高脂血症社区干预效果的依从性研究(1)
[摘要]目的 探讨高脂血症社区干预效果的依从性研究。方法 选取2007年11月～2011年9月我社区卫生服务站的居民中的202例高脂血症患者为研究对象，依据入院顺序分为研究组99例和对照组103例，两组均实施生活方式形式的干预措施，研究组突出以实施强化生活方式为主的社区综合干预措施，比较两组干预前后对疾病知晓率、血脂水平[三酰甘油(TG)、血清总胆固醇(TC)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)]及高血脂相关心脑血管疾病发生率。结果 干预前，两组对疾病知晓率、TG、TC、LDL、HDL比较，差异无统计学意义(P>0.05)。干预后，两组疾病知晓率、HDL较干预前稍升高，TG、TC、LDL降低，且研究组对疾病知晓率较对照组明显高(P<0.05)；研究组HDL较对照组升高明显[(1.58±0.54)mmol/L vs. (0.96±0.48)mmol/L]，TG、TC、LDL較对照组降低明显[(2.75±0.89)mmol/L vs. (3.20±1.04)mmol/L；(3.35±0.99)mmol/L vs. (5.41±1.05)mmol/L；(2.42±0.66)mmol/L vs. (3.98±0.74)mmol/L]。研究组干预后高血脂相关心脑血管疾病发生率为5.05%，低于对照组的24.27%，差异有统计学意义(P<0.05)。结论 社区综合干预可有效提高高脂血症患者疾病知晓率，有效调节血脂水平，降低高脂血症相关心脑血管疾病发生率。
[关键词]高脂血症；社区干预；依从性
[中图分类号] R589.2 [文献标识码] A [文章编号] 1674-4721(2017)02(c)-0026-04
Compliance study on the effect of community intervention on hyperlipidemia
LIU Shi-xing LIU Min-ling ZHAO Ji-xuan
Shayuan Street Community Health Service Center of Haizhu District of Guangzhou City in Guangdong Province，Guangzhou 510250，China
[Abstract]Objective To investigate the compliance of the effect of community intervention on hyperlipidemia.Methods From November 2007 to September 2011，202 patients with hyperlipidemia were selected as study object from our community health service station and divided into study group (n=99) and control group (n=103) according to admission order.Both groups were given lifestyle intervention，and the study group was given lifestyle strengthening-based community comprehensive intervention.The awareness rate of disease，levels of blood lipids [triglyceride (TG)，total cholesterol (TC)，low-density lipoprotein (LDL)，high-density lipoprotein (HDL)] and the incidence rates of hyperlipidemia associated cardiovascular and cerebrovascular diseases were compared between two groups.Results Before intervention，the awareness rate of disease，TG，TC，LDL and HDL level showed no significant differences between two groups (P>0.05).After intervention，the awareness rate of disease and HDL level was slightly higher，while TG，TC and LDL was lower than that before intervention，the awareness rates of disease in the study group was significantly higher than that in the control group (P<0.05).The increasing amplitude of HDL level [(1.58±0.54) mmol/L] and decreasing amplitudes of levels of TG [(2.75±0.89) mmol/L]，TC [(3.35±0.99) mmol/L] and LDL [(2.42±0.66) mmol/L] in the study group was more obvious than that in the control group [(0.96±0.48) mmol/L，(3.20±1.04) mmol/L，(5.41±1.05) mmol/L，(3.98±0.74) mmol/L，] (P<0.05).The incidence rate of hyperlipidemia associated cardiovascular and cerebrovascular diseases in the study group(5.05%) was significantly lower than that in the control group (24.27%)，and the difference was statistially significant (P<0.05).Conclusion Community comprehensive intervention can effectively improve the awareness rate of disease in patients with hyperlipidemia，and effectively regulate blood lipid levels，reduce the incidence of hyperlipidemia associated cardiovascular and cerebrovascular diseases. (刘世兴 刘敏玲 赵季璇)
[关键词]高脂血症；社区干预；依从性
[中图分类号] R589.2 [文献标识码] A [文章编号] 1674-4721(2017)02(c)-0026-04
Compliance study on the effect of community intervention on hyperlipidemia
LIU Shi-xing LIU Min-ling ZHAO Ji-xuan
Shayuan Street Community Health Service Center of Haizhu District of Guangzhou City in Guangdong Province，Guangzhou 510250，China
[Abstract]Objective To investigate the compliance of the effect of community intervention on hyperlipidemia.Methods From November 2007 to September 2011，202 patients with hyperlipidemia were selected as study object from our community health service station and divided into study group (n=99) and control group (n=103) according to admission order.Both groups were given lifestyle intervention，and the study group was given lifestyle strengthening-based community comprehensive intervention.The awareness rate of disease，levels of blood lipids [triglyceride (TG)，total cholesterol (TC)，low-density lipoprotein (LDL)，high-density lipoprotein (HDL)] and the incidence rates of hyperlipidemia associated cardiovascular and cerebrovascular diseases were compared between two groups.Results Before intervention，the awareness rate of disease，TG，TC，LDL and HDL level showed no significant differences between two groups (P>0.05).After intervention，the awareness rate of disease and HDL level was slightly higher，while TG，TC and LDL was lower than that before intervention，the awareness rates of disease in the study group was significantly higher than that in the control group (P<0.05).The increasing amplitude of HDL level [(1.58±0.54) mmol/L] and decreasing amplitudes of levels of TG [(2.75±0.89) mmol/L]，TC [(3.35±0.99) mmol/L] and LDL [(2.42±0.66) mmol/L] in the study group was more obvious than that in the control group [(0.96±0.48) mmol/L，(3.20±1.04) mmol/L，(5.41±1.05) mmol/L，(3.98±0.74) mmol/L，] (P<0.05).The incidence rate of hyperlipidemia associated cardiovascular and cerebrovascular diseases in the study group(5.05%) was significantly lower than that in the control group (24.27%)，and the difference was statistially significant (P<0.05).Conclusion Community comprehensive intervention can effectively improve the awareness rate of disease in patients with hyperlipidemia，and effectively regulate blood lipid levels，reduce the incidence of hyperlipidemia associated cardiovascular and cerebrovascular diseases. (刘世兴 刘敏玲 赵季璇)