摘要
目的探索企业内的健康管理技术对慢性病高危人群的干预效果。方法选择规模、企业性质、员工年龄和性别构成具有可比性的两个单位。筛查35岁以上且满足慢性病高危条件1个以上的人群作为观察对象。将两个企业随机分为干预单位和对照单位。干预单位实行;①建立无烟健康单位制度;②宣传健康管理制度与知识;③组织集体健康活动;④改善单位健康设施;⑤高危人群管理等干预手段。在6个月、12个月分别对两个单位的慢性病高危人群进行体检并填写《慢性病高危人群管理信息表》。结果干预组吸烟人数显著下降(P<0.05),戒烟率28.1%。腰围、总胆固醇、空腹血糖显著下降(P<0.05),血压上升(P<0.05)。对照组吸烟人数没有显著变化(P>0.05),腰围、血压、空腹血糖、总胆固醇上升(P<0.05)。结论企业单位内的健康管理制度和健康文化宣传对慢性病高危人群的健康行为和身体情况有明显影响,但今后需要加强心理健康相关的服务项目。
Objective To investigate the effects of health management conducted in companies on high-risk groups of chronic diseases. Methods Select two companies which have comparable scale and quality, similar constituent of age and gender. Randomly decide the treatment group and control group. For treatment group:1.Establish a non-smoking company system, 2.Broadcast rules and knowledge of healthy management system, 3.Organize healthy activities in the company, 4.Improve health facilities in the company, 5.Carry out follow-up visit in high-risk groups. Record the result of high-risk group every half a year. Results In the treatment group, 28.1% of people who have a smoke habit reported quit. Waistline, total cholesterol,FPG has an obvious decline(P<0.05). Blood pressure went up(P<0.05).In the control group, the smoking group did not have obvious change(P>0.05). Waistline, blood pressure, total cholesterol and FPG rose obviously(P<0.05). Conclusion Health management has an obvious effect on blue-collar workers in county companies, which corresponds to the results of community health management. But mental health related services need to be strengthened in the future.
作者
曹艳
向发益
黄艳
CAO Yan;XIANG Fayi;HUANG Yan(The second People’s Hospital of Yichang,Yichang,Hubei 443000,China;Zhijiang Center for Disease Control and Prevention,Yichang,Hubei 443200,China)
出处
《公共卫生与预防医学》
2019年第2期129-133,共5页
Journal of Public Health and Preventive Medicine
