血脂监测日记在高脂血症患者自我管理中的应用与效果

Application and effects of serum lipids-monitoring diary in self-management of patients with hyperlipidemia

目的探讨血脂监测日记在高脂血症患者自我管理中的应用与效果。方法将血脂异常的83例患者随机分为两组,对照组43例,观察组40例,两组患者均接受调脂治疗,出院后接受常规的电话随访及院外健康教育;观察组在此基础上使用血脂监测日记记录每日的生活方式及阶段血脂变化。1年后比较两组患者的血脂各项指标达标率。结果观察组患者的总胆固醇和甘油三酯的达标率高于对照组,差异均具有统计学意义(P<0.01),而低密度脂蛋白胆固醇和高密度脂蛋白胆固醇两组差异无统计学意义(P>0.05)。结论血脂监测日记在高脂血症患者自我管理中起到了良好的作用。

Objective To explore the application and effects of serum lipids - monitoring diary applied in self - management of patients with dyslipidemia.Methods Eighty - three patients with hyperlipidemia were involved and divided into two groups randomly,43 in the control group and 40 in the experimental group. The two groups both received lipid - lowering therapy and routine health education and telephone follow - up after they were discharged from hospital. In addition, the experimental group wrote serum lipids - monitoring diary to record life style and serum lipid level in different stages. One year later, the serum lipid indicators were collected and compared between the two groups. Results The control rates of Cholesterol（ TC ） and Triglyceride （TG） among the experimental group were higher significantly than the control group （ P 〈 0.01 ）. There were no signifiant differences in the level of Low Density Lipoprotein Cholesterol （ LDL - C ） and High Density Lipoprotein Cholesterol （ HDL - C ） between the two groups （ P 〉 0.05 ）. Conclusion Serum lipid - monitming diary can play a beneficial role on self - management of patients with dyslipidemia.