中国全科医学2018，Vol.21Issue(8)：965-969,5.DOI:10.3969/j.issn.1007-9572.2017.00.257
解决导向电话干预对慢性病患者体质量风险管理的效果评价研究
Effect Evaluation of Telephone-based Solution-focused Interventions for the Management of Overweight and Obesity in Chronic Disease Residents
摘要
Abstract
Objective To evaluate the effect of telephone-based solution-focused interventions for the management of overweight and obesity in chronic disease residents,enriching the contents of health management services.Methods Sixty-eight Hangzhou chronic disease residents who received treatment in Gongshu District Xiaohehushu Street Community Health Service Center from May 2015 to April 2016 were included and divided into solution-focused group(36 cases receiving telephone-based solution-focused interventions) and health education group(32 cases receiving telephone-based health education) according to the random number table.Interventions of solution-focused group include behavioral change assessment,decision making,construction,and behavioral changes.The improvement in self-confidence in weight loss,dietary intake and physical exercising was assessed by the residents themselves at the end of 1,4,8,12,24 weeks of intervention.Before and after each intervention,body weight and weight circumference were measured,and BMI was calculated.Results Compared with the health education group,the improvement in self-confidence in weight loss,dietary intake and physical exercising scored much higher in the solution-focused group at the end of 8,12,24 weeks of intervention(P<0.05).In the solution-focused group, the 2nd,3rd,4th and 5th measurement scores of improvement in self-confidence in weight loss and dietary intake,as well as the 2nd,3rd,and 4th measurement scores of physical exercising improvement significantly increased successively with the prolongation of interventions(P<0.05).The 5th measurement scores of physical exercising improvement significantly increased successively compared with the 2nd,3rd(P<0.05).However,the health education group only demonstrated higher scores in physical exercising improvement at the last measurement compared with the 2nd measurement (P<0.05).Compared with before intervention,both groups demonstrated minor changes in body weight,BMI,and waist circumference after receiving intervention(P>0.05).Conclusion Compared with telephone-based health education,telephone-based solution-focused interventions could better improve the mental health and lifestyle of patients with chronic diseases.However,for the control of body weight,BMI and waist circumference,much longer intervention is needed.关键词
肥胖症/电话干预/减重/风险管理Key words
Obesity/Telephone imtervention/Weight loss/Risk management分类
医药卫生引用本文复制引用
许维娜,范为群,黄赞红..解决导向电话干预对慢性病患者体质量风险管理的效果评价研究[J].中国全科医学,2018,21(8):965-969,5.基金项目
杭州市科技发展计划重点专病专科项目(20150733Q47)——个体化健康管理创新策略与实效研究 （20150733Q47）
