论文部分内容阅读
目的:探究群组式联合互联网+个性化健康管理模式对体检慢病人群生理指标及自我管理能力的影响。方法:目的抽样选取2019年5—12月在山西医科大学第一医院健康管理科进行体检,慢病指标有异常的人群88例作为研究对象,按照随机信封法随机分为对照组和试验组,每组44人。对照组采用科室常规健康回访管理,试验组实施群组式联合互联网+个性化健康管理,时间为6个月,1次/月,分析比较两组人群干预前后生理指标及自我管理能力评分的差异。结果:干预后,试验组收缩压、舒张压、三酰甘油、总胆固醇、低密度脂蛋白、空腹血糖均显著低于对照组[(138.5±16.7)比(147.2±16.1)mmHg(1 mmHg=0.133 kPa)、(82.3±9.4)比(86.4±9.4)mmHg、(2.14±0.99)比(2.96±2.43)mmol/L、(5.27±0.83)比(6.09±1.02)mmol/L、(3.40±0.66)比(3.96±0.72)mmol/L、(7.37±2.03)比(8.67±2.90)mmol/L](n t=2.476、2.046、2.072、4.132、3.814、2.437,均n P<0.05)。两组人群干预后自我管理能力各项评分及总评分均高于干预前(试验组均n P0.05),且干预后试验组自我管理能力各项评分及总评分均显著高于对照组(均n P<0.05)。n 结论:群组式联合互联网+个性化健康管理模式应用于慢病体检者,有利于改善其慢病生理指标,提升自我管理能力。“,”Objective:To explore the influence of group combined Internet+personalized health management mode on physiological indexes and self-management ability of physical examination population with chronic disease.Methods:A total of 88 people with abnormal chronic disease associated indicators who underwent physical examination in the Health Management Department of the First Hospital of Shanxi Medical University from May 2019 to December 2019 were recruited as the research subjects by purposive sampling. They were randomly divided into the control group and experimental group according to the random envelope method, with 44 patients in each group. The control group was treated with routine health return visit management, while the experimental group was treated with group combined Internet+personalized health management for 6 months, once a month. The differences of physiological indexes and self-management ability scores before and after the intervention were analyzed and compared between the two groups.Results:Comparison of physiological indicators: after intervention, systolic blood pressure, diastolic blood pressure, triglyceride, total cholesterol, low density lipoprotein and fasting blood glucose in experimental group were significantly lower than those in control group[(138.5±16.7) vs (147.2±16.1) mmHg (1 mmHg=0.133 kPa), (82.3±9.4) vs (86.4±9.4) mmHg, (2.14±0.99) vs (2.96±2.43) mmol/L, (5.27±0.83) vs (6.09±1.02) mmol/L, (3.40±0.66) vs (3.96±0.72) mmol/L, (7.37±2.03) vs (8.67±2.90) mmol/L](n t=2.476, 2.046, 2.072, 4.132, 3.814, 2.437, all n P<0.05). Comparison of self-management ability score: all scores and total scores of self-management ability in two groups after intervention were higher than those before intervention (alln P0.05 in control group), and all scores and total scores of self-management ability in experimental group were significantly higher than those in control group after intervention (alln P<0.05).n Conclusion:The application of group combined Internet+personalized health management mode in physical examination population with chronic disease is conducive to improving their physiological indicators of chronic diseases and enhancing their ability of self-management.