河北承德市社区高危人群健康生活方式管理效果研究

Study on the effect of health lifestyle management in community high risk population in Hebei Chengde

目的通过健康管理改变慢性病前期和高危人群不良生活方式,探讨健康管理对预防和控制慢性病发生的有效性。方法在承德市两个社区筛选200名慢性病前期和高危人群进行为期一年的健康管理,对管理前后结果进行分析。结果对符合要求的200人健康管理前后数据进行统计分析,生活方式运动、吸烟、膳食平衡较管理前改变明显,差异有统计学意义(χ~2=51.70、0.13、0.58,P<0.05);各项生理指标均下降,收缩压、舒张压、腰围和BMI等指标变化差异有统计学意义(χ~2=7.45、6.57、18.89、25.70,P<0.05);体重、血糖、总胆固醇和甘油三酯均降低,差异有统计学意义(χ~2=28.50、5.39、7.64、7.17,P<0.05)。结论在社区开展健康管理,生活方式干预效果明显,可有效预防和延缓慢性病的发生,值得推广。

Objective To improve the effectiveness of health management in the prevention and control of chronic diseases by improving the quality of life of patients with chronic disease and high-risk groups. Methods A total of 200 patients with chronic disease were screened in 2 communities in Chengde for 1 year,the results were analyzed before and after administration. Results To meet the requirements of 200 residents before and after the statistical analysis of health management,lifestyle exercise,smoking,diet balance improved significantly compared with before management,the difference was statistically significant（ χ^2=51. 70,0. 13,0. 58,P〈0. 05）; there were significant differences in physiological indexes,such as systolic blood pressure,diastolic blood pressure,waist circumference and BMI（ χ^2= 7. 45,6. 57,18. 89,25. 70,P〈0. 05）; body weight,blood glucose,total cholesterol and triglyceride decreased, the difference was statistically significant（ χ^2= 28. 50,5. 39,7. 64,7. 17,P〈0. 05）. Conclusion In the community to carry out health management,lifestyle intervention effect is obvious,can effectively prevent and delay the occurrence of chronic diseases,it is worth promoting.