四位一体“体医融合”管理模式对“三高”人群干预效果验证研究  

The Effect of“Integration of Sports and Medicine”Management Mode on“Three Highs”Population,and Provide Reference for the Promotion of“Integration of Sports and Medicine”Mode

作　　者：林家仕[1] 章慧珍 陈建明[1] 杨小月 LIN Jia-shi;ZHANG Hui-zhen;CHEN Jian-ming;YANG xiao-yue(The Physical Education College,Jimei University,Xiamen 361021,China)

机构地区：[1]集美大学体育学院,福建厦门361021

出　　处：《体育科学研究》2022年第5期57-66,共10页Sports Science Research

基　　金：福建省创新战略研究计划项目(2020R0068);教育部人文社科规划基金项目(20YJA890014)。

摘　　要：观察“政府-社区卫生服务中心-社区街道-高校”四位一体体医融合管理模式对“三高”人群干预效果,为“体医融合”模式推广提供参考。研究方法:选取厦门市“体医融合”示范社区试点项目中150名高血压、糖尿病、血脂异常患者为研究对象,随机分为对照组(75人)和观察组(75人)。对照组保持原生活方式,观察组采用“政府-社区卫生服务中心-社区街道-高校”四位一体体医融合管理模式进行管理。经过6个月之后,比较两组流失率、疾病指标、体质及慢病相关健康素养的变化。研究结果:在流失率方面,观察组(6.7%)显著低于对照(25.3%);在疾病指标方面,对照组均无显著下降;观察组收缩压、舒张压、糖化血红蛋白、甘油三酯、总胆固醇、低密度脂蛋白分别下降了17.7±23.5mmHg、8.0±8.6mmHg、0.2±0.5%、0.4±1.2mmol/L、0.3±0.7mmol/L、0.5±1.2mmol/L,下降程度均具有显著性(P<0.05)。在慢病相关健康素养方面:观察组认为体育锻炼重要的人数占比提高了3.5%,每周运动频率低于每周3次的人数占比减少了26.7%,每周中高体力活动时间增加了127.6±301.6min,日静坐时间减少了3.1±2.4h,每日屏幕时间降低了0.1±1.8h,熬夜、点外卖的人数占比分别减少了2.8%、24.4%,改善程度均高于对照组。结论:“政府-社区卫生服务中心-社区街道-高校”四位一体体医融合管理模式各部门协同配合,运行良好;可有效提高高血压、糖尿病、血脂异常人群的慢病相关健康素养,增强其体质健康,改善疾病状况,值得推广。To observe the intervention effect of“integration of sports and medicine”management mode on“three highs”population,and provide reference for the promotion of“integration of sports and medicine”mode.Methods:150 patients with hypertension,diabetes and dyslipidemia in the pilot project of“Integration of Physical Education and Medicine”demonstration community in Xiamen were selected as the research objects and randomly divided into control group(75 people)and observation group(75 people).The control group kept the original lifestyle,while the observation group adopted the four-in-one integrated management mode of“government-community health service center-community street-university”.After 6 months,the changes of loss rate,disease index,constitution and health literacy related to chronic diseases were compared between the two groups.Results:The wastage rate of the observation group(6.7%)was significantly lower than that of the control group(25.3%).In terms of disease indicators,there was no significant decline in the control group;In the observation group,systolic blood pressure,diastolic blood pressure,glycosylated hemoglobin,triglyceride,total cholesterol and low density lipoprotein decreased by 17.7±23.5mmHg,8.0±8.6mmHg,0.2±0.5%,0.4±1.2 mmol/L,0.3±0.7 mmol/L and 0.5±1.2 mmol/L,respectively.In the aspect of health literacy related to chronic diseases,the proportion of people who think physical exercise is important in the observation group has increased by 3.5%,the proportion of people who exercise less than 3 times a week has decreased by 26.7%,the weekly level of middle and high physical activity has increased by 127.6±301.6 min,the daily sit-in time has decreased by 3.1±2.4 h,the daily screen time has decreased by 0.1±1.8 h,and the proportion of people who stay up late and order take-out has decreased by 2.8%,24.4%respectively.Conclusion:The“government-community health service center-community street-university”integrated management model can effectively improve the health litera

关 键 词：体医融合 慢病管理 健康促进 

分 类 号：G804.3[文化科学—运动人体科学]