quantitative intervention of their diet and physical activity. The quantities of diet and physical activity of the patient were established according to their condition; and at the same time, their habit deviations were corrected, and their psychological problems were persuaded. Results Through the quantitative behavior intervention, the health consciousness of the patients with chronic disease was enhanced, the effective exercise quantity averagely increased by 99.7 kilocalorie, the unreasonable diet structure reduced by 21.7%. There were significant differences in the contents of blood pressure, fasting blood glucose, postprandial blood glucose, and glycohemoglobin （ P 〈 0. 05 ）. Conclusion The quantitative behavior intervention mode is scientific, personal and digital, being easy for the patients to carry out, and convenient for the doctor to monitor. It is a breakthrough point for preventing and controlling chronic diseases in community health services, and also a right way to promote the sustainable development of community health services.