群体“互联网+”健康管理对功能社区人群健康状况的影响  

Effect of“Internet+”based group health management on the health status of functional community-dwelling population

作　　者：谢羡 付中喜[1] 刘意 殷蕾 金东辉[1] XIE Xian;FU Zhong-xi;LIU Yi;YIN Lei;JIN Dong-hui(Hunan Provincial Center for Disease Control and Prevention,Changsha,Hunan 410005,China)

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410005

出　　处：《实用预防医学》2023年第1期53-56,共4页Practical Preventive Medicine

基　　金：湖南省卫生健康委2020年科研课题(20201255)。

摘　　要：目的评估“互联网+”为主导的健康管理模式对功能社区群体生活方式及健康指标的影响,为推动和发展健康管理新途径和新方法提供科学依据和经验参考。方法对湖南省某功能社区内所有职工进行为期1年的健康管理,在健康管理开始前和管理结束后对研究对象进行体检和问卷调查,评估管理前后其生活方式和生理指标的变化情况。采用SAS 9.3软件进行统计分析,非正态分布的计量资料用中位数(四分位数间距)表示,采用秩和检验;计数资料用率或构成比表示,采用χ2检验,P<0.05为差异有统计学意义。结果研究共纳入1956人,其中男性1445人(占73.88%)、女性511人(占26.12%)。健康管理前后,肉类摄入量达标率增加,由39.57%上升至44.48%,差异有统计学意义(χ2=9.669,P<0.05),吸烟、饮酒、蔬菜摄入量达标率、水果摄入量达标率等指标在健康管理前后差异无统计学意义(P>0.05);舒张压中位数由79 mmHg降低至78 mmHg、总胆固醇和低密度脂蛋白降低,而高密度脂蛋白、甘油三酯升高,差异有统计学意义(H=-44512、-54725.5、880834.5、919648、878379,P均<0.05)。健康管理前后空腹血糖达标率由94.43%降低至90.90%,血脂的达标率由63.14%降低至57.82%,差异均有统计学意义(χ2=17.902、11.568,P均<0.05)。结论健康管理应采用从个人到群体多角度、个性化的健康管理方法,维持参与积极性,才能真正促进干预对象由“知”到“行”的改变。Objective To assess the influence of health management based on“Internet+”on lifestyle and health indicators of functional community population,and to provide a scientific basis and experience references for promoting and developing new ways and methods of health management.Methods One-year health management was conducted among all staff in a functional community in Hunan Province.Physical examination and questionnaire survey were performed on the subjects before and after the health management,and the changes in lifestyle and physiological indexes before and after the health management were evaluated.SAS 9.3 software was used for statistic analysis.The measurement data of skewed distribution were expressed by the median(interquartile range),and Wilcoxon rank sum test was performed.The enumeration data were expressed as ratio or constituent ratio,and the differences in the enumeration data were assessed byχ2 test.P<0.05 was considered to be statistically significant.Results A total of 1,956 subjects were included in this study,including 1,445(73.88%)men and 511(26.12%)women.After the health management,the standard-reaching rate of meat intake increased from 39.57%to 44.48%,and the difference was statistically significant(χ2=9.669,P<0.05).No statistically significant differences were found in the indicators like smoking,drinking and the standard-reaching rates of vegetable intake and fruit intake before and after the health management(P>0.05).The median diastolic blood pressure(DBP)decreased from 79 mmHg to 78mmHg.The total cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)decreased,while high-density lipoprotein cholesterol(HDL-C)and triglycerides(TG)increased,with statistically significant differences(H=-44,512,H=-54,725.5,H=880,834.5,H=919,648,H=878,379,all P<0.05).Before and after the health management,the standard-reaching rate of fasting blood glucose(FPG)decreased from 94.43%to 90.90%,and the standard-reaching rate of blood lipid from 63.14%to 57.82%,showing statistically significant differ

关 键 词：互联网+ 健康管理 功能社区 

分 类 号：R19[医药卫生—卫生事业管理]