摘要
目的探讨健康管理干预对脑卒中高危人群行为习惯和脑卒中高危因素的影响。方法选取2017年1月~2018年1月在我院住院的60例脑卒中高危患者作为研究对象,按照随机数字表法分为对照组(30例)和观察组(30例),对照组患者给予常规管理,观察组在对照组的基础上给予健康管理干预,治疗1年后比较两组患者的行为习惯、高危因素控制情况及临床相关指标。结果观察组患者干预后健康饮食、运动锻炼、合理生活方式的比例高于对照组,吸烟率、饮酒率低于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者高血压、体重指数(BMI)、高血脂、糖尿病、Essen评分、睡眠呼吸紊乱、高凝状态的控制率均高于对照组,差异有统计学意义(P<0.05);观察组患者干预后的收缩压(SBP)、舒张压(DBP)、糖化血糖蛋白(HbA1c)、低密度脂蛋白(LDL)均低于对照组,差异有统计学意义(P<0.05)。结论应用健康管理对脑卒中高危人群进行干预,可有效改善患者的行为习惯,更好地控制血压、血脂、血糖水平,有助于预防脑卒中的发生,具有临床实践价值。
Objective To explore the influence of health management intervention on the behavior habits and risk factors of stroke in high-risk population.Methods From January 2017 to January 2018,60 high-risk stroke patients hospitalized in our hospital were selected as the study objects.They were divided into the control group(30 cases)and the observation group(30 cases)according to the random number table method.The control group was given routine management,and the observation group was given health management intervention on the basis of the control group.After 1 year of treatment,the behavioral habits,high-risk factors control and clinical indicators of the two groups were compared.Results After intervention,the proportion of healthy diet,exercise,reasonable lifestyle in the observation group were higher than those in the control group,and the smoking rate,drinking rate were lower than those in the control group,and the differences were statistically significant(P<0.05).The control rates of hypertension,body mass index(BMI),hyperlipidemia,diabetes,Essen score,sleep respiratory disorder and hypercoagulability in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,systolic blood pressure(SBP),diastolic blood pressure(DBP),glycosylated glycoprotein(HbA1c),and low density lipoprotein(LDL)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The intervention of health management on the high-risk population of stroke can effectively improve the patients′behavior habits,better control the blood pressure,blood lipid and blood glucose levels,help prevent the occurrence of stroke,and has clinical practice value.
作者
林东如
黄婉洁
LIN Dong-ru;HUANG Wan-jie(Department of Rehabilitation Medicine,the Sixth Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Qingyuan 511513,China;Department of Medical Services,the Sixth Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Qingyuan 511513,China)
出处
《中国当代医药》
2019年第31期59-61,共3页
China Modern Medicine
