Meland E, Laerum E, Ulvik R J
Department of Public Health and Primary Health Care, University of Bergen, Norway.
Scand J Prim Health Care. 1997 Mar;15(1):57-64. doi: 10.3109/02813439709043432.
Risk factor changes were evaluated in 110 men with high coronary heart disease risk attending a one year intervention study in general practice. The 22 participating general practice centres were randomly allocated to follow either a patient-centred, self-directive intervention or a conventional approach.
No significant between-group differences were found in any single risk factor or in the combined risk of coronary heart disease. The improvement of total risk from screening time to conclusion of the study corresponded with changes of relative risks of CHD to 0.64 (95% CI: 0.54-0.77) and 0.65 (0.54-0.77) in the patient-centred, self-directive and the conventional care group respectively (p < 0.0001 in both groups).
Everyday general practice clinical work seems as efficacious as a specific intervention method based on currently advocated behaviour change principles.
对110名冠心病高风险男性进行了为期一年的全科医疗干预研究，评估其危险因素变化。22个参与的全科医疗中心被随机分配，分别采用以患者为中心的自我指导干预或传统方法。
在任何单一危险因素或冠心病综合风险方面，两组之间均未发现显著差异。从筛查时到研究结束，总风险的改善与冠心病相对风险的变化相对应，在以患者为中心的自我指导组和传统护理组中，分别为0.64（95%可信区间：0.54 - 0.77）和0.65（0.54 - 0.77）（两组p均<0.0001）。
日常全科医疗临床工作似乎与基于当前倡导的行为改变原则的特定干预方法一样有效。
