健康管理对社区慢性病高危人群的干预效果评估

目的探讨健康管理对慢性非传染性疾病高危人群生活行为方式的干预效果。方法将400例45～69岁的慢性病高危人群随机分成两组,研究组200例应用健康管理系统实施疾病风险评估和饮食、运动量化干预管理,对照组200例给予社区健康服务中心普通随访管理。观察两组1年后的饮食结构、运动状况、体格检查指标等变化情况。结果研究组饮食结构、运动、体质指数、腰围、血压、血糖、血脂等均有不同程度改善,尤其是饮食、运动、体质指数及血脂改善率均明显高于对照组（P〈0.05）。研究组管理前后饮食、运动、体质指数、腰围及血脂指标间的差异有统计学意义（P〈0.05）。结论健康管理能促进慢性病高危人群改变其不良的生活行为方式,有效预防慢性病的发生、发展。

Intervention effect evaluation of health management at high risk of chronic diseases in community

Objective To investigate the intervention of health management at chronic non-communicable diseases at high-risk groups’ lifestyle.Methods 400 cases of chronic disease high-risk groups between the ages of 45 and 69 years old were randomly divided into two groups.200 cases of study group were treated by health management system for disease risk assessment and diet,exercise quantitative intervention intervention management.200 patients in the control group received regular follow-up management in community health service center.Te change of two groups of patients after one year of diet,exercise,physical examinationo were observed.Results Diet,exercise,body mass index,waist circumference,blood pressure,blood glucose,blood lipid were improved to different degrees in study group,especially,diet,exercise,body mass index and serum lipidimprovement rate were significantly higher than that in control group（P＆lt;0.05）,and the diet,exercise,body mass index,waist circumference and blood lipid indexes before and after the study group management also has statistical significance（P＆lt;0.05）.Conclusion Health management can promote health management at high risk of chronic diseases to change their bad life behaviors,it is effective in preventing the develop ment of chronic diseases.