基于达标理论的健康管理模式对血脂边缘异常人群的干预效果  

The intervention effect of health management model based on standard theory on people with borderline dyslipidemia

作　　者：张庆庆 曾星星 范宇丹 皮庆苓 黄晓敏[1] 王琦[1] 沈犁[1] Zhang Qingqing;Zeng Xingxing;Fan Yudan;Pi Qingling;Huang Xiaomin;Wang Qi;Shen Li(Health Management Center,Beijing Tsinghua Changgung Hospital affiliated to Tsinghua University,Tsinghua University School of Clinical Medicine,Beijing Tsinghua Changgung Hospital,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,清华大学临床医学院,北京清华长庚医院健康管理中心,北京1102218

出　　处：《国际护理学杂志》2025年第2期224-229,共6页international journal of nursing

基　　金：清华大学附属北京清华长庚医院院内青年基金项目(22019C1005)。

摘　　要：目的探究基于达标理论的健康管理模式对血脂边缘异常人群的改善效果。方法从2020年8月至2021年8月在清华大学附属北京清华长庚医院健康管理中心体检人中抽取120例血脂边缘异常人群为研究对象,按照简单随机抽样法分对照组(n=60)和试验组(n=60)。对照组采用常规健康管理,试验组采用基于达标理论的健康管理。管理时间为1年,评估动脉粥样硬化性心血管疾病(ASCVD)患病风险等级、实验室检测指标血脂四项——总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)及体重指数(BMI),进行管理比较。结果干预前两组一般资料比较差异均无统计学意义(P>0.05);试验组自身对照ASCVD十年发病风险中高危占比对比干预前下降10%,差异有统计学意义(P<0.05);干预后试验组自身对照TC、LDL-C、HDL-C、TG、BMI显著下降,差异有统计学意义(P<0.05);对照组自身对照仅LDL-C显著下降,差异有统计学意义(P<0.05);组间比较,干预后试验组TC、LDL-C、BMI结果分别为(4.95±1.12)mmol/L,(3.45±0.71)mmol/L,(24.65±3.96)kg/m^(2),对照组分别为(5.53±1.00)mmol/L,(3.61±0.85)mmol/L,(25.87±4.50)kg/m^(2),两组比较差异有统计学意义(t值分别为2.91,2.59,3.54;均P<0.05),但两组TG、HDL-C比较差异无统计学意义(P>0.05)。结论对比常规健康管理,将基于达标理论应用于健康管理工作中,能有效降低血脂边缘异常人群的ASCVD的发病风险,降低TC、LDL-C、BMI水平,值得推广。Objective To explore the improvement effect of health management model based on standard theory on people with borderline dyslipidemia.Methods A total of 120 patients with borderline dyslipidemia were elected from the physical examination population in the Health Management Center of Tsinghua Changgung Hospital affiliated to Tsinghua University from August 2020 to August 2021.According to the simple random sampling method,the research objects were divided into control group and experimental group,with 60 cases in each group.The control group adopted routine health management,while the experimental group adopted health management based on the standard theory.The management time was 1 year.The risk grade of atherosclerotic cardiovascular disease(ASCVD),four laboratory indicators of blood lipids-total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C),triglyceride(TG)and body mass index(BMI)were evaluated and compared.Results There was no significant difference in general data between the two groups before intervention(P>0.05).The proportion of high risk in the 10-year incidence risk of ASCVD in the control group decreased by 10%compared with before intervention,and the difference was statistically significant(P<0.05).After intervention,TC,LDL-C,HDL-C,TG and BMI of the control group were significantly decreased,and the differences were statistically significant(P<0.05).The LDL-C of the control group was decreased significantly,and the difference was statistically significant(P<0.05).After intervention,the results of TC,LDL-C and BMI in the experimental group were(4.95±1.12)mmol/L,(3.45±0.71)mmol/L,(24.65±3.96)kg/m^(2),and those in the control group were(5.53±1.00)mmol/L,(3.61±0.85)mmol/L,(25.87±4.50)kg/m^(2),respectively.And the differences were statistically significant(t-values were 2.91,2.59,3.54,respectively,P<0.05),but there was no significant difference in TG and HDL-C between the two groups(P>0.05).Conclusions Compared with conventional health manageme

关 键 词：达标理论 健康管理模式 血脂边缘异常 ASCVD风险评估 

分 类 号：R54[医药卫生—心血管疾病]