高脂血症社区综合干预模式的探讨

Discussion on Community-based Comprehensive Intervention Model on Patients with Hyperlipidemia

目的探讨高脂血症患者的社区综合干预模式。方法从2009年4-6月就诊于西罗园社区卫生服务站的居民中随机选取252名高脂血症患者,随机分为干预组和对照组两组,干预组150名,按照综合干预模式进行管理;对照组102名,按照一般方式管理,6个月后评价干预效果。结果干预组患者的知晓率明显提高,其血脂水平得到良好控制;对照组患者干预前后没有明显变化。结论高脂血症社区综合干预模式,可以纠正高脂血症患者的不合理饮食习惯及不良生活方式,提升用药依从性,对降低血脂水平及减少心脑血管意外具有积极作用。

Objective To discuss the community-based comprehensive intervention model for patients with hyperlipidemia. Methods From April to June 2009,252 patients with hyperlipidemia selected from Xiluoyuan Community Health Service Center were randomly divided into intervention group（n=150） and control group（n=102）.Then the model of comprehensive management was used for the patients in intervention group,while the model of conventional management was used for the patients in control group.After six months of intervention,the effectiveness in the two groups was assessed. Results After six months of management,the awareness rate of the patients in intervention group was significantly improved and their blood lipid levels were controlled well.No significant change was found in control group before and after the intervention. Conclusions Community-based comprehensive intervention model can modify the hyperlipidemia patients＇ unreasonable diet and lifestyle and improve their medication compliance.It is conducive to reducing blood lipid level and cardivascular and cerebrovascular accidents.