社区强化干预对改善高脂血症居民生活方式的作用  

Community strengthening interventions on improving the lifestyle of residents with hyperlipidemia

作　　者：董申琴[1] 陈莉[1] 邵小青[1] 靳春艳[1] 

机构地区：[1]徐州医学院二附院神经内科,221006

出　　处：《中华现代护理杂志》2010年第15期1756-1759,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解社区居民的生活方式、血脂及治疗依从性的情况，指导其健康的饮食及生活方式。为社区居民改变不良的饮食习惯和不利于健康的生活方式提供理论依据。方法选择在医院体检发现血脂高并发脂肪肝的社区居民200例，随机分为干预组和对照组各100例，两组均进行定期测量腹围、体重、血压、血脂值，对干预组进行健康生活方式及治疗依从性的干预。结果干预组患者治疗依从性评分（43±2．8）分，对照组（34±3．1）分，干预组治疗依从性良好（P〈0．05），干预组患者治疗后腹围、体重、血压、血脂均有下降，差异有统计学意义（P〈0．05）。结论高血脂居民原来的生活方式对身体健康不利，社区工作人员采取强化干预措施后，帮助居民的纠正了不健康的行为方式，改变了不良生活习惯，提高患者治疗的依从性，促进其身心健康。Objective To learn the situation of life styles, blood lipidemia and adherence to therapy of the residents, instruct the healthy diet and lifestyles, so as to provide theoretical evidenee for the community residents to change the unhealthy life styles. Methods A total of 200 residents with hyperlipemia and fatty liver were divided into two groups： intervention group and control group. All the cases were measured in terms of waist cireumstanee, weight, blood pressure and blood lipidemia. In addition, the patients in the intervention group received intervention on healthy life styles and therapy adherence. Results The score of therapy adherence in the intervention group was （43 ± 2.8 ）, while that in the control group was （ 34 ± 3.1 ）. The adherence in the intervention showed better. The index in the intervention group lowered in the index of waist circumstance, weight, hlood pressure and blood lipidemia（ P 〈 0.05 ）. Conclusions The original life styles of cases with hyperlipemia was harmful to their health~ while the intervention is helpful to the residents of correcting unhealthy ways, change the bad habits, improve the patients adherences and promote their physical and mental health.

关 键 词：社区 治疗依从性 生活方式 高脂血症 强化干预 

分 类 号：R589[医药卫生—内分泌]