基于"治未病"理念观察的综合干预方法对中青年脑卒中高危人群的干预作用研究

Study on the intervention effect of comprehensive intervention method based on the observation of "preventing disease"concept on young and middle-aged people at high risk of stroke

目的 探讨基于"治未病"理念下的综合干预对中青年脑卒中高危人群的干预效果.方法 采用回顾性研究方式,收集2018年2月-2021年12月神经内科收治的中青年脑卒中高危人群155例资料,根据干预方式不同,将2018年2月-2019年12月仅采用常规健康教育与干预的75例患者纳入对照组;将2020年1月-2021年12月实施基于"治未病"理念下行综合干预后的80例患者纳入研究组.评估与对比患者干预前后健康信念、健康行为,同时观察患者代谢及体质量水平变化,统计在干预6个月后的疾病发生情况.结果 干预6个月后,研究组患者健康信念各维度评分高于对照组,饮食、用药健康行为执行率高于对照组(P<0.05);空腹血糖、餐后2h血糖、收缩压、舒张压、总胆固醇、甘油三脂、低密度脂蛋白以及体质量水平低于对照组(P<0.05).近期脑卒中发生率比较,研究组(1.25%)低于对照组(8.00%),(χ^(2)=4.090,P=0.043).结论 基于"治未病"理念下对中青年脑卒中高危人群开展综合干预,能够从提升患者健康信念感出发,规范其健康行为,继而降低相关危险因素对脑卒中的诱发风险.

Ob ject ive To explore the effect of comprehensive intervention based on the concept of"preventing disease"on the intervention effect of young and middle-aged people at high risk of stroke.Methods A retrospective study was conducted to collect the data of 155 cases of young and middle-aged patients at high risk of stroke admitted to the Department of Neurology from February 2018 to Decemher 2021.According to different intervention methods,75 cases of patients who only received conventional health education and intervention from February 2018 to Decemher 2019 were included in the control group.From January 2020 to Decemher 2021,80 patients were included in the study group after comprehensive downward intervention based on the concept of"preventing disease".The health beliefs and health behaviors of the patients were evaluated and compared before and after intervention.Meanwhile,the changes of metabolism and body weight of the patients were observed,and the incidence of diseases 6 months after intervention was counted.Results After 6 months of intervention,the score of health belief of patients in the study group was higher than that in the control group,and the implementation rate of diet and medication health hehavior was higher than that in the control group(P<O.05).The levels of fasting blood glucose,2h postprandial blood glucose,systolic blood pressure,diastolic blood pressure,total cholesterol,triglyceride,low density lipoprotein and body weight were lower than those in control group(P<0.05).The incidence of stroke in the study group(1.25%)was lower than that in the control group(8.00%)(x=4.090,P=0.043).Conc lus ion Comprehensive intervention for young and middle-aged stroke high-risk groups based on the concept of"preventing disease"can improve patients'sense of health belief,standardize their health behaviors,and then reduce the risk of stroke induced by related risk factors.