健康体检后续服务管理体系在慢性非传染性疾病中的应用研究

Application on health test follow up service management system in non-communicable chronic diseases management

目的:探讨健康体检后续服务管理体系在慢性非传染性疾病中的重要作用。方法:选择在青岛大学医学院附属医院健康体检中心进行健康体检时,符合后续服务的慢性非传染性疾病1389例。其中脂肪肝438例、血压异常276例、血糖异常248例、血脂异常237例、肝功能异常56例、尿酸异常78例、肿瘤患者56例,将其分为7个组,全程后续服务管理1年,包括健康咨询、健康教育、健康促进、心理疏导、行为干预、医疗服务、康复指导和预防保健等措施。在此期间进行相关指标的监测与评估。结果:后续服务管理1年后,被管理者的血糖、血脂、肝功和尿酸等各项指标均得到明显改善(P<0.05);脂肪肝改善率为95.21%(P<0.05);肿瘤组中28例良性肿瘤痊愈,25例恶性肿瘤康复;血压异常组的收缩压/舒张压分别平均下降了12mmHg/10mmHg(t=6.31/8.35,P<0.05)。结论:健康体检后续服务管理体系是健康管理的重要组成部分,在强化慢性非传染性疾病管理中,对提高疾病防范意识和能力,消除思想顾虑,合理平衡膳食,科学有氧运动,纠正不良行为等,具有重要的指导意义和实用价值,健康体检后续服务是慢性非传染性疾病管理有效的方法。

Objectives：To discuss health test follow-up service management system in non-communicable chronic diseases management.Methods：1389 cases of chronic disease measure up follow-up service including 438 cases of fatty liver, 276 cases of abnormal blood pressure, 248 cases of abnormal blood glucose, 237 cases of abnormal blood lipid, 56 cases of abnormal liver function, 78 cases of abnormal uric acid and 56 cases of tumor were selected and classified into 7 groups.Full follow up services as well as health consulling, heahh education, psychological counseling, behavior intervention, rehabilitation guiding and health prevention were developed, monitored and evaluated. Results： The blood glucose, blood lipid, liver function and uric acid in treatment group was significantly improved after intervention （ P 〈 0.05）. Fatty liver improving rate was 95.21% （ P 〈 0.05）. 28 cases of benign tumor were cured and 25 cases of cancer were recovered, the average systolic BP/diastolic BP was reduced 12mmH/10mmHg （ t=6.31/8.35,P 〈 0.05）, Conclusions： Health test follow up service management system was an ilnpox＇tant part of health management in chronic disease management. Follow up service was benefit for health prevention, balanced diet, scientific aerobic sports and correct bad behavior. Health lest follow up service was an effective way for chronic disease management.