Intervention effect of community health management on dyslipidemia
Zhang Guo-l
Abstract
Zhang Guo-l
Abstract
Objective To study and analyze the intervention effect of community health management of dyslipidemia.Methods 70 cases of patients with dyslipidemia from June 2013 to June 2014 in Outpatient Department of Marshal Community Health Service Stations of Iron Camp Community Health Service Center of Beijing Fengtai District were selected as the research objects,they were divided into the control group and the experimental group according to the random number table.The control group(35 cases) were treated by conventional drug treatment,the experimental group(35 cases) were given the health management system on the base of the routine drug therapy,they were given 1 years follow-up,once every 3 months to monitor 1 lipids,serum total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C) level of patients in the two groups before and after treatment were comparative analyzed.Results 12 months after the intervention,TC of the experimental group before treatment[(6.24±0.89) mmol/L]down to(5.50±1.13) mmol/L(P 0.01),and the control group[(6.23±0.99) mmol/L]down to(6.04±1.12) mmol/L(P 0.05);the experimental group was significantly lower than the control group(P 0.01).TG of the experimental group before treatment[(2.90±0.55) mmol/L]down to(2.04±1.24) mmol/L(P 0.01);and the control group[(2.84±0.61) mmol/L]down to(2.69±0.59)) mmol/L(P 0.05);the experimental group was significantly lower than the control group(P 0.01).HDL-C of the experimental group before treatment[(1.19±0.21)) mmol/L]up to(1.39±0.34) mmol/L(P 0.05);the control group[(1.25±0.36) mmol/L]up to(1.35±0.34) mmol/L(P 0.05);no statistically significant difference between the two groups(P 0.05).LDL-C of the experimental group before treatment[(3.61±0.84) mmol/L]down to(3.02±0.77) mmol/L(P 0.05);the control group[(3.56±0.75) mmol/L]down to(3.51±0.80) mmol/L(P 0.05);differences between the two groups was statistical significance(P 0.05).Conclusion Both drug treatment combined with community health management and simple drug treatment can improve blood lipid;and effect of drug treatment combined with community health management is significantly better than the simple drug treatment.Intervention on the patients with abnormal blood lipid by community health management is convenient for patients to correct bad habits,enhance self-protection awareness,control blood lipid indexes effectively,reduce complications and adverse drug reaction,lower medical costs,improve the quality of life,has the application value and promotion value.
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Objective To study and analyze the intervention effect of community health management of dyslipidemia.Methods 70 cases of patients with dyslipidemia from June 2013 to June 2014 in Outpatient Department of Marshal Community Health Service Stations of Iron Camp Community Health Service Center of Beijing Fengtai District were selected as the research objects,they were divided into the control group and the experimental group according to the random number table.The control group(35 cases) were treated by conventional drug treatment,the experimental group(35 cases) were given the health management system on the base of the routine drug therapy,they were given 1 years follow-up,once every 3 months to monitor 1 lipids,serum total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C) level of patients in the two groups before and after treatment were comparative analyzed.Results 12 months after the intervention,TC of the experimental group before treatment[(6.24±0.89) mmol/L]down to(5.50±1.13) mmol/L(P 0.01),and the control group[(6.23±0.99) mmol/L]down to(6.04±1.12) mmol/L(P 0.05);the experimental group was significantly lower than the control group(P 0.01).TG of the experimental group before treatment[(2.90±0.55) mmol/L]down to(2.04±1.24) mmol/L(P 0.01);and the control group[(2.84±0.61) mmol/L]down to(2.69±0.59)) mmol/L(P 0.05);the experimental group was significantly lower than the control group(P 0.01).HDL-C of the experimental group before treatment[(1.19±0.21)) mmol/L]up to(1.39±0.34) mmol/L(P 0.05);the control group[(1.25±0.36) mmol/L]up to(1.35±0.34) mmol/L(P 0.05);no statistically significant difference between the two groups(P 0.05).LDL-C of the experimental group before treatment[(3.61±0.84) mmol/L]down to(3.02±0.77) mmol/L(P 0.05);the control group[(3.56±0.75) mmol/L]down to(3.51±0.80) mmol/L(P 0.05);differences between the two groups was statistical significance(P 0.05).Conclusion Both drug treatment combined with community health management and simple drug treatment can improve blood lipid;and effect of drug treatment combined with community health management is significantly better than the simple drug treatment.Intervention on the patients with abnormal blood lipid by community health management is convenient for patients to correct bad habits,enhance self-protection awareness,control blood lipid indexes effectively,reduce complications and adverse drug reaction,lower medical costs,improve the quality of life,has the application value and promotion value.
Key concepts: Medicine, Dyslipidemia, Triglyceride, Internal medicine, High-density lipoprotein, Community health, Gastroenterology, Cholesterol