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目的通过对新疆农村地区维吾尔族人群开展高脂血症健康教育干预活动,了解其高脂血症知识、态度和行为的现状,并评价高脂血症的干预效果。方法采用现场人群试验和整群随机抽样的方法,2009年随机抽取新疆喀什伽师县江巴孜乡12个自然村18岁及以上的维吾尔族常住居民,随机分为6个干预组村和6个对照组村,对干预组村实施连续3年的高脂血症健康教育干预活动。干预前后分别调查高脂血症知识、态度和行为水平及得分情况。结果基线干预组2 185人,基线对照组1 577人,结局干预组1 113人,结局对照组1 059人。基线干预组与基线对照组12项高脂血症知识知晓率、7项高脂血症态度信念形成率、7项高脂血症行为形成率比较,差异均无统计学意义(P>0.05);结局干预组与结局对照组精神紧张易患高脂血症的知晓率、规律生活可防高脂血症的信念形成率、控制体质量行为的形成率比较,差异无统计学意义(P>0.05),其他11项高脂血症知识知晓率、6项高脂血症态度信念形成率、6项高脂血症行为形成率结局干预组均高于结局对照组(P<0.05)。基线干预组与基线对照组高脂血症知识、态度、行为及总得分比较,差异均无统计学意义(P>0.05);结局干预组较结局对照组高脂血症知识得分〔(1.85±2.24)分与(0.54±1.14)分〕、态度〔(1.95±1.64)分与(0.47±0.91)分〕、行为〔(0.35±0.78)分与(0.16±0.52)分〕及总得分〔(4.15±3.89)分与(1.18±2.00)分〕均升高(P<0.05)。结论新疆农村地区维吾尔族人群的高脂血症知识、态度和行为水平极低,持续有效的高脂血症健康教育可以提高其高脂血症的知识、态度和行为水平。
Objective To understand the status quo of knowledge, attitude and behavior of hyperlipidemia by carrying out health education intervention on hyperlipidemia in Uygur population in rural areas of Xinjiang and to evaluate the intervention effect of hyperlipidemia. Methods By means of on-the-spot crowd test and cluster random sampling, in 2009, randomly selected Uighur residents aged 18 and over in 12 natural villages in Jiang Ba Zi Township, Kashi Jiashi County, Xinjiang Autonomous Region were randomly divided into 6 intervention group villages and 6 The control group of villages, the implementation of the intervention group of three consecutive years of hyperlipidemia health education interventions. Before and after intervention were investigated hyperlipidemia knowledge, attitude and behavior levels and scores. Results There were 2 185 baseline interventions, 1 577 baseline controls, 1 113 outcome interventions, and 1 059 outcome controls. There was no significant difference in the awareness rate of 12 items of hyperlipidemia, the formation rate of 7 items of hyperlipidemia attitude and the incidence of 7 items of hyperlipidemia between the baseline intervention group and the baseline control group (P> 0.05) There was no significant difference between the intervention group and the control group (P> 0.05) .Conclusion There was no significant difference in the rate of awareness of the incidence of hyperlipidemia, 0.05), the other 11 knowledge of hyperlipidemia awareness, the incidence of 6 hyperlipidemia attitude and belief, 6 hyperlipidemia behavior formation rate of intervention group were higher than the outcome of the control group (P <0.05). There was no significant difference in knowledge, attitude, behavior and total score of hyperlipidemia between the baseline intervention group and the baseline control group (P> 0.05); the outcome intervention score of the hyperlipidemia control group [(1.85 ± 2.24) points and (0.54 ± 1.14) points respectively, and the attitude was (1.95 ± 1.64) points and (0.47 ± 0.91) points respectively. The scores of behavior were (0.35 ± 0.78) and (0.16 ± 0.52) 4.15 ± 3.89) and (1.18 ± 2.00) points were higher (P <0.05). Conclusion The level of knowledge, attitude and behavior of hyperlipidemia in rural Uighur population in Xinjiang is very low. Continuous and effective hyperlipidemia health education can improve their knowledge, attitude and behavior of hyperlipidemia.