摘要
目的评价在社区通过“知己健康管理”模式进行饮食及运动综合管理的效果。方法社区慢性病管理团队运用“知己健康管理”模式，以知己能量监测仪、“知己生活方式疾病综合防治软件”为工具对饮食和运动实施量化管理，对585例糖尿病患者进行3个月强化期的综合干预，包括合理膳食、科学运动、合理用药、健康教育等-对-个性化的健康指导。比较管理前后体重、体质指数、腰围、血压、空腹血糖、餐后2h血糖、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇，总运动量、有效运动量、有效运动次数、有效运动时间、有效运动／体重、膳食摄入量，空腹血糖达标率、餐后2h血糖达标率、糖化血红蛋白达标率等相关指标的变化。结果585例2型糖尿病患者中男性240例，女性345例；平均年龄（64．44-9．1）岁。强化管理后患者体重、体质指数、腰围、收缩压、舒张压、空腹血糖、餐后2h血糖、糖化血红蛋白、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇均有明显的改善，差异有统计学意义（t=20．35、20．34、23．74、14．06、12．35、13．35、16．50、9．90、7．53、6．37、-3．74、4．91，均P〈0．05）。饮食习惯较管理前有改善的有321例，占总人数的54．8％，管理后有效运动量、有效运动时间、有效运动次数、有效运动量／体重、膳食摄人量均有明显的改善，差异有统计学意义（t=-7．44、-7．91、-5．60、-8．41、5．21，均P〈0．05）。管理后空腹血糖达标率由54．2％提高到80．1％，餐后2h血糖达标率由60．4％提高到87．8％，糖化血红蛋白达标率由58．9％提高到77．9％，强化管理后的达标率较管理前均有明显的提高，差异有统计学意义（X^2=88．21、109．31、39．97，均P〈0．05）。结论“知己健康管理”模式在社区糖尿病综合干预管理中是-种有效的方法，有利于提高糖尿病的管理效果。
Objective To evaluate the effects of known-to-have health management on diabetes patients. Methods A total of 585 diabetic patients from Desheng Community of Beijing received an intensive health management for 3 months, including diet intervention, physical exercises, medication, health education and individual health guidance. Body weight （BW） ,body mass index （BMI） ,waist circumference （WC）, blood pressure （BP）, fasting blood glucose （FBG） ,2-h postprandial blood glucose （PBG）, glycated hemoglobin A1C （ HbA1 c ）, total cholesterol （ TC ）, triglycerides （ TG）, high-density lipoprotein cholesterol （HDL-C） ,low-density lipoprotein cholesterol （ LDL-C）, total physical exercises, effective physical exercises, effective physical exercise ratio to BW and dietary intake were compared before and after the intervention. Results Of 585 patients with type 2 diabetes mellitus, 240 were male and 345 were female （ average age （ 64.4 ＋ 9. 1 ） years old）. BW, BMI, WC, systolic blood pressure, diastolic blood pressure, FBG,2-h PBG, HbAlc, TC, TG, HDL-C, LDL-C, amount and time or frequency of effective physical exercises, effective physical exercise ratio to BW and total dietary intake were significantly improved after intensive health management （t values were 20. 35,20. 34,23.74,14.06,12. 35,13.35,16. 50,9. 90,7.53, 6. 37, -3.74,4. 91, -7.44, -7. 91, -5.60, - 8.41 and 5.21 ,respectively; all P 〈0. 05）. More healthy eating habits were found in 321 subjects （54. 8% ）. Those having normal FBG were increased from 54. 2% to 80. 1% following known-to-have health management,with 2-h PBG from 60.4% to 87.8% and HbAlc from 58.9% to 77.9% （ ~2 values were 88.21,109.31 and 39. 97, respectively; all P 〈 0. 05 ）. Conclusion Known-to-have management may provide an effective tool for community diabetics.
出处
《中华健康管理学杂志》
CAS
2013年第1期40-43,共4页
Chinese Journal of Health Management
关键词
糖尿病
膳食
运动
健康促进
Diabetes mellitus
Diet
Exercise
Health promotion
