社区健康教育对高胆固醇血症患者干预作用.docVIP

社区健康教育对高胆固醇血症患者干预作用 　　摘 要 目的：探索社区健康教育对高胆固醇血症患者的干预作用。方法：选取社区高胆固醇血症患者356例，进行各种形式的健康教育，分析干预前后患者的生活行为、血脂和血压的变化。结果：干预后患者的忌口意识、睡眠、有效运动、沟通意识、药物依从性、主动学习医学常识以及不抽烟喝酒等行为方式较干预前均有明显的改善（P0.05）。干预后的总胆固醇（TC）、甘油三酯（TG）和低密度脂蛋白胆固醇（LDL-C）、舒张压、收缩压较干预前有明显的降低（P值分别为0.028，0.031，0.000，0.005，0.002）。干预后高胆固醇血症患者的HDL-C的平均值明显升高（P=0.015）。结论：社区健康教育有效地改善了高胆固醇血症患者的健康意识和身体状况。 　　关键词 社区健康教育 高胆固醇血症 干预 　　中图分类号：R589.2; R197.1 文献标识码：C 文章编号：1006-1533（2015）01-0036-03 　　Intervention of community health education in patients with hypercholesterolemia 　　XU Tai 　　（Beixinjing Community Health Service of Changning District， Shanghai 200335， China） 　　ABSTRACT Objective： To explore the intervention of community health education in patients with hypercholesterolemia. Methods： Three hundred and fifty-six patients with hypercholesterolemia in the community were selected and educated by health knowledge such as drug effect， traditional Chinese medicine， diet， exercise and psychological adjustment. Changes of life behavior， blood fat and blood pressure were compared before and after intervention. Results： After the intervention， life behavior such as diet， sleep， exercise， effective communication， medication compliance， active learning of medical knowledge and neither drinking nor smoking were significantly improved （Plt;0.05）， and the levels of total cholesterol （TC）， triglycerides （TG） and low-density lipoprotein cholesterol （LDL-C）， diastolic and systolic blood pressures were significantly lower after intervention than before （P = 0.028， 0.031， 0.000， 0.005， 0.002， respectively）. The average level of high-density lipoprotein cholesterol （HDL-C） in the patients with hypercholesterolemia was significantly increased after intervention. Conclusion： The health consciousness and physical condition of patients with hypercholesterolemia can be effectively improved by community health education. 　　KEY WORDS community health education; hypercholesterolemia; intervention 　　高胆固醇血症是人