Yang Yan, Tian Cui-Huan, Cao Juan, Huang Xue-Jie
Health Management Center, QiLu Hospital of Shandong University.
School of Medicine, Shandong University, Jinan, China.
Medicine (Baltimore). 2019 Aug;98(33):e16847. doi: 10.1097/MD.0000000000016847.
The aim of the present study was to explore the application and its effect of mobile medical treatment to chronic disease health management in physical examination population, and to provide references for comprehensive intervention and management of chronic diseases.From January to December 2016, 300 medical examiners in a general hospital health management center were randomly divided into health management group (155 cases) and control group (145 cases). The control group completed routine physical examination and health-risk assessment and provided corresponding reports, repeated annual physical examination and health-risks assessment. In addition to the routine physical examination and health-risk assessment, the health management group reminded the examiners to pay attention to their lifestyle and dietary habits by moving online and offline dynamic health interventions and provide targeted guidance for high-risk population such as diabetes, obesity, hypertension, etc. A review was made after 2 years. The clinical indexes and chronic disease behavior of patients before and after management were compared, and the effect was evaluated by statistical analysis.After management, all the clinical indexes were significantly improved, and the patients' dietary structure, bad living habits, psychologic state, and other chronic disease behaviors were obviously improved. The proportion of patients with high risk of hypertension, diabetes, and obesity in health management group was significantly lower than that before intervention and control group (P < .05).Using mobile network online, offline dynamic health intervention model can reduce the risk of common chronic diseases in health management objects, this health management model of chronic disease is worth popularizing.
本研究旨在探讨移动医疗在体检人群慢性病健康管理中的应用及其效果，为慢性病的综合干预与管理提供参考。2016年1月至12月，某综合医院健康管理中心的300名体检者被随机分为健康管理组（155例）和对照组（145例）。对照组完成常规体检和健康风险评估并提供相应报告，每年重复进行体检和健康风险评估。健康管理组除进行常规体检和健康风险评估外，通过线上线下动态健康干预提醒体检者关注生活方式和饮食习惯，并为糖尿病、肥胖、高血压等高风险人群提供针对性指导。2年后进行回顾。比较管理前后患者的临床指标和慢性病行为，并通过统计分析评估效果。管理后，所有临床指标均显著改善，患者的饮食结构、不良生活习惯、心理状态等慢性病行为明显改善。健康管理组高血压、糖尿病和肥胖高风险患者的比例显著低于干预前及对照组（P<0.05）。采用移动网络线上线下动态健康干预模式可降低健康管理对象常见慢性病的风险，这种慢性病健康管理模式值得推广。
