个体化健康教育对颈动脉斑块形成的心脑血管患者危险因素的控制效果

Effect of individual health education on the risk factors in patients with carotid atherosclerosis plaque

目的探讨个体化健康教育对颈动脉斑块形成患者危险因素的干预效果。方法方便抽样法抽取伴颈动脉斑块形成的中老年心脑血管疾病患者217例,随机分为试验组和对照组,分别给予传统的健康教育和个体化健康教育干预,4个月后比较两组患者危险因素的控制情况。结果试验组干预前后吸烟和饮酒比例下降,血压正常比例提高,差异均有统计学意义(P<0.05),收缩压、舒张压、空腹血糖及血肌酐均下降,差异均有统计学意义(P<0.05);对照组仅有血压正常比例1项指标差异具有统计学意义(P<0.05)。两组干预后比较:试验组干预后的血压正常比例和体质量正常比例均高于对照组,饮酒比例低于对照组,差异均有统计学意义(P<0.05)。结论个体化健康教育能较好地影响心脑血管病患者颈动脉斑块形成主要危险因素,并改变了患者的血压及血肌酐,效果优于传统的健康教育方式。

Objective To investigate the intervention effects of individual health education on the risk factors in patients with carotid atherosclerosis plaque. Methods 217 patients with carotid atherosclerosis plaque in cardiac-cerebral vascular diseases were collected. These patients were divided into the control group and the experimental group,which accepted traditional education and individualized health education,respectively. The controlling effect of risk factors and biochemical indicators were examined after four months. Results The proportion of smoking and alcohol consumption declined, but the proportion of normal blood pressure increased in the experimental group after the educational intervention（P〈0.05）. The systolic and diastolic blood pressure,fasting blood glucose and serum creatinine were also decreased in experimental group （ P〈0. 05）. The only difference of normal blood pressure was statistically significant in the control group. Conclusion Individualized health education may be more effective than traditional education on controlling the risk factors in patients with carotid artery plaque.