CAJ | 학술논문

目的评价家庭干预式健康管理对代谢综合征(MS)患者的干预效果。方法从健康体检人群中筛查出MS患者60例,随机分为家庭干预式健康管理组31例和对照组29例。测定基线和强化家庭干预1年后MS相关测量参数和生化指标,并进行健康知信行评估。结果干预组在强化家庭干预1年后,体重指数、收缩压、舒张压、甘油三酯、高密度脂蛋白、空腹血糖分别为(23.1±1.3)Kg/m2、(118.4±10.9)mmHg、(78.0±6.5)mmHg、(1.78±0.97)mmol/L、(1.78±0.29)mmol/L、(5.33±0.66 mmol/L,与干预前相比除舒张压外(=0.153),其他均显著下降(<0.01)。此外,治疗组与对照组相比上述生化指标也有显著下降(<0.01)。结论对MS患者实施家庭干预式健康管理后,能够获得体重指数下降、改善MS相关危险因素的指标,对提高MS的控制率有积极作用。
목적평개가정간예식건강관리대대사종합정(MS)환자적간예효과。방법종건강체검인군중사사출MS환자60례,수궤분위가정간예식건강관리조31례화대조조29례。측정기선화강화가정간예1년후MS상관측량삼수화생화지표,병진행건강지신행평고。결과간예조재강화가정간예1년후,체중지수、수축압、서장압、감유삼지、고밀도지단백、공복혈당분별위(23.1±1.3)Kg/m2、(118.4±10.9)mmHg、(78.0±6.5)mmHg、(1.78±0.97)mmol/L、(1.78±0.29)mmol/L、(5.33±0.66 mmol/L,여간예전상비제서장압외(=0.153),기타균현저하강(<0.01)。차외,치료조여대조조상비상술생화지표야유현저하강(<0.01)。결론대MS환자실시가정간예식건강관리후,능구획득체중지수하강、개선MS상관위험인소적지표,대제고MS적공제솔유적겁작용。
Objective To assess the ef ects of family intervention on patients with metabolic syndrome (MS). Methods 60 patients with MS were randomly divided into intervention group (n=31) and control group (n=29). MS-related parameters and biochemical markers were measured before and after the treatment. The knowledge, at itude and practice rate was also assessed. Results After 1 year of family intervention, the treatment group got BWI, SBP, DBP, TG, HDL-C and FPG of (23.1±1.3)kg/m2, (118.4±10.9)mmHg, (78.0±6.5)mmHg, (1.78±0.97)mmol/L, (1.78±0.29)mmol/L, (5.33±0.66)mmol/L , which were obviously decreased compared to control group ( <0.01) except DBP ( =0.153). Conclusion MS patients could benefit from family intervention in health management, which presents as decrease in BWI and other MS-related risk factors. The family intervention is ef ective in MS control.