社区健康管理对生活方式病的干预效果

目的探讨实施社区健康管理对生活方式病的干预效果。方法选择2010年6月—2012年8月徐州市云龙区部分居民和区机关、学校离退休人员,且连续两年均参加健康管理服务的1 426人作为调查对象。监测管理前后的血糖、血压、体重、腰围、臀围、血脂情况。计量资料采用t检验,计数资料采用χ2检验,P0.05为差异有统计学意义。结果管理后,吸烟人群比例下降了2.52%,运动不足人群下降了8.49%,运动充分人群上升了10.06%;血压、血糖、血脂异常人数较管理前均有下降(均P0.05);血脂四项检测,个体中具有2~4项异常的人群比率较管理前下降了26.09%(P0.05);被管理者平均收缩压、舒张压、血糖、血脂值均低于管理前(均P0.05);个体中具有3项及以上危险因素的人数比例下降了7.98%,管理前后比较差异有统计学意义(P0.05)。结论开展系统、可及、持久、全程的健康管理可转变人们的健康理念,促使人群建立良好的生活方式,有效预防和控制生活方式病的发生发展。

Effects of community health management on life style-related disease

Objective To explore the effects of community health management on lifestyle-related diseases.Methods Form June 2010 to August 2012,we collected a total of 1 426 subjects from Yunlong district including local residents and retirees from local authorities and schools,who had been involved in health management service for two consecutive years.All subjects were moni- tored for blood glucose,blood pressure,and body weight,waist and hip circumferences,blood lipid level.T- test was used for mea- surement data,~ for count data,the result of P〈0.05 was considered statistically significant.Results After management,the pro- portion of cigarette smokers fell by 2.52%,the proportion of those lacking physical activity fell by 8.49%,the r proportion of those with adequate exercise increased by 10.06%. the proportion of those with abnormal blood pressure,blood glucose and blood lipid level decreased than before（P〈0.05）.In the detection of four items of blood lipids,the proportion with 2-4 abnormalities declined by 26.09% （P〈0.05）.Systolic blood pressure,diastolic blood pressure,blood glucose and blood lipid level dropped significantly after management（P〈0.OS）.The proportion of those with three or more risk factors declined by 7.98%,and there was significant differ- ence before and after management（P〈0.05）.Conclusion Carrying out health management,which is systemic,accessible and durable, can change people＇s concept of health,prompt them to establish a good lifestyle,and prevent and control the development of lifestyle-related diseases.