Merrill Ray M, Aldana Steven G, Ellrodt Gray, Orsi Roberta, Grelle-Laramee Jenna
Department of Health Science, College of Health and Human Performance, Brigham Young University, Provo, Utah 84602, USA.
J Occup Environ Med. 2009 Sep;51(9):1024-31. doi: 10.1097/JOM.0b013e3181b11bb3.
To assess the effectiveness of the Berkshire Health System Cardiovascular Health Risk Reduction Program.
A within-group study design was conducted. Analyses were based on 502 employees who completed an initial and follow-up personal health risk assessment. One-on-one nurse coaching occurred, with referrals and recommendations based on screening results.
Clinically and statistically significant improvements occurred between initial and second screenings for individuals with high systolic blood pressure, high diastolic blood pressure, high total cholesterol, low high-density lipoprotein, high low-density lipoprotein, and high glucose. Decrease in body mass index for obese individuals was marginally insignificant. Improvements were also observed in exercise, pleasure doing things, and mental health. Improvement in mental health occurred primarily in women and among those aged <50 years.
The Berkshire Health System Program significantly improves cardiovascular health.
评估伯克希尔医疗系统心血管健康风险降低项目的有效性。
采用组内研究设计。分析基于502名完成了初始和后续个人健康风险评估的员工。进行一对一的护士指导,并根据筛查结果进行转诊和推荐。
对于收缩压高、舒张压高、总胆固醇高、高密度脂蛋白低、低密度脂蛋白高和血糖高的个体,在初次筛查和第二次筛查之间出现了临床和统计学上的显著改善。肥胖个体的体重指数下降幅度微乎其微。在运动、做事的愉悦感和心理健康方面也观察到了改善。心理健康的改善主要发生在女性和年龄<50岁的人群中。
伯克希尔医疗系统项目显著改善了心血管健康。