2018年上海市闵行区健康自我管理小组成员效果评估

Effectiveness evaluation of health self-management team in Minhang District of Shanghai in 2018

目的对2018年上海市闵行区健康自我管理小组效果进行评价,为上海市闵行区完善自管小组服务提供参考依据。方法随机抽取上海市闵行区6组健康自我管理小组的121人进行问卷调查,问卷内容为健康自我管理小组活动中强调的健康素养知识的知晓率和健康生活方式的形成。干预半年后,对干预前后的数据进行对比分析。结果干预后,居民的社会支持中8项指标得分明显提高(均P<0.01),健康促进生活方式部分52个选项中,'每天吃蔬菜'、'会在运动时,测量自己的脉搏'、'会从关怀你的亲朋好友中,得到支持'、'运动时,会达到自己的目标心率'、'会感到有某种超自然的力量在身旁'、'会用讨论和折衷的办法,来解决和别人的冲突'6个项目干预前后,差异无统计学意义(P>0.05),其他46个项目干预前后差异均有统计学意义(均P<0.05)。结论上海市闵行区居民健康素养知晓率和健康行为形成均有提升空间,闵行区将继续深化和细化健康教育和健康促进工作,在社区进一步推广和落实健康自我管理小组项目,以提高居民的健康意识,促进居民健康。

Objective To evaluate the effect of health self-management team in Minhang District of Shanghai in 2018,provide reference for improving self-management team service in this district.Methods 121 people from six health self-management groups in Minhang District of Shanghai were randomly selected for the questionnaire,and the content of the questionnaire included the awareness rate of health literacy knowledge and the formation of healthy lifestyle emphasized in the activities of health self-management group.After six months of the intervention,the data before and after the intervention were compared and analyzed.Results After the intervention,the scores of eight indicators in the social support of residents significantly improved(P<0.05).Among 52 indicators in the health promotion lifestyle,there were not statistically significant differences in six indicators be-tween before and after the intervention(P>0.05),which included eating vegetables every day,measuring the pulse while exercising,getting support from friends and relatives,achieving the target heart rate while exercising,feeling like there’s some supernatural power around,and resolving conflicts with others by discussions and compromises,while there were statistically significant differences in other 46 indicators between before and after the intervention(all P<0.05).Conclusion The awareness rate of residents’health literacy and the formation of health behavior in Minhang District of Shanghai have room for improvement.The district will continue to deepen and refine education and health promotion work,and further promote and implement health selfmanagement team projects in the community to enhance residents’health awareness and promote the health of the population.