摘要
目的研究生活方式管理与慢性病防控法应用于慢性病高危人群的效果,从社会心理、生物学、饮食等角度对慢性病高危人群的健康进行全面分析、评估,为优化社区人群的健康管理模式提供依据。以提升生命质量为实施目的,调动患者依从性,采用我院有效资源来达到最大健康效果。方法选取2019年1月至12月期间某社区的100名慢性病高危患者作为研究对象,对所有患者实施3个月生活方式管理干预和慢病防控措施,观察所有患者生活方式改善情况、相关指标等。结果100例慢性病高危慢病生活方式评分为(87.95±1.52)分;膳食果蔬和肉类摄入不足或过多改善人数为78例,体力活动不足改善人数为95例,吸烟改善人数为89例,大量饮酒改善人数为97例;腰围(81.62±1.22)cm、收缩压(111.65±9.52)mmHg、舒张压(80.52±1.52)mmHg、空腹血糖(4.21±0.31)mmol/L、总胆固醇(2.01±0.25)mmol/L、甘油三酯(1.31±0.62)mmol/L、HDL-C(2.74±0.21)mmol/L;心血管疾病风险降低程度大于42.00%,组间差异检验均P<0.05,差异存在统计学意义。结论慢性疾病主要是由患者自身生活、饮食、原发病等因素产生,因此改变不良生活习惯和方式、控制行为风险非常重要。我院通过对慢性病高危人群开展生活方式管理与慢性病防控可有效改善患者不良生活习惯,延缓疾病进展的速度,降低心血管疾病风险,延长患者生存周期。
Objective To explore the effect of life style management and chronic disease prevention and control method applied to the high risk population of chronic diseases.From the perspective of social psychology,biology,diet and so on,the group analysis and evaluation of the health of the high risk people of chronic diseases are carried out to provide the basis for optimizing the health management model of the community population.Objective to mobilize the compliance of patients and use effective resources of our hospital to achieve maximum health effects.Methods 100 high risk groups of chronic diseases in a community from January 2019 to December were selected as the research object,and all patients were treated with 3 months of life style management intervention and prevention and control measures.All patients with lifestyle improvement,relevant indicators and so on.Results The life style score of 100 patients with high risk of chronic diseases was(87.95±1.52),the number of people with insufficient or excessive improvement in intake of fruits,vegetables and meat was 78,physical activity was improved in 95,and smoking was improved in 89 cases.97 patients with improvement in heavy drinking,waist circumference(81.62±1.22)cm,systolic blood pressure(111.65±9.52)mm Hg,diastolic blood pressure(80.52±1.52)mm Hg,fasting blood glucose(4.21±0.31)mmol/L,total cholesterol(2.01±0.25)mmol/L,TG(1.31±0.62)mmol/L,HDL-C(2.74±0.21)mmol/L,42.00%lower risk of cardiovascular disease,P<0.05,respectively.Conclusion Chronic diseases are mainly caused by the patients'own life,diet and primary diseases.Therefore,it is very important to change the bad living habits and ways,and to control the risk of behavior.Our hospital can effectively improve the poor life of patients by giving them lifestyle management and chronic disease prevention and control.Habits,and the rate at which the disease progresses,reduces the risk of cardiovascular disease and prolongs the patient's life cycle.This nursing model has unique advantages and deserves to be popularized and applied in clinic.
作者
楼丽琼
程丽红
LOU Liqiong;CHENG Lihong(Jiangxi Provincial People’s Hospital, Nanchang 330006,China)
出处
《中国老年保健医学》
2020年第3期117-119,共3页
Chinese Journal of Geriatric Care
关键词
生活方式管理
慢性病防控
体重
心血管疾病
慢性病高危人群
lifestyle management
chronic disease prevention and control
body weight
cardiovascular disease
chronic disease high risk population
