文章摘要

面对面报告解读对提高健康干预效果的影响

作者: 1,2王贞贞, 1,2张晨莉
1 上海交通大学医学院附属瑞金医院全科医学科,上海 200025
2 上海交通大学医学院附属瑞金医院特需医疗中心,上海 200025
通讯: 张晨莉 Email: zcl10678@rjh.com.cn
DOI: 10.3978/j.issn.2095-6959.2022.04.026

摘要

目的:通过分析面对面报告解读对提高健康干预效果的影响,加强相关体检及健康管理机构对于报告解读的重视。方法:回顾性分析了至少连续2次至上海交通大学医学院附属瑞金医院接受体检的健康受检者共689人,按是否接受面对面报告解读分为回复组(n=509)与非回复组(n=180),比较两组间可通过改变生活方式或是经过一定程度的医疗干预发生变化的医学指标,进而分析面对面报告解读对于健康干预效果的影响。结果:两组受检者在性别、年龄、身高、体重指数(body mass index,BMI)、受教育水平方面差异均没有统计学意义(P>0.05)。回复组在改善糖耐量异常、高三酰甘油血症、肝功能异常以及幽门螺杆菌的根除治疗方面存在明显优势(P<0.05);并且回复组糖耐量异常、肝内脂肪浸润、动脉粥样硬化以及高尿酸血症的新发病率明显低于未回复组(P<0.05)。结论:面对面报告解读有助于加强受检者的自我健康管理,对于提高健康体检干预效果具有一定的作用,可以在一定程度上降低医疗支出。
关键词: 面对面报告解读;健康体检;干预效果

Impact of face-to-face results explanation on improving the health intervention effect

Authors: 1,2WANG Zhenzhen, 1,2ZHANG Chenli
1 Departmemt of General Practice, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
2 VIP Health Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

CorrespondingAuthor: ZHANG Chenli Email: zcl10678@rjh.com.cn

DOI: 10.3978/j.issn.2095-6959.2022.04.026

Abstract

Objective: This paper means to awake the physical examination and health management organizations to pay more attention to the results explanation by analyzing the effectiveness of health intervention effect of face-to- face results explanation. Methods: We retrospectively analyzed 689 healthy subjects who have received at least two consecutive health examinations in the Shanghai Jiao Tong University School of Medicine affiliated Ruijin Hospital. The subjects were divided into a replied group (n=509) and a non-replied group (n=180) by whether or not receiving face-to-face results explanation. We compared the medical indexes which can be somehow influenced by life style improvement or medical intervention, so as to analyze the influence of face-to-face results explanation on health managing intervention. Results: We found no statistically significant differences between these two groups in sex, age, height, body mass index (BMI) and education level (P>0.05). The replied group showed more advantage in improving impaired glucose tolerance, hypertriglyceridemia, hepatic insufficiency and Helicobacter pylori eradication (P<0.05); the new morbidity of impaired glucose tolerance, intrahepatic fatty infiltration, atherosclerosis and hyperuricemia were significantly lower in the replied group than in the non-replied group (P<0.05). Conclusion: Face-to-face results explanation shows positive effect on improving health management intervention, which may strengthen the self-health management and reduce medical expenditure.
Keywords: face-to-face results explanation; health examination; health intervention effect