论文部分内容阅读
目的分析社区糖尿病前期人群对健康行为干预的依从性及影响因素。方法以285人重庆社区糖尿病前期患者为对象,进行行为干预。通过定量和定性研究观察其1年后行为依从性程度、干预效果及依从性的正性和负性影响因素。结果被干预1年后,258人(92%)完成干预过程及追踪。其中,高度依从组116人(45%),中度依从组有101人(39%),低度依从组有41人(16%);125人(48.45%)血糖转归为正常。其中高度依从组69人(59.48%),中度依从组47人(46.53%),低度依从组9人(21.95%)。各组间血糖转归频率的差异具有统计学意义(χ~2=19.067,P<0.001)。多因素Logistics回归分析显示年龄、职业状态与依从性有关联(P<0.05);定性研究的结果显示,干预对象的自我健康意识强、干预平台的团队归属感以及干预信息的力度(权威性、先进性、发布频率)是促进依从性的主要因素;而对干预任务的认识不明确,缺乏耐心、不利的环境因素、短视行为是依从性的负性因素。结论行为干预的依从性是干预效果的重要环节;结合社区人群的特点,注重主观健康意识建立、增强自身管理能力、增加干预项目的团队趣味性活动是值得进一步探索的提高社区人群依从性的措施。
Objective To analyze the compliance and influence factors of healthy behavior intervention in pre-diabetic population. Methods 285 patients with pre-diabetes in Chongqing community as the object, behavioral intervention. Quantitative and qualitative studies were conducted to observe the degree of behavioral compliance, the effects of intervention and the positive and negative factors of compliance after one year. One year after the intervention, 258 (92%) completed the intervention and traced. Among them, 116 (45%) were in the highly compliant group, 101 (39%) in the moderate compliance group and 41 (16%) in the low compliance group; and 125 (48.45%) had normal blood glucose. Among them, 69 (59.48%) were in highly compliant group, 47 (46.53%) in moderate compliance group and 9 (21.95%) in low compliance group. The frequency of blood glucose in each group was statistically significant (χ ~ 2 = 19.067, P <0.001). Multi-factor Logistic regression analysis showed that age, occupational status and compliance were correlated (P <0.05). The results of qualitative research showed that the self-health awareness of the intervention subjects was strong, the team sense of belonging to the intervention platform and the intensity of intervention information (authority, Advancement, frequency of release) is the main factor to promote compliance; but the understanding of intervention tasks is not clear, lack of patience, adverse environmental factors, short-sighted behavior is the negative factor of compliance. Conclusion The compliance of behavioral intervention is an important part of the intervention effect. Combining with the characteristics of community population, paying attention to the establishment of subjective health awareness, enhancing self-management ability and increasing team fun activities of intervention projects are measures that should be further explored to improve community compliance .