多学科协作健康管理对非酒精性脂肪性肝病患者健康质量效果的影响

Influence of multidisciplinary collaborative health management on the health quality of patients with non-alcoholic fatty liver disease

目的探讨非酒精性脂肪性肝病实施多学科团队协作健康管理对患者健康行为及脂质代谢的影响。方法随机抽取广西壮族自治区人民医院健康管理中心非酒精性脂肪性肝病患者,按随机数字表分为对照组(n=50)和试验组(n=50),对照组予非健康管理(即患者自觉性管理),试验组采取多学科协作健康管理,比较两组干预前后健康促进生活方式量表得分、体重指数(BMI)、空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)、谷丙转氨酶(ALT)及谷草转氨酶(AST)。结果干预6个月后,试验组的健康促进生活方式量表评分显著高于对照组,BMI、FBG、TC、TG、ALT及AST显著低于对照组,差异有统计学意义(P<0.001)。结论实施多学科团队协作健康管理可改变非酒精性脂肪性肝病患者的不良生活行为和习惯,并降低BMI、FBG、TC、TG、ALT及AST等影响患者身体质量的指标。

Objective To explore the impact of multidisciplinary team collaboration health management on the health behaviors and lipid metabolism of patients with non-alcoholic fatty liver disease.Methods Patients with non-alcoholic fatty liver disease in the Health Management Center of the People's Hospital of Guangxi Zhuang Autonomous Region were randomly selected,and they were divided into experimental group(n=50)and control group(n=50)according to random number table.The control group were given non-health management(i.e.patient's conscious management),and the experimental group were given multidisciplinary cooperative health management.And then,the scores of health promotion lifestyle scale,body mass index(BMI),fasting blood glucose(FBG),total cholesterol(TC),triglycerides(TG),alanine aminotransferase(ALT)and aspartate aminotransferase(AST)were compared between the two groups before and after intervention.Results After 6 months of intervention,the score of the health promotion lifestyle scale in the experimental group was significantly higher than that in the control group,while BMI,FBG,TC,TG,ALT,and AST were significantly lower than those in the control group,and difference was statistically significant(P<0.001).Conclusion Implementing multidisciplinary team collaborative health management can change the unhealthy lifestyle and habits of patients with non-alcoholic fatty liver disease,and reduce indicators such as BMI,FBG,TC,TG,ALT,and AST that affect their physical quality.