系统性健康教育对具有代谢综合征危险因子的乙肝病毒携带者的影响

发布时间：2018-09-04 07:21

【摘要】：目的:针对具有代谢综合征危险因子的乙肝病毒携带者进行系统性健康教育,观察对人体测量指标、血生化值以及饮食习惯的成效。方法:选取139例乙肝病毒携带者,A组干预组46人接受12周的健康讲座、运动教导(每周3d健康运动)及个别营养调整,B组对照组96人,完成基本问卷及生化检查。结果:A组干预组的体重、身体质量指数、腰围、体脂率、血压、空腹血糖、血总胆固醇、血中LDL及总胆固醇/HDL比值都下降,差异具有统计学意义(P0.05)。而对照组较之前差异无统计学意义,但血总胆固醇值下降,差异具有统计学意义(P0.05)。在饮食习惯方面,干预组于对照组每公斤体重摄取的饮食脂肪量均减少,差异具有统计学意义(P0.05);系统性健康教育后干预组的饮食行为总分为(51.7±6.1)高于之前(39.2±6.2),差异具有统计学意义(t=8.5870,P0.001)。结论:经过系统性健康教育干预乙肝病毒携带者不仅增加营养认知,也可以改善饮食习惯,改善人体测量指标及血脂量。
[Abstract]:Objective: to study the effect of systemic health education on the body weight, blood biochemical value and diet habits of HBV carriers with metabolic syndrome risk factors. Methods: a total of 46 patients in group A of hepatitis B virus carriers received 12 weeks of health talks, and 96 patients in group B received exercise training (3 days a week) and control group B, and completed basic questionnaires and biochemical tests. Results the body weight, body mass index, waist circumference, body fat rate, blood pressure, fasting blood glucose, serum total cholesterol, blood LDL and the ratio of total cholesterol / HDL-C in the intervention group were significantly lower than those in the control group (P0.05). In the control group, there was no significant difference, but the blood total cholesterol decreased, the difference was statistically significant (P0.05). In terms of dietary habits, the dietary fat intake per kilogram of body weight in the intervention group decreased significantly (P0.05), and the total score of dietary behavior in the intervention group after systemic health education was (51.7 卤6.1) higher than that before (39.2 卤6.2), the difference was statistically significant (t 8.5870, P 0.001). Conclusion: the intervention of HBV carriers through systematic health education can not only increase nutritional cognition, but also improve diet habits, anthropometric indexes and blood lipids.
【作者单位】： 上海交通大学医学院附属瑞金医院感染科;上海交通大学医学院附属同仁医院内科;
【基金】：上海市卫生局科研课题专项基金,(编号:20124248)
【分类号】：R473.5
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本文编号：2221388