Evaluation of the Application Effect of Personalized Health Intervention Smart Platform
Objective To carry out health intervention for chronic diseases and high-risk groups served by contracted family doctors in community health service institutions using the self-developed personalized health intervention smart platform,analyze the platform,s effectiveness and limitations of use,and provide references for the improvement and use of this type of system.Methods Chronic disease patients with abnormal blood pressure,blood glucose and uric acid,and high-risk groups for chronic diseases,overweight and obesity were randomly recruited from six community health service institutions in Panyu District,Guangzhou City,China,to participate in the study.A total of 220 people were bound to a healthcare provider through a WeChat app,and received a 12-week combination of online and offline health intervention by a family doctor team on the basis of routine management.Comparative analysis was conducted on improvement values of individual health indicators,7-day daily average intake of various foods,total amount of various sports per week,and health literacy level before and after intervention.Results After 12 weeks of intervention,the body mass index,waist circumference,systolic blood pressure,diastolic blood pressure,fasting blood glucose,and uric acid of the enrolled residents decreased by an average of 0.76,3.79 cm,10.43 mmHg,3.50 mmHg,1.08 mmol/L,and 131.01 μmol/L respectively(P<0.05);The median proportion of carbohydrate and protein energy supply per week decreased by 3.13%and 1.28%respectively,while the average proportion of fat energy supply increased by 5.01%(P<0.01);The 7-day daily average intake of vegetables,fruits,and dairy products increased by 150.0 and 72.5,and 100.0 grams respectively;the average daily intake of rice,flour,mixed beans,meat,eggs,and salt decreased by 66.0,105.7,5.0,and 1.0 grams(P<0.01)respectively;one-week moderate-intensity aerobic exercise time,number of days of flexibility and stretching exercise,and number of days of resistance exercise increased by 260.0 min,4.0 days,and 5.0 days respectively(P<0.001);the average score of total health literacy increased by 20.20%,and the average scores of basic knowledge and concepts,healthy lifestyles and behaviors,and health skills increased by 16.17%,19.84%,and 29.55%(P<0.01).Conclusion The application of personalized health intervention smart platform by family doctors is effective in providing diet and exercise interventions for chronic disease patients and high-risk groups.The participation of family doctor team can improve the compliance of residents to health management,and there is value in promoting and applying the personalized health intervention smart platform in community health service institutions.
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