本刊首页 > 期刊目次 > 微观健康管理改善离退休老年高血压患者居家饮食不良习惯的效果分析

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微观健康管理改善离退休老年高血压患者居家饮食不良习惯的效果分析

  • 刘红兵,王慧敏,罗群

* 通信作者: 王慧敏, 单位:广西医科大学第一附属医院 530021

摘要


目的 探讨微观健康管理对离退休老干部居家饮食不良习惯的改善效果。

方法 对 39例离退休老年高血压患者及其家属应用微观健康管理步骤,以“中国老年人平衡膳食宝塔”指导进行居家善食干预。3个月后评价居家饮食状况、患者血压、体质指数、腰围和血脂的变化。

结果 管理干预三个月后,39例患者对蔬菜、水果、奶类及奶制品的摄入增加,对烹调油、食盐和畜肉的摄入减少;同时血压均值明显下降:收缩压均值下降了10.31mmHg,舒张压均值下降了3.36mmHg,脉压均值下降了6.95mmHg,总胆固醇、低密度脂蛋白胆固醇 、甘油三酯下降,干预前后差异有统计学意义(P<0.05)。

结论 微观健康管理不仅可以持续强化老年患者对不良饮食习惯的认识,改善不良饮食行为对疾病的影响,同时教给他们一套自我管理和保健的

方法,优化其饮食方式。

关键词:【关键词】老年人;健康管理;膳食干预;居家

ABSTRACT

【 abstract 】
Objective To investigate the effect of health micromanagement to improve improper eating habits of retired cadres living at home.

Methods 39 retired cadres with hypertension and their family members were applied with steps of health micromanagement, under the guidance of "The Chinese Old People Balanced Diet Pagoda" to conduct dietary intervention at home. After three months, evaluate the dietary status at home, the patients' blood pressure, body mass index, waistline and the change of blood lipid.

Results Three months after intervention of micromanagement, 39 patients increased intake of vegetables, fruits, milk and milk products, cooking oil, salt, and meat intake were reduced. At the same time, the mean blood pressure significantly decreased: the mean systolic blood pressure decreased by 10.31 mmHg, average diastolic blood pressure dropped by 3.36 mmHg, mean value of pulse pressure fell by 6.95 mmHg. Total cholesterol, low-density lipoprotein cholesterol, triglycerides, dropped. There was statistical significance before and after the intervention (P < 0.05).

Conclusion   Health micromanagement could not only continue to strengthen the elderly patients with understanding of improper eating habits but also improve the influence on diseases of improper eating behavior, at the same time, teach them a set of self-management and care methods, optimize their diet.

Key words: 【 key words 】 The Elderly Patients; Health Management; Dietary Intervention; Living at Home

引用本文 / How to Cite This Article

刘红兵,王慧敏,罗群.微观健康管理改善离退休老年高血压患者居家饮食不良习惯的效果分析[J]. 国际精神病学杂志, , (): -

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