深圳市血脂异常者患病知晓及自我管理行为分析  

An analysis of the awareness status of dyslipidemia of residents and self health care in Shenzhen city

作　　者：倪文庆[1] 刘小立[1] 卓志鹏[1] 袁雪丽[1] 宋金萍[1] 池洪珊[1] 徐健[1] 

机构地区：[1]深圳市慢性病防治中心健康与慢病管理科,广东深圳518020

出　　处：《热带医学杂志》2017年第11期1523-1526,共4页Journal of Tropical Medicine

基　　金：深圳市科技计划项目(201602005)

摘　　要：目的了解深圳市血脂异常者患病知晓及患者自我管理行为现状,为制定相关防治政策提供循证依据。方法采用多阶段分层与人口成比例的整群随机抽样方法,以家庭为调查单位,从深圳市20岁及以上常住居民中随机抽取1 995人进行问卷调查和医学体检。结果深圳市血脂异常者患病知晓率为25.04%,男性患者知晓率(21.25%)显著低于女性患者(29.32%)(P=0.015);患病知晓影响因素为性别、糖尿病高血压患病状态、就业情况和家庭年人均收入。20.98%的血脂异常者存在自我管理行为,其中采取服用降脂药、饮食控制和适量运动控制血脂水平的患者比例分别为11.00%、17.66%和15.63%;知晓病情患者中采取服用降脂药、饮食控制和适量运动控制血脂水平的患者比例分别为66.47%、70.52%和62.43%。患者是否存在自我管理行为的影响因素为性别、糖尿病高血压患病状态和就业情况。结论深圳市血脂异常患病知晓率和患者的自我管理行为有待提高,应在预防、筛查和治疗血脂异常方面采取综合性措施以控制其流行,进而降低心脑血管疾病负担。Objective To investigate the current awareness of dyslipidemia and the patients ＆#39;self health care in Shenzhen city, thus provide scientific evidence for the prevention and control of the disease. Methods According to multi-stage stratified and proportional to size, cluster, random sampling principle, based on a family unit ,a total of 1995 residents aged over 20 years were selected from this area, who were surveyed by designed questionnaires and medical measurement. Results The awareness of dyslipidemia was 25.04% in Shenzhen, and was significant difference in females （29.32%） and males （21.25%）. The awareness status was associated with gender, diabetes status, hypertension status, employment status, and household per capita income. Among those who had dyslipidemia, 20.98% had health care behavior, such as taken prescription medicine （11.00%）, diet control （17.66%） and exercise （15.63%）. Of those aware of their dyslipidemia, 66.47%were on treatment, 70.52%had diet control, and 62.43%had exercise. The self-management behaviors status was associated with gender, diabetes status, hypertension status, and employment status. Conclusion Our study highlights low levels of awareness, and these patients do not take adequate action to control the disease. A comprehensive strategy toward prevention, screening, and treatment of dyslipideima is needed to slow the epidemic of cardiovascular disease.

关 键 词：血脂异常 知晓率 管理行为 

分 类 号：R589.2[医药卫生—内分泌]