Objective To study the effect of motivational interview on health education to patients with diabetes.Methods Fifty patients with diabetes were randomly divided into the control group and the intervention group by using random digit table.The control group was given routine health education and the latter motivational interview.The two groups were compared in terms of self-efficacy and fasting blood sugar and glycated hemoglobin indexes.Result The self-efficacy,fasting blood sugar and glycated hemoglobin indexes in the intervention group were all better than those of the control group(P<0.01).Conclusion Motivational interview can effectively improve the patients’self-efficacy,do good for controling blood sugar level and meanwhile improve the quality of health education.

BACKGROUNDTo evaluate the diagnostic values of multiple tumor marker protein biochip detective system for lung cancer.

METHODSThe serum levels of 12 tumor markers, including CA199, NSE, CEA, CA242, CA125, CA153, AFP, ferritin, free-PSA, PSA, β-HCG and HGH, were measured in 108 lung cancer patients, 48 patients with benign pulmonary lesion and 145 healthy by the detective system.

RESULTSThe positive rates were 83.33% (90/108), 52.08% (25/48) and 28.97% (42/145) in lung cancer, benign pulmonary lesion and healthy groups, respectively. The lung cancer group had significantly higher positive rate than that of the controls (Chi-Square=16.75 and 73.32, both P < 0.001); There was significant difference of positive rate in various clinical stages of lung cancer (Chi-Square=7.89, P=0.048), but not in different pathologic classification. Serum CA199, CEA and CA242 levels were closely correlated with clinical staging (F=2.84, P=0.041; F= 3.49, P=0.018; F =5.22, P=0.002). The positive rate of CEA in adenocarcinoma was higher, but no significant difference was observed (Chi-Square=0.71, P=0.07). NSE in small cell lung cancer had the highest positive rate (Chi-Square=19.03, P < 0.001). Combined measurement of the twelve markers had higher sensitivity (Chi-Square= 368.58, P < 0.001), but less specificity (Chi-Square= 369.87, P < 0.001).

CONCLUSIONSCombined measurement of various serum tumor markers using protein biochip can significantly increase the diagnostic sensitivity for lung cancer. Meanwhile, it is also significant for defining clinical stage, identificating pathologic classification, as well as monitoring therapeutic efficacy. As its specificity and positive predictive value are lower, it is more suitable to be used as a surveying tool for symptomless people, especially for high risk people for lung cancer.

Objective To investigate and analyze the health-promoting lifestyle and its influencing factors in patients with impaired glucose tolerance ( IGT) in Shenzhen, to provide scientific basis for preventing and controlling the occurrence and development of IGT.Methods By using the convenience sample method, a total of 90 patients who were diagnosed with IGT during medical examination in VIP&Health Center from January to June 2015 were investigated with health-promoting lifestyle profile ( HPLP) and general information profile.Results The total score of lifestyle was (133.94±22.75) points, and the average score of total items was (2.58±0.44) points; differences of HPLP score in patients with different age, educational level, marriage, occupation, income and body mass index (BMI) were significant (χ2 = 3.017,2.220,3.529, 2. 341,2.341,3.017;P<0.01).Conclusions The health-promoting lifestyle of IGT patients was in a good level, IGT patients who are <45 years old, below college degree, enterprise managers, annual income≥250, 000 yuan, BMI≥25 kg/ m2, their HPLP level was rather lower, and they should develop good exercise habits, as well as prevent and control the occurrence and development of IGT and Type 2 Diabetes Mellitus, in order to reduce microvascular and macrovascular complications, and enhance their overall living quality.

Objective To investigate and analyze the blood uric acid level and the detection rate of hyperuricemia (HUA) and to discuss its related risk factors. Methods From January to December 2016, physical and biochemical examination were conducted to a total of 7 585 cases with health examination, which were selected by using cluster sampling method. We analyzed the detection rate in percentage and the related factors of HUA by applying Pearson test and Logistic regression. Results Detection rate of HUA in this group was 32.76%, with 32.88% males and 32.69% females. The average blood uric acid level presented (358.98±91.11) μmol/L, of which male was (368.25±91.11) μmol/L and female was (343.13±91.12) μmol/L. Positive correlation was shown between blood uric acid levels and systolic blood pressure, diastolic blood pressure, BMI, total cholesterol, triglyceride, low density lipoprotein(LDL-C)(P＜ 0.05), while negative correlation was revealed between blood uric acid levels and high density lipoprotein(HDL-C)in both males and females (P＜ 0.05). The independent risk factors of HUA were high systolic blood pressure, high triglyceride and low LDL-C, and the protective factor was high HDL-C. Conclusions Hyperuricemia is often associated with high systolic pressure, hypertriglyceridemia and low LDL-C. Attention should be paid when it comes to health interventions in people with elevated serum uric acid level.