摘要
目的:了解社区老年冠心病病人久坐时间与血脂水平及血脂异常患病风险的关系,为制定老年冠心病病人健康生活方式干预提供理论依据。方法:于2019年10月—2020年6月选取郑州市3所社区卫生服务中心管辖范围内的501例老年冠心病病人为研究对象,对其进行问卷调查、体格检查和实验室检查,采用SPSS 21.0软件进行统计分析,采用线性回归分析不同久坐时间水平与血脂水平的关系,应用多因素Logistic回归分析不同久坐时间水平下血脂异常的患病风险。结果:共调查501例社区老年冠心病病人,久坐时间≤4.0 h/d、4.1~6.0 h/d、6.1~9.0 h/d、>9.0 h/d组血脂异常检出率分别为45.56%、49.66%、57.46%、63.53%。老年冠心病男性病人久坐时间[(7.46±3.02)h/d]多于女性[(6.00±2.74)h/d](t=3.181,P<0.001)。线性回归分析结果显示,总胆固醇含量随久坐时间增加而呈增高趋势,进一步调整混杂因素后,上述现象依然存在。多因素Logistic回归分析结果显示,与久坐时间≤4.0 h/d相比,久坐时间6.1~9.0 h/d[OR=1.927,95%CI(1.360,2.732)]与>9.0 h/d[OR=3.016,95%CI(1.253,7.258)]组血脂异常的危险性增加(P<0.05),调整混杂因素后,上述关系仍然显著。结论:郑州市社区老年冠心病病人久坐水平较高,久坐时间可增加老年冠心病病人血脂水平控制不良的风险。在冠心病健康教育工作中,需重视减少老年冠心病病人久坐时间的健康宣教。
Objective:To investigate the relationship between sedentary time and blood lipid levels and risk of dyslipidemia in elderly patients with coronary heart disease in community,so as to formulate theoretical basis for the development of healthy lifestyle intervention in elderly patients with coronary heart disease.Methods:A total of 501 elderly patients with coronary heart disease(CHD)were selected from the jurisdiction 3 community health service centers in Zhengzhou from October 2019 to June 2020 as the research subjects,and they underwent questionnaire survey,physical examination and laboratory test.SPSS 21.0 software was used for statistical analysis.Linear regression was used to analyze the relationship between different sedentary time levels and blood lipid content.Multivariate logistic regression was used to analyze the risk of dyslipidemia with different levels of sedentary time.Results:Among 501 elderly patients with coronary heart disease in the community,the detection rates of dyslipidemia in the four groups of sedentary time ≤4.0 h/d,4.1-6.0 h/d,6.1-9.0 h/d and>9.0 h/d were 45.56%,49.66%,57.46% and 63.53%,respectively.The daily sedentary time of elderly male patients with coronary heart disease(7.46±3.02)h was higher than that of female patients(6.00±2.74)h,and the difference was statistically significant(t=3.181,P<0.001).The results of linear regression analysis showed that TC content increased with the increase of sedentary time,and the above phenomenon still existed after further adjusting for confounding factors.Multivariate Logistic regression analysis showed that compared with sedentary time≤4.0 h/d,sedentary time 6.1-9.0 h/d[OR=1.927,95%CI(1.360,2.732)]was significantly higher than>9.0 h/d[OR=3.016,95%CI(1.253,7.258)] increased risk of dyslipidemia(P<0.05).The relationship was still significant after adjusting for confounding factors.Conclusion:The sedentary level of elderly patients with coronary heart disease in Zhengzhou community is higher,and sedentary time can increase the risk of poor control of lipid level in elderly patients with coronary heart disease.In the health education of coronary heart disease,attention should be paid to the health education of reducing the sedentary time of elderly patients with coronary heart disease.
作者
宋安妮
杜瑾
孙娜雅
姜宗良
张伟宏
SONG Anni;DU Jin;SUN Naya;JIANG Zongliang;ZHANG Weihong(School of Nursing and Health,Zhengzhou University,Henan 450001 China)
出处
《护理研究》
北大核心
2022年第7期1139-1144,共6页
Chinese Nursing Research
基金
国家自然科学基金资助项目,编号:72064038。
关键词
久坐时间
冠心病
血脂异常
老年人
影响因素
sedentary time
coronary heart disease(CHD)
dyslipidemia
the elderly
influencing factor
作者简介
宋安妮,护士,硕士研究生在读;通讯作者:张伟宏,E⁃mail:zwhong306@zzu.edu.cn。
