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目的评价“互联网+”干预模式对海南省中青年血脂异常患者知信行的干预效果,为血脂异常的有效控制提供参考依据。方法于2013年6—11月采用整群随机抽样方法在海南省海口市2个事业单位各随机抽取100例共200例18~45岁中青年血脂异常患者,将其中一家单位的100例患者作为干预组实施以“互联网+”的干预模式,另一家单位的100例患者作为非干预组在体检中心健康教育的基础上不采取其他强化措施,18个月后比较2组患者血脂异常的知信行情况。结果海南省干预组和非干预组中青年血脂异常患者干预前知识、态度、行为总分分别为(16.60±8.17)和(16.75±9.21)分、(5.95±0.79)和(6.05±1.06)分、(8.79±3.09)和(8.91±2.58)分,干预后分别为(27.88±5.42)和(22.69±6.47)分、(7.73±2.19)和(6.81±2.08)分、(12.47±2.51)和(10.55±2.96)分;干预组、非干预患者干预前后比较,干预后干预组患者血脂异常知识、态度、行为总分均高于干预前,而非干预组患者仅患者血脂异常知识总分高于干预前(均P<0.05);2组患者干预前比较,血脂异常知识、态度、行为总分差异均无统计学意义(均P>0.05),干预后比较,干预组患者血脂异常知识、态度、行为总分均高于非干预组患者(均P<0.05)。结论通过微信等网络平台搭建健康教育改进模式能有效提高中青年血脂异常患者的知识知晓率,从而改变其态度和相关行为。
Objective To evaluate the effect of “Internet + ” intervention mode on the interventional effect of Zhixin Line among middle-aged and young patients with dyslipidemia in Hainan Province, and provide reference for the effective control of dyslipidemia. Methods From June to November in 2013, a total of 100 cases of middle-aged and young patients aged 18-45 with dyslipidemia were randomly selected from two institutions in Haikou City, Hainan Province, using a cluster random sampling method. 100 patients in one unit Intervention group to implement “Internet + ” intervention model, the other unit of 100 patients as a non-intervention group in the physical examination center health education based on no other strengthening measures, 18 months later compared two groups of patients with dyslipidemia Knowledge and credit situation. Results Before intervention, the scores of knowledge, attitude and behavior of middle-aged and young patients with dyslipidemia in intervention group and non-intervention group in Hainan Province were (16.60 ± 8.17) and (16.75 ± 9.21), (5.95 ± 0.79) and (6.05 ± 1.06) , (8.79 ± 3.09) and (8.91 ± 2.58) respectively, and were (27.88 ± 5.42) and (22.69 ± 6.47), 7.73 ± 2.19 and (6.81 ± 2.08) and (12.47 ± 2.51) and (10.55 ± 2.96) .Compared with the intervention group, the non-intervention group before and after intervention, the intervention group’s serum total dyslipidemia knowledge, attitude and behavior scores were higher than those before intervention, while the non-intervention group only patients with high blood lipid abnormal knowledge score Before intervention (all P <0.05), there was no significant difference in knowledge, attitude and behavior of dyslipidemia between the two groups before intervention (all P> 0.05). After intervention, the knowledge of dyslipidemia, Attitude and behavior scores were higher than non-intervention group patients (P <0.05). Conclusions The establishment of a health education improvement model through micro-channel and other network platforms can effectively improve the knowledge of patients with dyslipidemia in young and middle-aged patients, thereby changing their attitudes and related behaviors.