高血脂与健康育教关的系.docVIP

健康教育对老年高脂血症患者的效果分析 【摘要】目的 通过对老年高脂血症患者进行健康教育，增加相关知识，改变不良生活习惯，降低血脂水平。方法 入选2006年4月在北京军区总医院体检的北京军区离退休干部，检出的高脂血症患者470例，其中男性433例，女性37例，年龄60～94岁，平均（75.66±4.77）岁。收集患者年龄、性别、身高、体重、腰围、体质指数（BMI）、吸烟、饮酒、高盐饮食（≥6 g/d）等方面的资料。检测患者血清血脂水平。根据患者个人情况，给予健康教育，包括相关疾病知识、饮食指导、运动指导、心理指导等。结果 与健康教育前比较，健康教育后患者掌握相关疾病知识85分比例升高，坚持服药比例升高，吸烟以及饮酒的比例降低。健康教育前，患者总胆固醇（TC）水平为（5.54±0.91）mmol/L，低密度脂蛋白胆固醇（LDL-C）为（3.59±0.75）mmol/L，高密度脂蛋白胆固醇（HDL-C）为（1.28±0.78）mmol/L，至健康教育干预结束后，患者TC下降为（4.52±0.83）mmol/L，LDL-C下降为（2.49±0.61） mmol/L，HDL-C升高至（1.40±0.33）mmol/L，差异具有统计学意义（P均＜0.01）。结论 健康教育使老年人形成良好的生活习惯与治疗依存性，有效降低老年人的血脂水平。 【关键词】健康教育；老年人；血脂；达标率 【中图分类号】 R589.2 【文献标志码】A 【文章编号】1674-4055(2014)04-0469-03 Effect of health education in elderly patients with hyperlipidemia WANG Yu-lan, DONG Lan, WU Hai-yan,BI Lei. Department of First Cadre Ward, General Hospital of Chinese PLA Beijing Military Area Command, Beijing100700, China.Corresponding author: WU Hai-yan, E-mail: why9010@163.com[Abstract] Objective To give health education to elderly patients with hyperlipidemia for introducing relevantknowledge, correcting bad life habits and reducing blood fat level. Methods The patients with hyperlipidemia(n=470, male 433 and female 37) aged from 60 to 94 (average age=75.66±4.77) were chosen from retired cadres ofthe Chinese PLA Beijing Military Area Command in Apr. 2006. The data about age, sex, body mass index (BMI),smoking, drinking and high-salt diet (≥6 g/d) was collected, and the level of blood fat was detected in all patients.All patients were given health education including relative disease knowledge, diet guidance, exercise guidanceand psychological guidance. Results After health education, the percentage of patients mastering relative diseaseknowledge over 85 scores increased, percentage of patients persisting in medicine taking increased and percentageof smoking and drinking patients decreased. Before health education, TC level was (5.54±0.91) mmol/L, LDL-Clevel was (3.59±0.75) mmol/L, and HDL-C level was (1.28±0.78) mmol/L in t