不同年龄层高脂血症患者的个体化护理干预效果研究

Study on the effect of individualized nursing intervention in patients with hyperlipidemia of different ages

目的探讨个体化护理对不同年龄层高脂血症患者血脂控制的效果。方法连续性纳入2017年9月~2018年9月在我院心内科住院确诊为高脂血症患者120例,将患者划分为青中年组(40~60岁)和老年组(≥60岁),在两组年龄段中分别将60例患者按随机数字表法分为干预组和对照组各30例。青中年组的干预组采用协同护理模式对高脂血症患者进行护理干预,老年组的干预组采用指导监督的个体化方式进行护理干预,两个年龄组的对照组则使用传统的护理干预措施进行干预。结果 10个月后随访,个体化干预组患者的生活方式(包括饮食、睡眠、运动、嗜烟酒等状况)明显改善,临床检验血脂指标比较,TC、TG、LDL-C、BMI的水平均明显降低,HDL-C升高,差异均有统计学意义(均P<0.05)。结论不同年龄层的个体化护理干预有利于高脂血症患者改变不良的生活习惯,有利于血脂水平的控制。

Objective To explore the effect of individualized nursing on blood lipid control in patients with hyperlipidemia of different ages. Methods Consistently included 120 patients who were diagnosed with hyperlipidemia in our department from September 2017 to September 2018.The patients were divided into young and middle-aged groups(40-60 years old) and elderly(≥60 years old) 60 years of age in each of the two groups,and randomly divided them into an observation group and a control group using a random number table;the observation group of the middle-aged and middle-aged groups applied a collaborative nursing model to Patients with hyperlipidemia were given nursing interventions,while the observers in the elderly group used individualized guidance and supervision to conduct nursing interventions,while the control group in the two groups used traditional nursing interventions to intervene. Results After 10 months of follow-up,the lifestyle of patients in the individualized intervention group(including diet,sleep,exercise,tobacco addiction,etc) were significantly improved.Comparison of blood lipid indexes in clinical tests,tc,tg,ldl-c,BMI,the levels of serotonin were significantly reduced while the levels of hdl-c was increasedwith the differences were statistically significant(P<0.05 for each). Conclusion individualized nursing intervention of different age groups is beneficial to change the bad living habits of hyperlipidemia patients and control the blood lipid level.