Ryu Hosihn, Jung Jiyeon, Cho Jeonghyun, Chin Dal Lae
College of Nursing, Korea University, Seoul 02841, Korea.
Department of Nursing, Inje University, Busan 47392, Korea.
Int J Environ Res Public Health. 2017 Aug 4;14(8):878. doi: 10.3390/ijerph14080878.
This paper aims to develop and analyze the effects of a socio-ecological model-based intervention program for preventing metabolic syndrome (MetS) among office workers. The intervention program was developed using regular health examinations, a "health behavior and need" assessment survey among workers, and a focus group study. According to the type of intervention, subjects took part in three groups: health education via an intranet-based web magazine (Group 1), self-monitoring with the U-health system (Group 2), and the target population who received intensive intervention (Group 3). The intervention programs of Group 1 and Group 2, which relied on voluntary participation, did not show significant effects. In Group 3, which relied on targeted and proactive programs, showed a decrease in waist circumference and in fasting glucose ( < 0.001). The MetS score in both males (-0.61 ± 3.35 versus -2.32 ± 2.55, = 0.001) and females (-3.99 ± 2.05 versus -5.50 ± 2.19, = 0.028) also showed a statistically significant decrease. In light of the effectiveness of the intensive intervention strategy for metabolic syndrome prevention among workers used in this study, companies should establish targeted and proactive health care programs rather than providing a healthcare system that is dependent on an individual's voluntary participation.
本文旨在开发并分析基于社会生态模型的干预项目对预防上班族代谢综合征(MetS)的效果。该干预项目是通过定期健康检查、针对员工的“健康行为与需求”评估调查以及焦点小组研究来制定的。根据干预类型,受试者被分为三组:通过基于企业内部网的网络杂志进行健康教育(第1组)、使用U健康系统进行自我监测(第2组)以及接受强化干预的目标人群(第3组)。第1组和第2组的干预项目依赖自愿参与,未显示出显著效果。在依赖有针对性的主动项目的第3组中,腰围和空腹血糖有所下降(<0.001)。男性(-0.61±3.35对-2.32±2.55,=0.001)和女性(-3.99±2.05对-5.50±2.19,=0.028)的代谢综合征得分也显示出统计学上的显著下降。鉴于本研究中使用的强化干预策略对预防上班族代谢综合征的有效性,公司应制定有针对性的主动医疗保健项目,而不是提供依赖个人自愿参与的医疗保健系统。