PDF(Pubmed)
Abstract：
Excess weight and obesity have high prevalence rates globally and are associated with significant morbidity and mortality rates. In the wake of the COVID-19 pandemic, telehealth emerged as an effective tool for promoting healthy behaviours in the management of chronic conditions. This study employed a three-month quasi-experimental design with pre- and post-intervention measurements, assessing the progress of 82 adults assigned either to an intervention group (IG) or a control group (CG). A total of 66 participants completed the study, with 33 in each group. The IG had access to a telehealth-based platform providing educational content on healthy lifestyle habits and were followed up both in-person and remotely. The CG were monitored as usual, i.e., at their primary care nurses\' discretion. The IG exhibited a statistically significant reduction in weight, BMI, and abdominal circumference, along with improved adherence to a heart-healthy diet, specifically the Mediterranean diet, and higher levels of physical activity. The nurse-led intervention (Care4US+), utilising telehealth from primary care, has proven effective in enhancing healthy behaviours and reducing cardiovascular risk factors.
摘要：
超重和肥胖在全球范围内具有很高的患病率,并且与显著的发病率和死亡率相关。在COVID-19大流行之后，远程健康成为在慢性病管理中促进健康行为的有效工具。这项研究采用了为期三个月的准实验设计，并进行了干预前后的测量，评估分配到干预组(IG)或对照组(CG)的82名成年人的进展。共有66名参与者完成了这项研究，每组33人。IG可以访问基于远程医疗的平台，提供有关健康生活习惯的教育内容，并进行了亲自和远程跟进。像往常一样监测CG，即，在他们的初级保健护士的自由裁量权。IG表现出统计学上显著的体重减轻，BMI,和腹围，随着对心脏健康饮食的坚持，特别是地中海饮食，和更高水平的体力活动。护士主导的干预（Care4US+），利用初级保健的远程医疗，已被证明在增强健康行为和减少心血管危险因素方面有效。
