CAJ | 학술논문

目的：探讨个性化养生指导对血脂异常患者自我健康管理能力的影响。方法2013年3~10月，将在本院健康体检的69例血脂异常患者，按照先后体检顺序随机分为观察组34例和对照组35例。对照组给予常规健康教育，观察组在对照组基础上给予个性化养生指导。比较两组患者干预前后对疾病风险的认知程度、不良生活方式改变情况、血脂相关指标、体重指数(BMI)和腰围。结果干预12个月后，观察组对疾病风险的认知程度明显优于对照组，除吸烟外，其他不良生活习惯和饮食习惯等生活方式的改变情况也明显优于对照组(P<0.01)；干预后，观察组的TC、TG、LDL-C水平明显低于对照组，HDL-C水平明显高于对照组，BMI明显低于对照组，腰围小于对照组(P<0.05)。结论个性化养生指导明显优于常规健康教育，能帮助患者树立健康养生理念，养成健康的生活方式，提高自我健康管理能力，有效维持身体的健康状态，提高生活质量。
목적：탐토개성화양생지도대혈지이상환자자아건강관리능력적영향。방법2013년3~10월，장재본원건강체검적69례혈지이상환자，안조선후체검순서수궤분위관찰조34례화대조조35례。대조조급여상규건강교육，관찰조재대조조기출상급여개성화양생지도。비교량조환자간예전후대질병풍험적인지정도、불량생활방식개변정황、혈지상관지표、체중지수(BMI)화요위。결과간예12개월후，관찰조대질병풍험적인지정도명현우우대조조，제흡연외，기타불량생활습관화음식습관등생활방식적개변정황야명현우우대조조(P<0.01)；간예후，관찰조적TC、TG、LDL-C수평명현저우대조조，HDL-C수평명현고우대조조，BMI명현저우대조조，요위소우대조조(P<0.05)。결론개성화양생지도명현우우상규건강교육，능방조환자수립건강양생이념，양성건강적생활방식，제고자아건강관리능력，유효유지신체적건강상태，제고생활질량。
Objective To explore the influence of personalized health guidance on self-health management capability in patients with dyslipidemia. Methods From March to October 2013,69 patients with dyslipidemia conducted physical examination in our hospital were randomly divided into observation group (n=34) and control group (n=35) based on the sequence of physical examination.Control group was given routine health education,while observation group was given personalized health guidance on the basis of control group.Degree of awareness on disease risk,change of poor lifestyle, lipid related indexes,body mass index (BMI) and waistline before and after intervention in patients between the two groups was compared respectively. Results After 12-month intervention,degree of awareness on disease risk in observa-tion group was obviously better than that of control group,and except for smoking,change of life style of other poor liv-ing habit and diet habit and so on was also obviously better than that of control group (P<0.01);after intervention,TC,TG and LDL-C level in observation group was obviously lower than that of control group respectively,HDL-C level was ob-viously higher than that of control group,BMI was obviously lower than that of control group,waistline was obviously smaller than that of control group (P<0.05). Conclusion Personalized health guidance is significantly better than con-ventional health education,which can help patients establish a health preserving concept,develop a healthy lifestyle,im-prove self-health management capacity to effectively maintain the health of body and improve the quality of life.