Đề tài nghiên cứu khoa học: Đánh giá kết quả giáo dục sức khỏe về rối loạn Lipid máu, bằng cách sử dụng một mạng lưới các nhân viên y tế cộng đồng tại Thành phố Huế

Tuyển tập báo cáo nghiên cứu khoa học trường đại học huế đề tài: Đánh giá kết quả giáo dục sức khỏe về rối loạn lipid máu, bằng cách sử dụng một mạng lưới các nhân viên y tế cộng đồng tại thành phố Huế...
Nội dung trích xuất từ tài liệu:
Đề tài nghiên cứu khoa học: Đánh giá kết quả giáo dục sức khỏe về rối loạn Lipid máu, bằng cách sử dụng một mạng lưới các nhân viên y tế cộng đồng tại Thành phố HuếJOURNAL OF SCIENCE, Hue University, N0 61, 2010 ASSESSMENT OF HEALTH EDUCATION OUTCOMES ABOUT DYSLIPIDEMIA, USING A NETWORK OF COMMUNITY HEALTH WORKERS IN HUE CITY Doan Phuoc Thuoc College of Medicine and Pharmacy, Hue University Nguyen Thi Kim Tien Vietnams Ministry of Health SUMMARY Dyslipidemia is very common in the community and is an important risk factor ofatherosclerosis and coronary artery disease with high mortality. A community intervention ofhealth education is designed to progressively reduce dietary intake of satuprevalenced fats,cholesterol, total calories and increase physical activities to decrease dyslipidemia. Theintervention was conducted by a network of medical staffs in wards and intergprevalence withother health programmes. After 12 months of intervention, the prevalence of dyslipidemiadecreased 11.6% (from 39.3% to 27.7%). The prevalence of high serum total cholesterol (TC)levels reduced from 20.4% to 11.1%, LDL-C levels reduced from 15.7% to 6%, triglicerideslevels did not change. Average values of serum HDL-C levels increased (from 53.6 mg / dL to63.9 mg / dL) and LDL-C levels reduced (from 119.4 mg / dL to 100.6 mg / dL) (p secondary causes (lifestyle habits) play an important role in the process of dyslipidemia,including high fat diet, sedentary lifestyle, few physical activities, drinking too muchalcohol (lifestyle factors) and poor knowledge of dyslipidemia. The fact that changinglifestyle habits will reduce prevalence of dyslipidemia and coronary disease risk hasbeen identified in developed countries. In Vietnam in general and Hue city particularly, the education program related todyslipidemia is very limited, so detection, prevention and treatment of dyslipidemiadoes not receive adequate concern. Doctors in hospitals often use drugs to treat those individuals with dyslipidemia.Its important in health care strategy to reduce the morbidity in community and increasethe prevalence of detection and treatment to have long term effects. The studyAssessment of health educational outcomes about dyslipidemia using a network ofcommunity health workers in Hue City was conducted to assess the behavioralchanges in prevention and treatment of dyslipidemia and evaluate the prevalence ofdyslipidemia decreasing in people aged 20 years or older in Hue city throughcommunity health education.2. Methodology - The subjects of the study were adults aged 20 years or older in Hue city - Study design: A community intervention of health education is designed toprogressively reduce dietary intake of saturated fats, cholesterol, total calories andincrease physical activities to decrease dyslipidemia; the intervention was conducted for12 months from 3/2008 to 5/2009 by a network of medical staffs in wards and intergratewith other health programmes. - Sample size: 350 adults aged 20 and older, calculated by followingformula 2 p (1  p ) F n d2 ▪ F = 7,9; d: difference between dyslipidemia prevalence before (pA) and after(pB) health education; pA : 35.08 % and pB : 25 % (expectantly) - Sample: Choose two wards of Hue city randomly, randomly select five groups(administrative units of ward) per ward, and 35 people aged 20 years and older pergroup selected according to a list - Methods of data collection: + A community survey to collect data before the community health education ondyslipidemia 468 + Implement health education programs based on a network of communityhealth workers for 12 months + A community survey to collect data after 12 months of lipid education - The information collected + Personal information: age, gender, occupation + Eating habits, physical activity, drinking beer / wine + Knowledge about blood lipid and dyslipidemia + Test blood lipid, prevention and treatment of dyslipidemia + The prevalence of dyslipidemia, blood level of lipid components - Methods of research evaluation: + Comparison of previous and after index and prevalence of the applicationprogram for community health education on blood lipids and evaluate the differencebetween prevalences based on the P value < 0.05 and intervention effective (IE) ...