个性化健康管理在高尿酸血症体检者中的效果评价  

Effect evaluation of individualized health management in carotid atherosclerosis physical examination among population with hyperuricemia

作　　者：易松[1] 王翠苹[2] 闵静娴 肖婷婷[1] 何薇[1] 周光清[1] YI Song;WANG Cuiping;MIN Jingxian;XIAO Tingting;HE Wei;ZHOU Guangqing(Department of Health Management,Southern Hospital of Southern Medical University,Guangzhou,Guangdong 510515,China;First Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510000,China)

机构地区：[1]南方医科大学南方医院健康管理科,广州510515 [2]中山大学附属第一医院,广州510000

出　　处：《重庆医学》2019年第20期3455-3459,共5页Chongqing medicine

基　　金：广东省哲学社会科学“十三五”规划2017年度一般项目(GD17CSH03);广东省广州市科学技术协会思想库课题项目(SXK20180201001)

摘　　要：目的评价个性化健康管理在高尿酸血症合并颈动脉粥样硬化体检者中的效果。方法采用随机原则从2016年7月至2017年7月南方医科大学南方医院健康管理科体检人群中抽取年龄45~65岁的120例高尿酸血症体检者,采用随机数字表法将其分为对照组60例与研究组60例。对照组采用常规健康管理,研究组在常规健康管理的基础上采用个性化健康管理。1年后对两组体检者干预前后空腹血尿酸(UA)、血脂、血糖、血压、体质量指数、颈动脉内膜厚度(IMT)、自我管理能力(主要从急救管理、生活管理、饮食管理、服药管理、不良嗜好管理、运动管理、情绪认知管理7个方面进行评分),生活质量(主要从生理功能、生理职能、躯体疼痛、总体健康、精力、社会职能、情感职能、精神健康8个方面进行评分)以及体检者满意度进行调查比较。结果通过个性化健康管理干预后研究组空腹血尿酸(UA)、血脂、血糖、血压、体质量指数、自我管理能力、生活质量改善程度明显优于对照组(P<0.05);研究组IMT改善程度明显优于对照组(P<0.05),临床颈动脉粥样硬化发生率明显低于对照组(P<0.05),并且体检者满意度明显提高(P<0.05)。结论个性化健康管理能有效改善高尿酸血症患者尿酸、血糖、血脂、血压水平,有效预防与减少临床动脉粥样硬化的发生率,提高患者自我管理能力与生活质量,具有良好的经济效益和社会效益。Objective To evaluate the effect of individualized health management in carotid atherosclerosis physical examination among the population with hyperuricemia. Methods A total of 120 patients with hyperuricemia aged 45-65 years old were extracted from the physical examination populations in the health management department of Southern Hospital from July 2016 to July 2017 by adopting the randomization principle and divided into the control group ( n =60) and research group according to the random number table method.The control group adopted the conventional health management and on this basis the research group adopted the personalized health management.After 1 year,the fasting uric acid (UA),blood lipids,blood glucose,blood pressure,body mass index,carotid endarteral thickness (IMT),self-management ability (mainly from 7 management aspects of first ail,living,diet,medication,bad habit,movement,mood and cognition),quality of life(mainly from 8 aspects of physiologic function,role physical,somatic pain,general health,vigor,social function,emotional function and mental health) and satisfaction of the subjects were investigated and compared between the two groups. Results The fasting UA,blood lipids,blood glucose,blood pressure,body mass index,self-management ability and life quality improvement degree after the intervention of individualized health management in the physical examination subjects were significantly better than those in the control group ( P <0.05);the IMT improvement degree in the research group was significantly superior to that in the control group ( P <0.05),the incidence rate of clinical carotid atherosclerosis in the research group was significantly lower than that in the control group ( P <0.05),moreover the satisfaction degree of physical examination subjects was significantly increased. Conclusion The individualized health management can effectively improve the levels of uric acid,blood glucose,blood lipids and blood pressure in the patients with hyperuricemia,increase the self-management abil

关 键 词：个性化健康管理 高尿酸血症 颈动脉粥样硬化 满意度调查 

分 类 号：R-05[医药卫生]