摘要
目的 探讨互联网+知信行模式在代谢综合征患者健康管理中的效果.方法 在吉林省一汽总医院体检保健科随机选取代谢综合征患者130例,并随机分为实验组(n=65)和对照组(n=65).对照组采用传统微信群健康管理模式,实验组采取互联网+知信行健康管理模式,共观察8周.分别收集参与者干预前及干预8周后的生活方式调查问卷、代谢综合征相关指标、人体成分分析指标.采用IBM SPSS 27软件进行数据统计与分析.正态分布的连续性变量采用均数±标准差表示,组内比较采用配对样本t检验,组间比较采用独立样本t检验.结果 最终实验组61例患者纳入分析,对照组45例患者纳入分析.干预后,实验组生活方式问卷评分、体重、BMI、腰围、臀围、体脂肪量、血压、血糖、TC、TG、LDL-C水平与干预前比较均有改善,差异有统计学意义(P＜0.05).干预后,对照组生活方式问卷评分、体重、BMI、腰围、臀围、体脂肪量、血压、TG、LDL-C与干预前比较均有改善,差异有统计学意义(P＜0.05).干预后,实验组生活方式问卷评分高于对照组,差异有统计学意义(P＜0.05).干预后,实验组体重、BMI、腰围、臀围、体脂肪量明显低于对照组,差异均有统计学意义(P＜0.05).结论 以知信行健康管理模式为基本框架,以"体重管家"APP为媒介,对超重/肥胖伴代谢综合征患者进行个体化治疗性生活方式干预,能丰富患者疾病知识,助其建立健康信念和健康行为,促进疾病转归,应用效果良好.
Abstract
Objective To explore the application effect of Internet-based Knowledge-attitude-practice(KAP)in health management of patients with metabolic syndrome(MS).Methods A total of 130 patients with MS were randomly selected from the health checkup&primary care department of Jilin Province FAW General Hospital and randomly divided into experimental group(n=65)and control group(n=65).The control group adopted the traditional health management mode of WeChat group,while the experimental group adopted the health management mode of Internet-based KAP.The observation lasted for 8 weeks.The lifestyle questionnaire,MS related indexes and human body composition analysis indexes were collected before and after 8 weeks of intervention.IBM SPSS 27 software was used for data statistics and analysis.The continuous variables of normal distribution were expressed by mean±standard deviation.Paired sample t test was used for intra-group comparison,and independent sample t test was used for inter-group comparison.Results Finally,61 cases patients in the experimental group and 45 cases patients in the control group were included in the analysis.After the intervention,the lifestyle questionnaire score,body weight,BMI,waist circumference,hip circumference,body fat mass,blood pressure,blood sugar and TC,TG,LDL-C levels in the experimental group were improved compared with those before the intervention,and the difference were statistically significant(P＜0.05).After the intervention,the lifestyle questionnaire score,body weight,BMI,waist circumference,hip circumference,body fat mass,blood pressure,TG and LDL-C of the control group were improved compared with those before the intervention,and the difference were statistically significant(P＜0.05).After the intervention,the score of lifestyle questionnaire in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).After the intervention,the body weight,BMI,waist circumference,hip circumference and body fat mass of the experimental group were significantly lower than those of the control group,and the differences were statistically significant(P＜0.05).Conclusion Taking the KAP health management model as the basic framework and the"Weight Housekeeper"APP as the media,individualized therapeutic lifestyle intervention for overweight/obese patients with MS can enriched patients'disease knowledge,helped them establish the health beliefs and healthy behaviors,and promoted disease outcome.The application effect was good.
基金项目
吉林省卫生健康科技能力提升项目(2021GL009)
NETL
NSTL
万方数据