国际中文开源期刊平台

深圳罗湖长岭社康 9 例居民三个月健康管理心身参数前后对照观察

Comparison of Mental and Physical Parameters of 9 Residents of Changling Community Health Centre in Luohu, Shenzhen before and after Three-month Health Management

社会工作理论与实务 / 2020,2(3)：82-90 / 2020-07-29 788 1069

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• 作者： 欧佳¹      唐华丽¹      曾国清¹      崔梓天²      黄芊芊³      张珍¹      吴美红¹      钟红梅¹      闫安¹      潘星亮¹      明兰真¹⁴⁵⁶⁷⁸*     
• 单位：

  1．深圳市罗湖医院集团，深圳；
  2．深圳市龙岗区坪地中学，深圳；
  3．广州医科大学附属肿瘤医院，广州；
  4．河北省计划生育科学技术研究院，石家庄；
  5．国家卫生健康委员会计划生育与优生重点实验室，石家庄；
  6．河北省生殖医学重点实验室，石家庄；
  7．河北静亮健康管理有限公司，石家庄；
  8．石家庄市德耀职业培训学校，石家庄

• 关键词： 冥想；静观；正念健康教育；心身医学；社区公共卫生健康管理
• Meditation; In-position viewing; Mindful health education; Community public health
• 摘要： 通过对长岭社区 9 例居民三个月以正念冥想为核心的心身健康管理， 进行 SCL-90 量表以及血尿常规等生化体检前后对照，发现在居民中短期正规 心身健康管理，可以起到对健康危险因素早干预的作用。方法：（1）在长岭村 居民微信群中，提前一个月发布“三个月居民健康管理”信息，计划招募 30 人； （2）每周六上午 9:00 ～ 10:30，连续八周，在长岭股份公司活动室进行心身健 康训练；（3）分为四组，每组一个全科医生负责，每周一的上午，轮流给居民营养健康指导；（4）前后体检：血压、糖化血红蛋白、血尿常规、CRP、心电 图和 SCL-90 量表检查。结果：该研究一共招募 20 余人，居民 19 名，医务人员 4 名。其中 4 名医务人员未参与监测，19 名居民中有 10 人流失，最后有 9 名居 民完整采集资料。对 9 名居民进行血尿常规、CRP 等参数对照和 SCL-90 量表 对照。显示：（1）课题设计之初，以退休人员为主，考虑他们时间比较充裕， 结果却是 30—40 岁的人居多，而且非常踊跃。说明深圳这个年轻的城市，年轻 人更加重视健康，非常需要早期干预、早预防；（2）9 名居民的血压、血糖不 高，血尿常规及心电图基本正常，前后对照统计分析没意义；（3）SCL-90 量 表前后对照，使用配对样本 t 检验和非参数检验，均显示有统计学意义。讨论： （1）43.37% 的脱落率，说明在居民中开展公共卫生、健康管理，居民主动参与 的因素非常重要；（2）医护人员全程参与研究，说明全科医生团队的对该研究 重视度很高；（3）八周的正念冥想结合八段锦、站桩、跑颠以及营养饮食指导， 结合心身健康训练、指导，在社区疾病预防中有一定效果。
• Through the mental and physical health management of 9 residents in Changling community with mindfulness meditation as the core for three months, the SCL-90 scale and blood and urine routine and other biochemical physical examinations were compared before and after, and it was found that the short-term regular mental and physical health management in residents could play a role in the early intervention of health risk factors. Methods: (1) In the WeChat group of Changling village residents, the information of “three months of resident health management” was released one month in advance, and plan to recruite 30 people; (2) Every Saturday morning from 9:00 am to 10:30 am for eight consecutive weeks, mental and physical health training was performed in the activity room of Changling Joint-stock Company; (3) They were divided into four groups, one general practitioner was responsible for each group, and every Monday morning, nutrition and health guidance was given to residents in turn; (4) Compared Physical examination before and after: blood pressure, glycosylated hemoglobin, blood and urine routine, CRP, electrocardiogram and SCL-90 scale examination. Results: A total of more than 20 residents and 4 medical staff were recruited for the study. Four of the medical staff did not participate in the monitoring, 10 of the 19 residents were lost, and finally 9 residents had complete data collection. Nine residents were compared for parameters such as blood and urine routine, CRP and SCL-90 scale. Shows: (1) The project was designed at the beginning for the retirees because of they had more time, but the results was that majority of people aged 30 to 40 years were very enthusiastic. It shows that in this young city of Shenzhen, young people pay more attention to health and need early intervention and early prevention; (2) The blood pressure, blood glucose, blood and urine routine and ECG of 9 residents were basically normal, and there was no significant difference in statistical analysis before and after; (3) SCL-90 scale before and after control, using paired sample t-test and non-parametric test, showed statistical significance. Discussion: (1) 43.37% dropout rate, indicating that it is very important to carry out public health and health management among residents, and the factors of active participation of residents; (2) Health care workers participated in the study throughout, indicating that the general practitioner team attached high importance to the study; (3) Eight weeks of mindfulness meditation combined with Baduanjin, standing pile, running and nutritional dietary guidance, combined with mental and physical health training and guidance, in the prevention of community diseases have a certain effect.
• DOI： https://doi.org/10.35534/tpsw.0203012
• 引用： 欧佳，唐华丽，曾国清，等．深圳罗湖长岭社康 9 例居民三个月健康管理心身参数前后对照观察［J］．社会工作理论与实务，2020，2（3）：82-90．
  https://doi.org/10.35534/tpsw.0203012