社区老年高脂血症患者的健康教育与干预效果评价

Research in Effect of Health Education and Intervention to Aged Patients with Hyperlipidemia

目的观察社区健康教育与干预对老年高脂血症患者的效果。方法 2010年3月～2010年9月对深圳市福田区笔架山社康中心管辖范围内的68例60岁以上(含60岁)血脂异常的老年患者进行健康教育及干预,如:开展社区高血脂的教育活动(发放宣传小册子、办宣传栏、专题讲座)、建立健康档案、上门家访和电话随访、进行合理用药指导、体格检查等,于健教与干预前后分别进行体检,采集静脉血检测胆固醇(TC)、甘油三脂(TG)、高密度脂蛋白胆固醇(H D L-C)和低密度脂蛋白胆固醇(LD L-C)。结果健教与干预前后6个月老年患者TC、TG和LD L-C比较,差异有统计学意义(均p<0.05);H D L-C水平略有升高,但无统计学意义(p>0.05)。结论实施社区健教及干预可有效地提高老年患者的自我保健知识和保健意识、降低血脂水平、改善身体状况、提高生活质量。

Ojective To observe the effects of community health education and interveution for hyperlipidemia in aged patients . Methods 68 aged patients with hyperlipidemia were given health education and intervention,The level of serum total cholesterol （TC）,triglyceride （TG）,high dense lipoprotein cholesterol （HDLC） and low dense lipoprotein cholesterol （LI）LC） were investigated before and after community health education and intervention. Results The level of TC,TG and LI）LC significantly decreased after community health education and intervention ,There was a significant difference before and after the intervention （p〈0.05）; and the level of HDLC increased after conmmnity health education and intervention ,but the difference was not significant（p〉0.05）. Conclusions Comnmnity health education and intervention is a effective method for hyperlipidemia.