摘要
目的观察出院随访对高脂血症患者生活方式及血脂水平的影响。方法对110例高脂血症患者出院时随机分为随访组与对照组各55例，两组在住院期间均给予同样的健康教育和药物治疗，并制订出院后应依从的饮食，生活方式及药物治疗干预措施。随访组于出院后4个月内，每月由主管护士电话或到家庭随访1次，了解干预措施的落实情况，对偏移措施或不积极配合的给予指导、教育，指导患者按照干预措施坚持良好的饮食和生活方式及药物治疗，对照组只接受出院时指导，出院后不予干预。结果随访组患者合理饮食及良好生活方式的改善率明显高于对照组，血脂控制效果明显高于对照组，差异有统计学意义（P〈0．01或〈0．05）。结论出院随访干预可明显提高高脂血症患者治疗的依从性，建立良好饮食及生活方式，降低血脂水平。
Objective To observe the influence of following-up care on lifestyle and blood lipid levels of hyperlipidemia patients discharged from hospital. Methods 110 cases of hyperlipaemia patients were randomly divided into two groups when discharged from hospital. The experimental group is to be followed up, and the other group is for comparison. Two groups in the hospital are given the same health education and medicine treatment, and should be worked out the diet, life-style and medicine treatment interference measures. The experimental group were followed up after discharged from hospital in four months, which were carried out by the nurses through telephone or home visiting once a month, the contents include learning the patients＇ implementation of interference measures, provide guidance and training for the patients who deviate from the measures or passively cooperate, and guide the patients to follow the interference measures to keep a balanced diet, good life-style and medicine treatment. The comparison group just were offered guidance when discharged from the hospital, but no followed up by the nurses. Results The group of being followed up obviously had a better improvement than the comparison group both in balanced diet and healthy lifestyle as well as the effect of controlling blood lipid, P 〈 0. 01 and P 〈 0. 05 respectively. There was a statistical difference. Conclusions The interference care after the discharge can significantly improve the compliance in treatment of patients with hyperlipaemia, help to establish a balanced diet and life-style, and reduce lipid levels.
出处
《中华现代护理杂志》
2009年第2期107-109,共3页
Chinese Journal of Modern Nursing
关键词
高脂血症
随访研究
出院
降低风险行为
Hyperlipidemias
Follow-up investigation
Leave hospital
Risk Reduction Behavior
