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目的:通过基于家庭医生服务模式的老年人血脂异常管理,为血脂异常的老年人群和高危人群探索一条适合社区的综合管理模式。方法:选取深圳市龙岗某社区健康服务中心,选择200名愿意参加本次研究,且年龄在60岁及以上的血脂异常的户籍老年人作为调查对象。分为2组:管理组实施家庭医生服务模式的综合管理;对照组仅给予一般的随访。通过6个月的差异化管理比较两组患者血脂的差异和患者知晓率、生活行为方式、患者家庭成员知晓率等方面的差异。结果:管理组在血脂水平下降、患者知晓率、主要家庭成员知晓率、生活行为方式改善,血压、血糖控制及体质指数降低较对照组有明显改善。结论:基于家庭医生服务模式的血脂管理对社区血脂异常老年人干预效果显著,值得进一步推广。
OBJECTIVE: To explore a comprehensive community management model for elderly and at-risk population with dyslipidemia through the management of dyslipidemia in the elderly based on the family doctor service mode. Methods: A community health service center in Longgang, Shenzhen was selected to select 200 elderly people who are willing to participate in this study and whose dyslipidemia was 60 years old and above. Divided into two groups: the management group to implement the integrated management of family doctor service mode; the control group was given only general follow-up. Six months difference management was used to compare the differences of blood lipid, patient awareness rate, lifestyle behavior, and family members’ awareness among two groups. Results: The management group decreased in the level of blood lipid, the awareness rate of patients, the awareness of main family members, the way of life and behavior, blood pressure, blood glucose control and body mass index decreased significantly compared with the control group. Conclusion: The blood lipid management based on the family doctor service mode has significant effect on elderly people with community dyslipidemia, which is worth further promotion.