探究家庭医生式健康教育干预模式在代谢综合征高危人群中的应用效果

The Application Effect of Family Doctor Health Education Intervention Model in High Risk Population of Metabolic Syndrome

目的:分析家庭医生式健康教育干预模式在代谢综合征高危人群中的应用效果。方法:选择在2012年5月-2015年5月笔者所在医院收治的代谢综合征高危人群患者200例为研究对象,将其随机分为干预组和对照组,对照组采用常规健康教育,干预组在对照组的基础上加强家庭医生式健康教育干预模式,对比两组应用效果。结果:两组干预前健康知识知晓率、健康行为遵从率比较差异无统计学意义(P>0.05),对照组干预后健康知识知晓率为64.0%,明显低于干预组的96.0%,对照组干预后健康知识遵从率为51.0%,明显低于干预组的86.0%,差异有统计学意义(P<0.001)。干预组干预后体重、腰围、BMI、血压、空腹血糖、血脂(总胆固醇/甘油三酯)较干预前均有明显改善,其中体重、BMI、收缩压、血脂较对照组干预后均有不同程度的改善,差异有统计学意义(P<0.05)。结论:家庭医生式健康教育干预模式能提高其健康知识知晓率,改善不良生活习惯和生理生活指标,具有显著临床意义。

Objective： To analyze the application effect of family doctor of health education intervention in high-risk populations of metabolic syndrome. Method： During the period of May 2012 to May 2015, 200 patients in the high-risk group of metabolic syndrome were randomly divided into intervention group and control group, the control group was given the conventional health education, and the experimental group was given the family doctor health education intervention model based on the control group with routine health education, nursing effects were compared between the two groups.Result： Before the intervention of health knowledge awareness, health behavior compliance rate of two groups were not statistically significant（P〉0.05）.After the intervention, the awareness rate of health knowledge of the control group was 64.0%, significantly lower than 96.0% of the intervention group, the rate of Health knowledge compliance in the control group was 51.0%, significantly lower than 86.0% of the intervention group, the differences were statistically signifieant（P 〈0.001）.The body weight, BMI, blood pressure, fasting blood glucose, blood lipids（total cholesterol and triglyeeride）of the intervention group were significantly improved after intervention.Body weight, BMI, systolic blood pressure and blood lipid were significantly different after the intervention, the differences were statistically significant（P〈0.05）. Conclusion： The family doctor health education intervention can improve their health the knowledge rate, improve the bad habits and physiological life index has significant clinical significance.