老年人为中心的整合式健康管理模式对多重生活方式行为的影响：来自中国的一项随机对照试验。
The effect of older-person centered and integrated health management model on multiple lifestyle behaviors: A randomized controlled trial from China.
机构信息
Key Laboratory of Environmental Medicine Engineering of Ministry of Education, Department of Medical Insurance, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
Department of General Practice, Zhongda Hospital, Affiliated to Southeast University, Nanjing, Jiangsu, China.
出版信息
Arch Gerontol Geriatr. 2018 Nov-Dec;79:45-51. doi: 10.1016/j.archger.2018.07.012. Epub 2018 Jul 20.
OBJECTIVE
To investigate the effectiveness of the older-centered Integrated Health Management Model Project (OPCHMP) for multiple lifestyle behaviours in the elderly.
METHODS
A 2-arm, parallel, randomized controlled trial was conducted in Nanjing. The elderly were recruited from multiple community health service centres. The intervention group was intervened and received a personalized, 2-year OPCHMP. The control group only received usual care. Adherence to healthy lifestyle behaviours (ATHLBS) is the primary outcome, obtained through a self-reported composite health behaviour score. The secondary outcomes were health indicators. General estimating equation models were performed to analyse longitudinal dichotomous data and continuous data.
RESULTS
637 (intervention = 323; control = 314) participants were included in the study. The participants mean age was 70.53 ± 6.07 years. Significant ATHLBS correction was achieved after 24-month follow-up in the intervention group, comparing to controls. And the intervention group reported significantly better health indicators.
CONCLUSION
OPCHMP had positive effect on multiple lifestyle habits in elderly population, which is very encouraging.
目的
研究以老年人为中心的综合健康管理模式项目（OPCHMP）对老年人多种生活方式行为的有效性。
方法
采用 2 臂、平行、随机对照试验，在南京进行。老年人从多个社区卫生服务中心招募。干预组接受干预并接受个性化的、为期 2 年的 OPCHMP。对照组仅接受常规护理。健康生活方式行为的依从性（ATHLBS）是主要结果，通过自我报告的综合健康行为评分获得。次要结果是健康指标。使用一般估计方程模型分析纵向二分类数据和连续数据。
结果
共有 637 名（干预组 323 名；对照组 314 名）参与者纳入研究。参与者的平均年龄为 70.53±6.07 岁。在 24 个月随访后，干预组的 ATHLBS 明显改善，与对照组相比。并且干预组报告的健康指标明显更好。
结论
OPCHMP 对老年人群的多种生活习惯有积极影响，这非常令人鼓舞。
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