S. Alhuwayfi, Abdulrahman Alwakeel, Ahmad Saud Alhuwayfi, Aram Alhuwayfi
{"title":"预防医学实践中基于社区的慢性病预防干预措施系统回顾:评论文章","authors":"S. Alhuwayfi, Abdulrahman Alwakeel, Ahmad Saud Alhuwayfi, Aram Alhuwayfi","doi":"10.21608/ejhm.2024.336533","DOIUrl":null,"url":null,"abstract":"Background: Community-based interventions are methodical endeavors carried out at the community level to elevate health status and mitigate risk factors. These interventions entail the collaboration of community members, local organizations, and medical professionals to foster awareness of health, facilitate modifications in behavior, and create conducive conditions. They frequently encompass a wide array of tactics, including educational programs, modifications in lifestyle, and alterations in the environment. Community-based interventions have a vital role in preventing chronic diseases in the realm of preventive medicine. Objective: This review article aimed to through the light on the importance of the community-based interventions for prevention of chronic diseases. Methods: The search was performed on scientific databases including the Cochrane Central Register of Controlled Trials (CENTRAL) of the Cochrane Library, Elsevier, National Library of Medicine (Pubmed), Frontiers, Research Gate, Scopus, Pubmed Central (PMC), and Google Scholar. The search for this article utilised many medical subject headings such as \"prevention,\" \"community-based intervention,\" \"chronic diseases and mortality,\" \"prevention of morbidity,\" \"education intervention and diabetes,\" and \"education in young adults,\" among others. The main strategies encompass health education and awareness campaigns, initiatives to promote physical activity, programs focused on nutrition, efforts to help individuals quit smoking, programs for screening and early detection, collaborations between communities, advocacy for policy changes and environmental modifications, social support programs, telehealth services and technology-based interventions, and customization based on cultural factors. English-language peer-reviewed research ensures the maintenance of academic rigor and comprehensive incorporation of intellectual contributions. The analysis incorporated research conducted between 2010 and 2023. Research conducted in languages other than English, for which translations are not available, was excluded. Conclusion: Evidence has shown that community-based therapies are successful in improving metabolic control, reducing diabetic secondary complications, and optimizing glycemic control in persons with Type 2 diabetes mellitus. Research has shown that peer support was successful in improving diabetes management and dietary behaviors, especially in geographically isolated regions. Research demonstrated that interventions implemented within communities proved to be efficacious in diminishing the prevalence of cardiovascular illnesses and managing hypertension. Nevertheless, these interventions encountered obstacles such as logistical, socio-cultural, sustainability and measurement and evaluation of difficulties that must be resolved to ensure their long-term viability and effectiveness.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"26 9","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Systemic Review of Community-Based Interventions for Preventing Chronic Diseases in Preventive Medicine Practice: Review Article\",\"authors\":\"S. Alhuwayfi, Abdulrahman Alwakeel, Ahmad Saud Alhuwayfi, Aram Alhuwayfi\",\"doi\":\"10.21608/ejhm.2024.336533\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Community-based interventions are methodical endeavors carried out at the community level to elevate health status and mitigate risk factors. These interventions entail the collaboration of community members, local organizations, and medical professionals to foster awareness of health, facilitate modifications in behavior, and create conducive conditions. They frequently encompass a wide array of tactics, including educational programs, modifications in lifestyle, and alterations in the environment. Community-based interventions have a vital role in preventing chronic diseases in the realm of preventive medicine. Objective: This review article aimed to through the light on the importance of the community-based interventions for prevention of chronic diseases. Methods: The search was performed on scientific databases including the Cochrane Central Register of Controlled Trials (CENTRAL) of the Cochrane Library, Elsevier, National Library of Medicine (Pubmed), Frontiers, Research Gate, Scopus, Pubmed Central (PMC), and Google Scholar. The search for this article utilised many medical subject headings such as \\\"prevention,\\\" \\\"community-based intervention,\\\" \\\"chronic diseases and mortality,\\\" \\\"prevention of morbidity,\\\" \\\"education intervention and diabetes,\\\" and \\\"education in young adults,\\\" among others. The main strategies encompass health education and awareness campaigns, initiatives to promote physical activity, programs focused on nutrition, efforts to help individuals quit smoking, programs for screening and early detection, collaborations between communities, advocacy for policy changes and environmental modifications, social support programs, telehealth services and technology-based interventions, and customization based on cultural factors. English-language