主被动认知与脑血栓形成患者血脂水平的相关性  

The Correlational Study of the Active and Passive Cognition with the Blood Lipid Level of Patients with Cerebral Thrombosis

作　　者：侯佃臻[1] 宫廷[1] 赵雯[1] 孙丰润[1] 

机构地区：[1]滨州医学院附属医院神经内科,山东省滨州市256603

出　　处：《中华全科医学》2013年第12期1934-1936,共3页Chinese Journal of General Practice

基　　金：山东省保健医学科研课题项目(2006BJ02)

摘　　要：目的探讨健康教育对脑血栓形成患者认知的影响和认知结果与血脂水平的相关性。方法用认知量表衡量健康教育效果和患者认知态度，以此为分组依据，观察认知结果与治疗依从性和患者血脂水平的相关性。结果在认知量表得分方面，主动接受健康教育活动患者高于被动接受教育者（P〈0．01）；认知量表得分高者在院外治疗依从性方面明显高于得分低者（P〈0．05）；患者出院2～3个月后，认知量表得分高者能有效控制血脂水平，血清胆固醇、甘油三酯、低密度脂蛋白均低于得分低者（P〈0．05，P〈0．05，P〈0．01）。患者参与对疾病认知的态度随着知识的积累，环境的熟悉，逐渐由被动认知变为主动认知。结论健康教育能够改变脑血栓形成患者认知态度；提高治疗的依从性；有效控制血脂水平。Objective To investigate the influence of health education on the patients＇ cognition and to reveal the correlation between blood lipid level and cognition results. Methods Cognitive scale was used to measure the effect of health education and patients＇ cognitive attitude, basing on which, groups were divided to observe the correlation of the cognitive outcomes and treatment adherence with blood lipid levels in patients. Results In the aspect of cognitive scale scores, the patients who were active to accept the health education were higher than those passive （ P 〈 0.01 ） ; the cognitive scale scores of the patients who were higher in-hospital treatment compliance were significantly higher than those whose scores were low （P 〈 0.05 ） ;after leaving hospital for 2-3 months, the patients whose cognitive scale scores were higher could effectively control blood lipid levels well. In addition, their serum cholesterol, triglycerides,low-density lipoprotein were lower than the score whose were low （ P 〈 0.05, P 〈 0. 05 ,P 〈0.01 ） ;with the accumulation of knowledge and familiarity with the environment,the patients＇ attitude towards the participation of the awareness of the disease, shifted from passive to active cognition gradually. Conclusion Health education was able to change cerebral thrombosis in patients＇ cognitive attitude, to improve the adherence to treatment and to effectively control the blood lipid levels.

关 键 词：脑血栓形成 认知 健康教育 血脂 

分 类 号：R743[医药卫生—神经病学与精神病学] R589.21[医药卫生—临床医学]