中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2008年
6期
333-337
,共5页
吴海云%何耀%潘平%乐国强
吳海雲%何耀%潘平%樂國彊
오해운%하요%반평%악국강
计算机通信网络%生活方式%健康行为%干预性研究%随机对照实验
計算機通信網絡%生活方式%健康行為%榦預性研究%隨機對照實驗
계산궤통신망락%생활방식%건강행위%간예성연구%수궤대조실험
Computer communication network%Lifestyle%Health behavior%Intervention study%Randomized controlled trial
目的 评价基于网络的行为和生活方式干预的效果及可行性.方法 68l例对象随机分为干预组(n=341)和对照组(n=340).干预组每月登录网站.研究人员通过电子邮件及聊天室等每月督促管理对象递交健康日志,提供个人健康管理计划以及由计算机自动生成的个体化的健康改善建议,并解答管理对象提出的健康相关问题.对照组接受常规医疗服务.采用意向性处理分析,比较两组干预前及第6个月时相关行为和生活方式及体检指标,并进行组间比较.结果 第6个月时,干预组和对照组中吸烟者戒烟率分别为23.6%和4.6%(x2=22.4,P<0.05);两组过量饮酒者平均每日酒精摄入量分别减少28.6 g和6.1 g(t=14.9,P<0.05).两组体力活动不足者体育锻炼时间均无明显变化.干预组膳食结构改善,而对照组无显著变化.干预组中高血压病患者平均收缩压、糖尿病患者平均空腹血糖值、超重和肥胖者平均体重指数下降,且差异均有统计学意义(P<0.05),而对照组中上述指标均无明显变化.两组高胆固醇血症患者血清总胆固醇水平均无明显变化.干预组第6个月时退出率为6.7%.结论 基于网络的健康管理服务可以有效地帮助改善部分健康相关行为,并有助于高血压病、糖尿病及超重和肥胖的控制.
目的 評價基于網絡的行為和生活方式榦預的效果及可行性.方法 68l例對象隨機分為榦預組(n=341)和對照組(n=340).榦預組每月登錄網站.研究人員通過電子郵件及聊天室等每月督促管理對象遞交健康日誌,提供箇人健康管理計劃以及由計算機自動生成的箇體化的健康改善建議,併解答管理對象提齣的健康相關問題.對照組接受常規醫療服務.採用意嚮性處理分析,比較兩組榦預前及第6箇月時相關行為和生活方式及體檢指標,併進行組間比較.結果 第6箇月時,榦預組和對照組中吸煙者戒煙率分彆為23.6%和4.6%(x2=22.4,P<0.05);兩組過量飲酒者平均每日酒精攝入量分彆減少28.6 g和6.1 g(t=14.9,P<0.05).兩組體力活動不足者體育鍛煉時間均無明顯變化.榦預組膳食結構改善,而對照組無顯著變化.榦預組中高血壓病患者平均收縮壓、糖尿病患者平均空腹血糖值、超重和肥胖者平均體重指數下降,且差異均有統計學意義(P<0.05),而對照組中上述指標均無明顯變化.兩組高膽固醇血癥患者血清總膽固醇水平均無明顯變化.榦預組第6箇月時退齣率為6.7%.結論 基于網絡的健康管理服務可以有效地幫助改善部分健康相關行為,併有助于高血壓病、糖尿病及超重和肥胖的控製.
목적 평개기우망락적행위화생활방식간예적효과급가행성.방법 68l례대상수궤분위간예조(n=341)화대조조(n=340).간예조매월등록망참.연구인원통과전자유건급료천실등매월독촉관리대상체교건강일지,제공개인건강관리계화이급유계산궤자동생성적개체화적건강개선건의,병해답관리대상제출적건강상관문제.대조조접수상규의료복무.채용의향성처리분석,비교량조간예전급제6개월시상관행위화생활방식급체검지표,병진행조간비교.결과 제6개월시,간예조화대조조중흡연자계연솔분별위23.6%화4.6%(x2=22.4,P<0.05);량조과량음주자평균매일주정섭입량분별감소28.6 g화6.1 g(t=14.9,P<0.05).량조체력활동불족자체육단련시간균무명현변화.간예조선식결구개선,이대조조무현저변화.간예조중고혈압병환자평균수축압、당뇨병환자평균공복혈당치、초중화비반자평균체중지수하강,차차이균유통계학의의(P<0.05),이대조조중상술지표균무명현변화.량조고담고순혈증환자혈청총담고순수평균무명현변화.간예조제6개월시퇴출솔위6.7%.결론 기우망락적건강관리복무가이유효지방조개선부분건강상관행위,병유조우고혈압병、당뇨병급초중화비반적공제.
Objective To evaluate the effectiveness and feasibility of web-based lifestyle Or behavior intervention on Chinese urban adults.Methods Six hundred and eighty-one adult subjects were rand omly assigned to the intervention group (n=341) or the control group (n=340).The intervention group was encouraged to visit a specified interactive web site at 1east once a month to submit self-report health diaries.and provided with individualized health promotion instructions and tailored counseling at the chat room or through email.The control group received routine medical services.The primary outcomes were changes in cigarette smoking,alcohol consumption,fruit or vegetable intake,and physical exercise duration at 6 month from baseline.Intention-to-treat method was used for data analysis.Results At 6 month,smoking cessation rate was 23.6% in intervention group and 4.6% in control group (X2=22.4,P<0.05),and daily alcohol consumption decreased by 28.6 g in intervention group compared to 6.1 g in control group (t=14.9.P<0.05).There Was no significant change in physical exercise duration for those with sub-optimal physical activities between the two groups.In contrast to the control group.mean systolic blood pressure,fasting blood glucose,and body mass index of the hypertensive,diabetic,or overweight/obese subjects in the intervention group showed statistically significant decrease.There was no significant change in serum cholesterol level for the participants with hypercholestemlemia in both groups.The attrition rate was 6.7% in the intervention group.Conclusion Web-based health management services may be helpful in promoting healthy lifestyle and behavior and enhancing the care of chronic conditions including hypertension,diabetes,overweight and obese.
