Brunt J H, Shields L
Can J Cardiovasc Nurs. 1996;7(2):6-11.
In this study we examined the effect of a nurse-managed cholesterol screening program on the preventive health behaviours (e.g., diet changes, weight loss, medical surveillance) of 534 Hutterites. Hutterites are the largest single rural ethnic group in Canada and they have been found to be at high risk for heart disease. Eighty-one percent of the participants engaged in at least one preventive behaviour. Ongoing cholesterol surveillance was reported by 34.5% of the participants. Weight loss and dietary fat reduction were reported by 31% and 62% of the respondents, respectively. Seven percent of the respondents began lipid-lowering pharmacologic therapy. Screening cholesterol levels and age were significantly related to all of the outcomes except weight loss. This study provides evidence that community-based screening accompanied by counselling and referral by nurses can positively affect preventive behaviours.
在本研究中，我们调查了一项由护士管理的胆固醇筛查项目对534名哈特派信徒预防健康行为（如饮食改变、体重减轻、医疗监测）的影响。哈特派信徒是加拿大最大的单一农村族群，已被发现心脏病风险很高。81%的参与者至少采取了一种预防行为。34.5%的参与者报告进行了持续的胆固醇监测。分别有31%和62%的受访者报告体重减轻和饮食脂肪减少。7%的受访者开始进行降脂药物治疗。除体重减轻外，筛查胆固醇水平和年龄与所有结果均显著相关。本研究提供了证据，表明由护士进行咨询和转诊的社区筛查可对预防行为产生积极影响。
