健康教育对高脂血症患者改变不良生活方式服药依从性的影响.docVIP

健康教育对高脂血症患者改变不良生活方式服药依从性的影响 【摘要】目的探讨健康教育对高脂血症患者改变不良生活方式服药依从性的影响。方法将112例入院治疗的高脂血症患者随机分为健康教育联合用降脂药组（健康教育组）及单用降脂药治疗组（对照组）各56例，分别于入院和出院时进行相关知识及治疗问卷（ITAQ）及服药依从性评定，并对两组临床疗效痊愈+显著进步以上的患者进行为期两年的随访。结果入院时两组间比较，差异无显著性（P＞0.05）,但出院时健康教育组明显高于对照组（P＜0.01）。入院时服药依从性两组间比较无显著性（P＞0.05），但出院时健康教育组服药依从性改善明显优于对照组（P＜0.01），两年内，健康教育组显著改变其不良生活方式。结论健康教育有助于高脂血症患者的治疗。 【关键词】 健康教育 高脂血症 不良生活方式 服药依从性 Effects of healthy education on hyperlipidemia patients who changed the unhealthy life style and drug compliance XU Hui,WANG Lu-lu,WANG Xiao-jing.Clinic Combined Therapeutic Office,Cardiac Diagnostic and Therapeutic Center,The First Affiliated Hospital of Jilin University，Changchun 130021,China ［Abstract］ Objective To study effects of healthy education on hyperlipidemia patients who changed the unhealthy life style and drug compliance.Methods 112 hyperlipidemia patients were randomly divided into two groups: healthy education combined with hypolipidemic drug group and hypolipidemic drug alone group （control group）,respectively evaluated ITAQ and drug compliance during admission and discharge,followed up the patients of two groups who got significantly improved for two years.Results There were no significant distinction between two groups when admission（P＞0.05）,while healthy education group improved significantly than control group when discharge （P＜0.01）.There were no significant distinction between two groups in drug compliance when admission（P＞0.05）,drug compliance of healthy education group improved significantly than that of control group when discharge （P＜0.01）.In two years the healthy education group changed unhealthy life style significantly.Conclusion Healthy education contributed to the therapy of hyperlipidemia patients. ［Key words］ healthy education；hyperlipidemia；unhealthy life style;drug compliance 高脂血症已成为心脑血管疾病的独立致病因素［1］，我国目前高脂血症患者已经上升到1.6亿，为了探讨如何对这个无声杀手能进行有效遏制，我们对接受健康教育的56例未接受健康教育的患者进行了对照，现将结果报告如下。 1 对象与方法 1.1 对象 选取2001～2003年在我院连续就诊的住院高脂血症患者,同时具备以下条件:（1）胆固醇升高（CHOL）＞7.0 mmol/L;（2）混合型高