宿州市某三级综合医院体检人群血脂水平与血脂认知水平相关性研究

发布时间：2018-09-12 14:49

【摘要】：研究背景随着社会经济发展和人民生活水平的提高,不仅人类的饮食结构和饮食规律在发生变化,劳动强度、活动形式也在发生改变。同时,人口老龄化进程的进一步加快以及慢性非传染性疾病给人类健康、国家、社会带来了很多负面影响,人类健康问题受到社会各界的高度关注。调查某一地区人群的基本健康状况是开展队列研究的基础,是进行精准医学的必经阶段。而以预防为导向,形成对重大疾病的风险评估、预测预警,形成可用于精准医学应用全过程的生物医学数据可以显著提升人口健康水平、遏制医疗费用支出的快速增长。在人类健康问题中,血脂异常不仅会导致其他疾病的发生和发展,也给社会和家庭带来一定的负担,因此要重视人们的血脂水平情况,以及了解人们对血脂的认知情况,对于提高人们的健康状况至关重要。研究目的利用问卷调查和安徽省宿州市某三级医院体检数据,分析体检人群的血脂水平及其血脂认知水平,分析其相关性,提出相关对策与建议,为针对体检人群开展健康教育提供参考依据。研究方法采用黄鑫等人设计的《预防血脂升高的知识、态度和行为问卷调查表》对某三级医院体检人群进行问卷调查,体检人群的相关检查数据从医院体检数据管理系统中调取。采用SPSS 18.0软件进行统计分析。主要结果1.血脂检查结果显示甘油三酯升高者达36.1%,计307人,总胆固醇高者占17.5%,计149人,低密度脂蛋白升高者占24.2%,计206人,而高密度脂蛋白减低者占3.6%,共发现31人。与性别进行交叉比较发现甘油三酯、总胆固醇、低密度脂蛋白和高密度脂蛋白4项指标均因男女不同存在差异,且男性体检人群血脂指标没有女性理想。与文化程度进行交叉比较发现甘油三酯、总胆固醇、低密度脂蛋白和高密度脂蛋白4项子指标仅高密度脂蛋白存在具有统计学意义的差异,但这一差异没有随着文化程度的变化呈规律性的变化,与年龄、体质指数、血糖、血压交叉比较结果均为甘油三脂、总胆固醇、低密度脂蛋白与之呈正相关,与高密度脂蛋白呈负相关。2.体检人群血脂知识得分的平均值为18.44±8.83,态度得分的平均值为6.70±2.39,行为得分的平均值为8.41±2.62。对血脂知识、态度和行为得分调查中女性得分均高于男性,且均值差异具有统计学意义；各年龄组在知识得分存在具有统计学意义的差异；不同文化程度和不同收入水平的体检人群在血脂知识、态度和行为方面的得分均存在具有统计学意义的差异。3.血脂知识、态度和行为得分进行分组后与血脂水平结果人数和构成比之间存在显著性差异。结论和建议结论1.男性甘油三酯、总胆固醇、低密度脂蛋白水平高于女性,高密度脂蛋白水平低于女性。随年龄和体重的增长甘油三酯、总胆固醇、低密度脂蛋白也会增高,而高密度脂蛋白则呈下降趋势,受教育程度对低密度脂蛋白水平有一定影响,甘油三酯和总胆固醇的值会随血压、血糖的升高而升高,而高密度脂蛋白会随着降低。2.知识和态度得分较高的人群相应行为的得分就会越高；随年龄的增高血脂知识得分的均值呈现出先降低后升高的趋势,行为得分主要受文化程度的影响较大,其次为性别和年龄；血脂知识得分和态度得分的主要影响因素均为文化程度。3.体检人群对血脂知识的掌握程度,预防血脂异常的态度和实际控制血脂异常的行为的得分情况与血脂水平不一定成正比。建议1.相关部门应当重视当地居民的身体健康状况和健康危险因素,开展行之有效的健康教育模式,宣传合理的膳食结构与生活方式。2.积极开展健康教育,进一步了解血脂知识,端正对待血脂异常的态度改变不良行为方式。
[Abstract]:Research Background With the development of social economy and the improvement of people's living standards, not only the diet structure and dietary patterns of human beings are changing, but also the intensity of labor and the forms of activities are changing. The investigation of the basic health status of the population in a certain area is the basis of cohort research and the necessary stage for the development of precision medicine. In human health problems, dyslipidemia not only leads to the occurrence and development of other diseases, but also brings a certain burden to society and families. Therefore, we should pay attention to the level of blood lipids and understand people's awareness of blood lipids. Objective To analyze the level of serum lipids and their cognitive level of serum lipids in physical examination population by questionnaire survey and physical examination data of a tertiary hospital in Suzhou, Anhui Province, and to put forward relevant countermeasures and suggestions so as to provide reference for health education among physical examination population. Huang Xin et al.'s Questionnaire on Knowledge, Attitude and Behavior of Preventing Hyperlipidemia'was used to investigate the physical examination population in a tertiary hospital. The total cholesterol was 17.5%. The low density lipoprotein was 24.2%. The low density lipoprotein was 3.6%. A cross-comparison with sex showed that the four indexes of triglyceride, total cholesterol, low density lipoprotein and high density lipoprotein were different between men and women. The results showed that there were statistically significant differences in the four sub-indexes of triglyceride, total cholesterol, low-density lipoprotein and high-density lipoprotein, but the difference was not regular with the change of educational level. Changes, and age, body mass index, blood glucose, blood pressure cross-comparison results were triglyceride, total cholesterol, low density lipoprotein was positively correlated with it, and negatively correlated with high density lipoprotein. 2. The average score of blood lipid knowledge in physical examination group was 18.44 [8.83], the average score of attitude was 6.70 [2.39], and the average score of behavior was 8.41 [2.62]. Women scored higher than men in the survey of blood lipid knowledge, attitude and behavior, and the mean difference was statistically significant; there were statistically significant differences in knowledge scores among different age groups; there were unified scores in blood lipid knowledge, attitude and behavior among people with different educational levels and income levels in physical examination. There was a significant difference between the scores of blood lipid knowledge, attitude and behavior and the number and composition of blood lipid levels. Conclusion and Suggestions 1. Male triglyceride, total cholesterol, low density lipoprotein levels were higher than female, high density lipoprotein levels were lower than female. Triglycerides, total cholesterol, low density lipoprotein will also increase, while high density lipoprotein is declining, education has a certain impact on low density lipoprotein levels, triglycerides and total cholesterol will increase with blood pressure, blood sugar increases, and high density lipoprotein will decrease with the score of knowledge and attitude. 2. The score of corresponding behavior will be higher; with the increase of age, the average score of blood lipid knowledge shows a trend of decreasing first and then increasing, and the score of behavior is mainly influenced by educational level, followed by gender and age; the score of blood lipid knowledge and attitude are mainly influenced by educational level.3. It is suggested that 1. Relevant departments should attach importance to the health status and health risk factors of local residents, carry out effective health education model, and publicize reasonable dietary structure and lifestyle. Actively carry out health education, further understand the knowledge of blood lipid, correct attitude towards abnormal blood lipid change bad behavior.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R589.2

【相似文献】