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比勒陀利亚接受他汀类药物治疗的患者血脂异常的知识与生活方式改变

Knowledge and lifestyle modifications for dyslipidaemia among patients on statins in Pretoria.

作者信息

September Thandazile Z, Ndimande John V, Okonta Henry I, Steyn Carien, Bongongo Tombo

机构信息

Department of Family Medicine and Primary Health Care, School of Medicine, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

出版信息

J Coll Med S Afr. 2024 Apr 9;2(1):25. doi: 10.4102/jcmsa.v2i1.25. eCollection 2024.

Abstract

BACKGROUND

Nearly half of all non-communicable diseases are caused by cardiovascular diseases, for which one of the most important risk factors is dyslipidaemia. This study assessed the knowledge and lifestyle modification practices regarding dyslipidaemia among patients taking statins at Phedisong 4 Community Health Centre in Pretoria, South Africa.

METHODS

This was a descriptive cross-sectional study using a structured administered and piloted questionnaire.

RESULTS

The mean age of the 268 participants was 60.1 years, with a minimum and maximum of 27 years and 89 years, respectively. High participation rates were seen among females (70.2%), those who were overweight (44.8%), adults with high school level education (48.1%), pensioners (54.1%), those with low incomes (83.2%), non-smokers (86.9%), and people with co-morbid conditions, including hypertension (92.2%) and diabetes mellitus (31.0%). Findings revealed that 66.3% of participants with dyslipidaemia adjusted their lifestyles, despite poor knowledge. There was a significant relationship between poor knowledge and poor practices in 55.6% of the participants ( < 0.001).

CONCLUSION

This study found that participants' lack of information about dyslipidaemia did not affect their behaviour because more than half of them practiced lifestyle modifications, which can be related to the study sample's over 90% concomitant hypertension diagnosis. Ongoing education on dyslipidemia should be addressed through a variety of venues, including health education at different health institutions.

CONTRIBUTION

It is necessary to maintain ongoing education of patients about dyslipidaemia, its treatment, and related lifestyle modifications through a variety of channels, including health education in different health facilities around Pretoria.

摘要

背景

几乎一半的非传染性疾病是由心血管疾病引起的,其中最重要的风险因素之一是血脂异常。本研究评估了南非比勒陀利亚费迪松4社区卫生中心服用他汀类药物的患者对血脂异常的认知及生活方式改变情况。

方法

这是一项描述性横断面研究,采用结构化管理并经过预试验的问卷。

结果

268名参与者的平均年龄为60.1岁,最小年龄为27岁,最大年龄为89岁。女性(70.2%)、超重者(44.8%)、具有高中文化程度的成年人(48.1%)、退休人员(54.1%)、低收入者(83.2%)、不吸烟者(86.9%)以及患有包括高血压(92.2%)和糖尿病(31.0%)在内的合并症的人群参与率较高。研究结果显示,66.3%的血脂异常参与者尽管认知不足,但仍调整了生活方式。55.6%的参与者认知不足与行为不佳之间存在显著关联(<0.001)。

结论

本研究发现,参与者对血脂异常缺乏了解并未影响他们的行为,因为超过一半的人进行了生活方式改变,这可能与研究样本中超过90%的人同时被诊断为高血压有关。应通过多种途径开展血脂异常的持续教育,包括在不同医疗机构进行健康教育。

贡献

有必要通过多种渠道,包括在比勒陀利亚各地不同卫生机构开展健康教育,对患者进行血脂异常及其治疗以及相关生活方式改变的持续教育。

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