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“健康加油站”模式对社区血脂异常人群健康管理效果评价
作者:谢远玲  
单位:广州市越秀区六榕街社区卫生服务中心
关键词: 健康加油站 血脂 健康管理 
分类号:
出版年·卷·期(页码):2013·32·第八期(535-539)
摘要:

[摘要] 目的 探索“健康加油站”管理模式对社区血脂异常人群健康管理的干预效果。 方法 选取582例六榕街社区血脂异常人群进行15个月规范的行为生活方式干预管理,随机分为两组,比较干预组与对照组的行为生活方式改变、健康知识的掌握、生理指标的变化及慢病治疗率、控制达标率。 结果 干预组管理后健康知识掌握、参加传统运动及健康行为形成的人数明显增多,不合理饮食、饮酒、吸烟者明显减少,经χ2检验,差异有统计学意义(P<0.05);干预组管理后的体质指数、血脂、血糖和血压检查结果均较干预管理前有明显改变,经t检验均差异有统计学意义(P<0.05),综合健康管理后高血压、糖尿病、高血脂治疗率、控制达标率较干预管理前有明显改变,经χ2检验均差异有统计学意义(P<0.05)。 结论 “健康加油站”管理模式通过系统规范的健康教育、传统运动、中医特色治疗和治疗性生活方式干预等综合管理措施可提高慢病的知晓率、治疗率及控制达标率,改善不良的生活方式及生理指标,效果显著,值得在基层社区卫生服务机构中推广。

[Abstract] Objective To explore the effect of health service station model in management of residents with dyslipidemia in community. Methods 582 residents with dyslipidemia were diveded into intervention group and control group randomly. Healthy lifestyle were conducted in intervention group for a periof of 15 months. The contents of evaluation included change of lifestyle and clinical index, awareness, treatment, control rate of chronic desease. Results In comparision of control group, the numbers of people practing health behavior and imrpoving awareness of health knowledge increased significantly, while the numbers of people with unhealthy habits such as unreasonable diet ,smoking and drinking decreased obviously in intervention group after receiving health management (p<0.05). after health management, the body mass index(BMI), serum lipids, blood sugar,blood pressure in intervention group were lower than before intervention. the treatment and control rate of hypertention, diabetes mellitus,hyperlipidemia was higher in intervention group than that of before intervention(p<0.05). Conclusion Improvement of awareness,treatment and control rate of chronic disease, alteration of unhealthy lifestyle, normalization of clinical index can be achieved by health service station management model with adoption of complex measures such as health education,exercise,TCM, therapeutic lifestyle intervention. It Is worth popularizing in grass-roots community health service stations.

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