个性化健康管理对青少年代谢综合征的心理评价  

Psychological evaluation of individualized health management in adolescents with metabolic syndrome

作　　者：易松[1] 王翠苹[2] 廖生武[1] 周霞[1] 何薇[1] 闵静娴 周光清[1] YI Song;WANG Cui-ping;LIAO Sheng-wu;ZHOU Xia;HE Wei;MIN Jing-xian;ZHOU Guang-qing(Department of Health Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong,China;不详)

机构地区：[1]南方医科大学南方医院健康管理科,广东广州510515 [2]中山大学附属第一医院重症医学科,广东广州510080

出　　处：《广东医学》2022年第2期254-259,共6页Guangdong Medical Journal

基　　金：广东省科技计划项目(2021A1414040021);广东省医学科学技术研究基金项目(A2017429);广州市科技计划项目(202103000037)。

摘　　要：目的评价个性化健康管理对青少年代谢综合征患者心理指导的效果:方法随机选取年龄为16-30岁的青少年代谢综合征患者130例,采用随机分配原则分为两组,对照组(65例)和观察组(65例)。对照组按健康干预常规进行,观察组在健康常规干预的基础上实施个性化健康管理。于干预1年后分别对两组患者干预前后的肥胖、体质指数、血压、血脂、血糖指标进行比较,同时干预前后进行CDSMQ自我管理能力(主要从生活管理、饮食管理、不良嗜好管理、服药管理、急救管理、运动管理、情绪认知管理7个方面进行评分)、SCL-90心理健康症状自评量表以及患者满意度调查比较结果两组患者干预后体质指数、腰围、血压、血脂、血糖等指标较干预前均有所下降(P<0.05),且干预后,实施个性化健康管理观察组改善程度明显优于对照组(P<0.05),观察组的自我管理能力、心理健康评分均优于对照组(P<0.05),并且患者满意度调查明显提高(P<0.05)结论个性化健康管理对青少年代谢综合征患者的各项代谢指标能有效改善,提高患者的自我管理能力,明显改善焦虑与惊恐程度,有助于恢复患者自信心,提升患者的生活质量,促进青少年的生理与心理健康发展。Objective To evaluate the effect of personalized health management on psychological guidance of adolescent patients with metabolic syndrome. Methods A total of 130 adolescent patients with metabolic syndrome aged 16-30 years were randomly selected and randomly divided into observational group(65 cases) and control group(65 cases). The control group received routine health intervention, while the observational group implemented personalized health management on the basis of routine health intervention. The body mass index, blood pressure, blood lipid, and blood sugar index comparison were recorded before and 1 year after intervention. The CDSMQ self-management ability(mainly from the first aid management, life management, diet, medication management, bad habits, sports management, and emotional cognitive rating management in seven aspects), SCL-90 symptoms self-evaluation scale of mental health, and patient satisfaction were also compared. Results The body mass index, waist circumference, blood pressure, blood lipid, blood sugar and other indicators were significantly reduced in both groups after intervention(P<0.05), and the improvement were significantly more prominent in observational group than control group(P<0.05). The self-management ability and mental health score of the observational group were significantly better than those of the control group(P<0.05), and the scores of anxiety and terror factor were significantly lower than those of the control group(P<0.05), and the patient satisfaction was significantly better(P<0.05). Conclusion Personalized health management can significantly reduce the metabolic indexes of patients with metabolic syndrome, improve their self-management ability, reduce their anxiety and panic, help restore patients′ self-confidence, improve patients′ quality of life, and promote the physical and mental health development of adolescents.

关 键 词：代谢综合征 心理指导 个性化健康管理 健康干预 

分 类 号：R330.77[医药卫生—人体生理学] R330.99[医药卫生—基础医学]