基于移动客户端的医师主动管理对超质量及肥胖患者减肥效果评价  

Evaluation of mobile application-based physician active management on weight loss in overweight and obese patient

作　　者：白瑞雪 齐晓娅[1] 胡玉坤 张勇[2] 陈梦雪 彭丽霞 梅英[1] Bai Ruixue;Qi Xiaoya;Hu Yukun;Zhang Yong;Chen Mengxue;Peng Lixia;Mei Ying(Health Management(Physical Examination)Center,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第二医院健康管理(体检)中心,重庆400010 [2]重庆医科大学公共卫生与管理学院,重庆400016

出　　处：《保健医学研究与实践》2023年第1期1-5,共5页Health Medicine Research and Practice

基　　金：中科院STS计划重点项目(KFJ-STS-ZDTP033);2022年重庆市教育委员会人文社会科学研究规划项目(22SKGH065)。

摘　　要：目的探讨医师通过移动客户端对超质量及肥胖患者进行主动健康管理的减肥效果,为制定提高超质量及肥胖患者非药物治疗依从性及减肥效果的措施提供理论依据。方法采用便利抽样法,于2020年7月在重庆医科大学附属第二医院健康管理(体检)中心招募63名超质量及肥胖患者作为研究对象。给予研究对象个性化饮食处方和运动处方,并为其发放智能运动手环。同时建立微信群,运用微信平台进行医师主动管理的运动饮食指导。比较管理前后研究对象的体质量、体质指数(BMI)、体脂率、腰围、血脂及体适能指标(心肺耐力、握力、柔韧性、平衡力)水平。应用Stata 15.0软件进行统计分析,应用R 4.0.5软件对移动客户端医患交流话语进行文本分析。结果经过3个月的管理,28人返回复查,其中1人(3.6%)基本不运动,4人(14.3%)偶尔运动,23人(82.1%)经常运动。管理后,研究对象体质量、BMI、体脂率、腰围、血糖、甘油三酯等指标水平均较管理前有所下降,且差异均有统计学意义(P<0.05);体适能分数有所提升,其中代表心肺耐力的体力指数也得到改善,且差异均有统计学意义(P<0.05)。文本分析结果显示:医患对话中,“运动”是出现频率最高的词汇,其次是“加油”“可以”“坚持”等词语;“点赞”是运用最多的表情。结论基于移动客户端的医师主动管理对超质量及肥胖者的减肥有一定效果,能有效改善患者肥胖相关指标及体适能水平,对减肥效果有积极影响。此外,在超质量及肥胖患者线上主动管理中多进行运动督促和正向鼓励,可提高患者依从性,值得临床推广与应用。Objective This paper aims to investigate the effect of physician active health management on weight loss in patients with overweight and obesity via a mobile application to provide theoretical guidance for formulating measures to improve the compliance and clinical effect of non-drug treatment in these patients.Methods Sixty-three patients with overweight and obesity were recruited from the Health Management(Physical Examination)Center of the Second Affiliated Hospital of Chongqing Medical University in July 2020 by convenience sampling.Personalized diet and exercise prescriptions were given to the study participants,and intelligent sports bracelets were distributed to them.Simultaneously,a WeChat group was established using the WeChat social media platform for exercise and diet guidance actively managed by physicians.Body weight,BMI,body fat percentage,waist circumference,blood lipid,and physical fitness indexes(cardiopulmonary endurance,grip strength,flexibility,and balance)were compared before and after management.Statistical analysis was performed using Stata 15.0 software.Text analysis of doctor-patient communication utterances on the mobile application was conducted using R 4.0.5.Results After 3 months of management,28 participants returned for reexamination,of whom 1(3.6%)largely did not exercise,4(14.3%)occasionally exercised,and 23(82.1%)regularly exercised.After management,the body mass,BMI,body fat percentage,waist circumference,blood glucose,and triglyceride of the participants were significantly decreased compared with those before management(P<0.05).The physical fitness score was increased,of which the physical index representing cardiopulmonary endurance was also improved,with statistical significance(P<0.05).The results of text analysis showed that in doctor-patient communication,"exercise"was the most frequently occurring word,followed by words such as"cheer","can"and"persistence";"praise"was the most used expression.Conclusion Mobile application-based physician active management has a certain ef

关 键 词：移动客户端 医师主动管理 减肥 效果评价 

分 类 号：R723.14[医药卫生—儿科]