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目的探讨“互联网+”健康管理在非酒精性脂肪肝大学生患者中的应用效果。方法 2014年9-11月选取2014级入学体检的非酒精性脂肪肝患者120例,进行随机分组各60例,干预组通过“互联网+”健康管理的线上线下结合干预方式通过网络平台如微博、QQ群、微信等方式给予患者专业的管理和指导,并联合“健康促进志愿者”线下对患者开展运动和饮食指导,1年后统计患者的健康行为和身体状况。结果干预1年后,“互联网+”健康管理组31例NAFLD患者肝脏B超检查干预有效,而对照组仅13例干预有效,干预组患者B超检查治疗效果优于对照组,差异有统计学意义(χ~2=11.63,P=0.000);在体质指数及血脂检测各项结果表明,两组患者干预1年后BMI、TG、TC、LDL-C各观察指标较干预前均降低,而传统健康管理模式差异无统计学意义(P>0.05);“互联网+”健康管理模式差异均有统计学意义(TBMI=2.845,TTG=2.145,TTC=2.960,TLDL-C=2.107,且均P<0.05),仅HLD-C变化上差异不明显(THDL-C=1.857,P>0.05)。在健康行为方面,传统健康管理模式只对患者的饮食习惯有改善,且具有统计学差异(χ~2=4.09,P<0.05),而在运动及生活方面变化不大;而经过“互联网+”健康管理模式干预后患者在运动、饮食和生活方式三方面均有变化(χ_(运动)~2=38.58,χ_(饮食)~2=56.05,χ_(生活)~2=49.69,均P<0.05);结论通过线上线下结合的“互联网+”健康管理的干预措施能够帮助患者养成良好的健康行为,改善患者的脂肪肝病情。
Objective To explore the application of “Internet + ” health management in patients with non-alcoholic fatty liver disease. Methods From September to November 2014, 120 patients with non-alcoholic fatty liver disease who were enrolled for 2014 examination were selected and randomly divided into 60 cases. The intervention group passed the online and offline intervention of “Internet +” health management through network platform Such as Weibo, QQ group, WeChat and other ways to give patients professional management and guidance, and joint “Health Promotion Volunteers ” line to carry out exercise and diet guidance to patients, one year after the statistics of patients’ health behavior and physical condition. Results One year after the intervention, liver biopsy was effective in 31 NAFLD patients in the “Internet +” health management group, while only 13 patients in the control group were effective. The treatment effect of B-ultrasound in the intervention group was better than that in the control group, with a significant difference Statistical significance (χ ~ 2 = 11.63, P = 0.000). The results of body mass index and blood lipid test showed that the indexes of BMI, TG, TC and LDL-C in two groups were all lower than those before intervention , While there was no significant difference between the traditional health management modes (P> 0.05). There were significant differences in the Internet + health management mode (TBMI = 2.845, TTG = 2.145, TTC = 2.960, TLDL-C = 2.107 , All P <0.05). There was no significant difference in HLD-C only (THDL-C = 1.857, P> 0.05). In terms of health behaviors, the traditional health management model only improved the patients’ eating habits with statistical difference (χ ~ 2 = 4.09, P <0.05), but little changed in exercise and life; while after the "Internet (2) 38.58, χ_ (diet) ~ 2 = 56.05, χ_ (life) ~ 2 = 49.69, all of which were in the aspects of exercise, diet and lifestyle P <0.05) .Conclusion Interventions for online and offline health management can help patients develop good health behaviors and improve their fatty liver disease.