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目的通过家庭健康促进模式,探索对家庭成员,尤其是容易忽视自身健康的男性进行的家庭健康管理。方法项目组在广州市南沙区某镇6个村居开展了以家庭为单位的中老年男性生殖健康促进工作,采用整群抽样方法选取40岁以上中老年男性1 134人,建立家庭健康档案,开展生殖健康问卷调查、专科体检,对家庭成员进行健康评估、诊疗指导以及家庭成员日常护理等方面的健康教育。结果 140岁以上中老年男性中吸烟、饮酒、高嘌呤饮食人群比例较高,健康意识较差,缺乏对自我健康状况的正确评价及认识。2肥胖症、高血压、高血脂、尿酸异常人数比例较高。3通过培训基层工作人员,根据体检发现的疾病针对其家庭成员进行健康教育,普及家庭饮食健康理念,戒除危害生殖健康的不良生活习惯,家庭健康观念及相关知识知晓率均得到了提高。结论开展家庭生殖健康促进项目过程中应重视对家庭成员的健康教育。提高家庭成员间相互健康状况的了解和协作能力,对促进男性的健康管理具有重要的意义。
Objective To explore family health management for family members, especially those who can easily overlook their own health, through the family health promotion model. Methods The project team conducted reproductive health promotion for middle-aged and elderly men in 6 villages and towns in a town in Nansha District, Guangzhou City. A total of 1,134 middle-aged and elderly men over the age of 40 were selected by cluster sampling method to establish a family health record. Carry out health education on reproductive health questionnaire, specialist medical examination, health evaluation of family members, diagnosis and treatment guidance and daily nursing of family members. Results The proportion of smoking, drinking, high-purine diet in middle-aged and older men over 140 was higher, the health awareness was poor, and the correct evaluation and understanding of self-health were lacking. 2 obesity, hypertension, hyperlipidemia, a higher proportion of uric acid abnormalities. 3 Through the training of grass-roots staff, based on the physical examination found that the disease for their family members for health education, popularize the concept of family diet and health, to get rid of harmful habits that endanger reproductive health, family health concepts and related knowledge awareness have been increased. Conclusion The health education of family members should be emphasized in the development of family reproductive health promotion project. The ability to understand and collaborate on the mutual health status of family members is of great importance for the promotion of men’s health management.