综合干预模式在代谢综合征三级预防中的应用  

Application of comprehensive intervention model in the three-grade prevention for metabolic syndrome

作　　者：冯慧[1] 冯桂梅[1] 刘月霞[1] 

机构地区：[1]山东省枣庄市立医院干部病房,277102

出　　处：《中国实用护理杂志（中旬版）》2010年第7期4-8,共5页Chinese Journal of Practical Nursing

基　　金：枣庄市卫生局立项课题（200506320251）

摘　　要：目的探讨综合干预模式在代谢综合征三级预防中的应用效果。方法选择2005年1-6月在我院就诊确诊为代谢综合征的患者180例，随机分为实验组和对照组各90例。对照组给予常规一般性的健康教育干预，不进行相关强化管理和干预；实验组采取综合干预的管理方法，建立以医护、患者、家属三者共同对疾病合作管理的模式。观察2组患者知识、自我管理水平、遵医行为和各项指标，以及干预后心脑血管事件发生率有无差异。结果2组患者知识、自我管理水平、遵医行为和各项指标，以及干预后心脑血管事件发生率均有显著差异。结论代谢综合征三级预防综合干预模式能有效地提高代谢综合征患者的健康知识、态度和自我管理水平，改善代谢功能；减少心脑血管意外，改善生活质量，具有很高的经济和社会价值，值得推广应用。Objective To study the effect of application of comprehensive intervention model in the three-grade prevention for metabolic syndrome（MS）. Methods 180 cases of patients diagnosed as MS were chosen in our hospital from January to June 2005,and divided randomly into the experimental group and the control group with 90 cases in each group. The control group received routine general health education intervention,but not related strengthened management and intervention,the experimental group adopted an integrated management approach, to establish a model of co-management included health care workers,patients and their families. Two groups were observed in patients＂ knowledge,self-management level,medical compliance and various indicators,then analyzed the incidence of cardio-cerebral vascular events after intervention. Results Knowledge,self-management level, medical compliance and related indicators of patients, and the incidence of eardio-cerebral vascular events after intervention were significant between the two groups. Conclusions Comprehensive intervention model can improve the patients＂ health knowledge attitudes,self-management level and the metabolic function. It can reduce the eardio- cerebral vascular accidents,improve the quality of life,and has a high economic and social value,so is worth promoting.

关 键 词：代谢综合征 三级预防 综合干预模式 效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]