peer-reviewed research ensures the maintenance of academic rigor and comprehensive incorporation of intellectual contributions. The analysis incorporated research conducted between 2010 and 2023. Research conducted in languages other than English, for which translations are not available, was excluded. Conclusion: Evidence has shown that community-based therapies are successful in improving metabolic control, reducing diabetic secondary complications, and optimizing glycemic control in persons with Type 2 diabetes mellitus. Research has shown that peer support was successful in improving diabetes management and dietary behaviors, especially in geographically isolated regions. Research demonstrated that interventions implemented within communities proved to be efficacious in diminishing the prevalence of cardiovascular illnesses and managing hypertension. Nevertheless, these interventions encountered obstacles such as logistical, socio-cultural, sustainability and measurement and evaluation of difficulties that must be resolved to ensure their long-term viability and effectiveness.\",\"PeriodicalId\":22467,\"journal\":{\"name\":\"The Egyptian Journal of Hospital Medicine\",\"volume\":\"26 9\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Egyptian Journal of Hospital Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21608/ejhm.2024.336533\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Egyptian Journal of Hospital Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/ejhm.2024.336533","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:社区干预是在社区一级开展的有条不紊的工作,目的是提高健康水平和减少风险因素。这些干预措施需要社区成员、地方组织和医疗专业人员的合作,以提高人们的健康意识,促进行为改变,并创造有利条件。这些干预措施通常包含一系列广泛的策略,包括教育计划、改变生活方式和改变环境。在预防医学领域,社区干预在预防慢性疾病方面发挥着至关重要的作用。目的:这篇综述文章旨在阐明社区干预对预防慢性疾病的重要性。研究方法在科学数据库中进行了搜索,包括 Cochrane 图书馆的 Cochrane Central Register of Controlled Trials (CENTRAL)、Elsevier、美国国家医学图书馆 (Pubmed)、Frontiers、Research Gate、Scopus、Pubmed Central (PMC) 和 Google Scholar。本文的搜索使用了许多医学主题词,如 "预防"、"社区干预"、"慢性病和死亡率"、"发病率预防"、"教育干预和糖尿病"、"青壮年教育 "等。主要策略包括健康教育和宣传活动、促进体育锻炼的举措、注重营养的计划、帮助个人戒烟的努力、筛查和早期检测计划、社区之间的合作、倡导政策变革和环境改造、社会支持计划、远程医疗服务和基于技术的干预措施,以及基于文化因素的定制。英文同行评审研究确保了学术的严谨性和智力贡献的全面性。分析纳入了 2010 年至 2023 年期间进行的研究。以英语以外的语言进行的研究,如没有翻译,则排除在外。结论有证据表明,社区疗法能成功改善 2 型糖尿病患者的代谢控制、减少糖尿病继发并发症并优化血糖控制。研究表明,同伴支持能成功改善糖尿病管理和饮食行为,尤其是在地理位置偏僻的地区。研究表明,在社区内实施的干预措施在降低心血管疾病发病率和控制高血压方面证明是有效的。然而,这些干预措施遇到了一些障碍,如后勤、社会文化、可持续性以及测量和评估方面的困难,必须加以解决,以确保其长期可行性和有效性。
Systemic Review of Community-Based Interventions for Preventing Chronic Diseases in Preventive Medicine Practice: Review Article
Background: Community-based interventions are methodical endeavors carried out at the community level to elevate health status and mitigate risk factors. These interventions entail the collaboration of community members, local organizations, and medical professionals to foster awareness of health, facilitate modifications in behavior, and create conducive conditions. They frequently encompass a wide array of tactics, including educational programs, modifications in lifestyle, and alterations in the environment. Community-based interventions have a vital role in preventing chronic diseases in the realm of preventive medicine. Objective: This review article aimed to through the light on the importance of the community-based interventions for prevention of chronic diseases. Methods: The search was performed on scientific databases including the Cochrane Central Register of Controlled Trials (CENTRAL) of the Cochrane Library, Elsevier, National Library of Medicine (Pubmed), Frontiers, Research Gate, Scopus, Pubmed Central (PMC), and Google Scholar. The search for this article utilised many medical subject headings such as "prevention," "community-based intervention," "chronic diseases and mortality," "prevention of morbidity," "education intervention and diabetes," and "education in young adults," among others. The main strategies encompass health education and awareness campaigns, initiatives to promote physical activity, programs focused on nutrition, efforts to help individuals quit smoking, programs for screening and early detection, collaborations between communities, advocacy for policy changes and environmental modifications, social support programs, telehealth services and technology-based interventions, and customization based on cultural factors. English-language peer-reviewed research ensures the maintenance of academic rigor and comprehensive incorporation of intellectual contributions. The analysis incorporated research conducted between 2010 and 2023. Research conducted in languages other than English, for which translations are not available, was excluded. Conclusion: Evidence has shown that community-based therapies are successful in improving metabolic control, reducing diabetic secondary complications, and optimizing glycemic control in persons with Type 2 diabetes mellitus. Research has shown that peer support was successful in improving diabetes management and dietary behaviors, especially in geographically isolated regions. Research demonstrated that interventions implemented within communities proved to be efficacious in diminishing the prevalence of cardiovascular illnesses and managing hypertension. Nevertheless, these interventions encountered obstacles such as logistical, socio-cultural, sustainability and measurement and evaluation of difficulties that must be resolved to ensure their long-term viability and effectiveness.