新疆农村维吾尔族血脂异常患者知信行干预效果

目的 了解维吾尔族农村居民血脂异常患者血脂异常健康教育干预效果。方法 采用整群随机抽样方法，抽取新疆喀什伽师县江巴孜乡年龄≥18岁的715例常住维吾尔族血脂异常患者随机分为干预组和对照组，对干预组实施3年的健康教育干预活动并对干预效果进行评价。结果 干预后，干预组与对照组血脂异常知识平均知晓率分别为18.0%、6.0%，态度平均形成率分别为29.5%、8.2%，行为平均形成率分别为6.6%、3.9%；2组患者血脂异常知识得分分别为（2.16±2.55）和（0.73±1.25）分，态度得分分别为（2.06±1.73）和（0.57±0.95）分，行为得分分别为（0.46±0.91）和（0.27±0.59）分，总平均分分别为（4.68±4.34）和（1.56±1.93）分，2组差异均有统计学意义（P<0.01）。结论 新疆农村地区维吾尔族血脂异常患者的血脂异常知识、态度和行为水平极低，持续有效的健康教育可以提高其血脂异常的知识、态度和行为水平。

Effect of intervention on knowledge,attitude and behaviors about serum lipid among rural Uygur residents with dyslipidemia in Xinjiang

Objective To evaluate the effect of health education about serum lipid among rural Uygur residents with dyslipidemia.Methods Using cluster random sampling,715 rural Uygur residents aged 18 years and over and with dyslipidemia were selected from twelve villages of Jiangbazi township of Kashi county in Xinjiang Uygur Autonomous Region(Xinjiang) and randomly divided into an intervention group and a control group.A three-year health education intervention was conducted for the intervention group.Results After the intervention,the intervention group had significantly higher rates and scores in knowledge(18.0% vs.6.0%,2.16±2.55 vs.0.73±1.25),correct attitude(29.5% vs.8.2%,0.46±0.91 vs.0.27±0.59),health behaviors(6.6% vs.3.9%,0.46±0.91 vs 0.27±0.59),and overall score(4.68±4.34 vs.1.56±1.93) about dyslipidemia compared to those of the control group(P<0.01 for all).Conclusion The levels of knowledge,attitude and behaviors about serum lipid are very low in rural Uygur adult residents with dyslipidemia in Xinjiang and sustained health education can increase the levels of knowledge,attitude and behaviors about dyslipidemia.