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目的:研究社区干预模式对代谢综合征(MS)的控制。方法:筛查出MS人群以社区为位随机分为干预社区和对照社区。从干预社区抽50人为干预组,从对照社区抽取50人为对照组,对干预组进行为期10个月的干预,对照组不采取任何措施。结果:干预前后MS患者知识、社区管理评分比较,差异有统计学意义(P<0.05)。MS患者知识、社区管理评分方面,干预组与对照组比较差异有统计学意义(P<0.05)。治疗后,两组MS患者血清IR指数、瘦素、与治疗前均有明显改善在统计学上有明显差异(P<0.05),治疗组在治疗后与对照组在统计学上有明显差异(P<0.05),根据简单相关分析(Spear相关分析)和多元逐步回归分析表瘦素与腰围、IR指数、TG呈明显正相关(P<0.05),社区管理评分和瘦素、腰围、IR指数、TG呈明显正相关(P<0.05),脂联素与腰围、IR指数、BP呈明显负相关(P<0.05)。结论:取社区干预模式能有效的提高社会干预对MS人群的健康知识、态度、行为水平,使MS知识知晓率、MS控制率明显改观,“治未病”思想的基础的健康教育和行为干预等综合干预能明显改善MS患者TNF-α、瘦素、脂联素水平,减少心脑血管意外,做好疾病的一级预防,提高整个社区的健康意识,打造一个健康和谐的社区。
OBJECTIVE: To study the control of metabolic syndrome (MS) by community intervention patterns. Methods: MS patients were screened out as community-based randomly divided into intervention community and control community. Fifty people from the intervention community were selected as the intervention group and 50 from the control community as the control group. The intervention group was given a 10-month intervention while the control group did not take any measures. Results: Before and after intervention, MS patients’ knowledge and community management scores were significantly different (P <0.05). MS patient knowledge, community management score, the intervention group and the control group, the difference was statistically significant (P <0.05). After treatment, the serum IR index and leptin in two groups of MS patients were significantly different from those before treatment (P <0.05), and there was a statistically significant difference between the treatment group and the control group after treatment (P <0.05). According to simple correlation analysis (Spear correlation analysis) and multiple stepwise regression analysis, there was a significant positive correlation between leptin and waist circumference, IR index and TG (P <0.05), community management score and leptin, waist circumference, , TG (P <0.05). Adiponectin was negatively correlated with waist circumference, IR index and BP (P <0.05). Conclusion: Taking the community intervention model can effectively improve the social intervention on MS population health knowledge, attitude, behavior level, so that awareness of MS knowledge, MS control rate significantly improved, “cure disease ” thinking based on the health education and Behavioral interventions such as comprehensive intervention can significantly improve the level of TNF-α, leptin and adiponectin in MS patients, reduce cardiovascular accident, do primary prevention of diseases, improve the health awareness of the whole community, and create a healthy and harmonious community.