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目的:观察护理干预对高海拔地区(海南州牧区平均海拔3 000m)高脂血症患者血脂的影响。方法:观察随访120例牧区高脂血症患者给予护理干预2年后不同年龄、不同体重、不同性别、不同地区患者血清三酰甘油(TG)、胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)的变化。结果:通过对牧区高脂血症患者2年的饮食习惯及饮食结构干预后,120例中97例血脂明显下降,14例变化不明显,9例未配合。干预前后血脂水平比较有明显差异,有统计学意义;不同年龄间比较有统计学意义(P<0.05)。不同地区、不同性别之间干预前后血脂比较无统计学意义。结论:饮食习惯及饮食结构合理调整能有效降低高海拔地区(牧区)血脂水平,认知能力会对护理干预有一定影响。
Objective: To observe the effect of nursing intervention on blood lipids in hyperlipidemia patients in high altitude area (average elevation of 3000m in Hainan pastoral area). Methods: The follow-up of 120 cases of pastoral hyperlipidemia patients given care intervention two years later in different age, weight, gender, different regions of patients with serum triglyceride (TG), cholesterol (TC), low density lipoprotein cholesterol -C) changes. Results: After two years of eating habits and dietary intervention in patients with past hyperlipidemia, 97 cases of blood lipid in 120 cases decreased obviously, 14 cases did not change obviously, and 9 cases did not cooperate. There was significant difference in blood lipid levels before and after the intervention, which was statistically significant; different age groups were statistically significant (P <0.05). In different regions and before and after intervention, there was no significant difference in blood lipids among different sexes. CONCLUSION: Rational adjustment of dietary habits and diet can effectively reduce blood lipid levels in high altitude areas (pastoral areas), and cognitive ability may have an impact on nursing intervention.