Evaluation of the longterm effect of a health promotion program for the hyperlipidemics

我们对54名连续两年参加1999年（第一期）大规模体检的高脂血症患者，通过与两年后（2001年）的筛查数据进行比较，评估了抗高脂血症教育效果的固定性。然后，我们试图找出影响固着性的因素。然后，我们给那些没有获得固定性的参与者一个提升，并在2003年再次评估效果。结果;1。一半的参与者在第一次测试后的两年内保持了测试数据。保存数据组的生活方式优于没有保存数据组的生活方式。提取饮食习惯（食物量、零食量、蔬菜量、蛋黄酱或调味品消耗量）作为影响抗高脂血症教育效果固定性的因素。未保持数据组的生活方式在再教育后有所改善，但其获得的程度不如第一次再教育后获得的程度。固定了良好生活方式的参与者中，有50%的人在项目四年后保留了检查数据，而生活方式没有改变的参与者中，只有20%的人保留了数据。我们的项目在第一阶段的两年后对一半的参与者产生了良好的效果。然而，随着时间的推移，这种效果越来越少。总之，定期的筛选，评估和再教育是必要的，以保持教育计划的效果。

We evaluated the fixity of the effect of the anti-hyperlipidemic education in 54 residents who were diagnosed as hyperlipidemic for two years in succession in a mass examination and enrolled in the health promotion program conducted in 1999 (the first session) by comparing the screening data to those of two years later in 2001. Then we tried to identify the factors which influenced the fixity. Then we gave the participants who did not acuire the fixity a boost and evaluated the effect again in 2003.Results ;1.Half of the participants maintained the examination datan two years after the first session.2.Life-style of the group who maintained the data was preferable compared to that of the group who didn't.3.Items concerning dietary habit (food amount, snacks, vegetable amount, mayonnaise or dressing consumotion) were extracted as influencing factors for the fixity of the effect of the anti-hyperlipidemic education.4.As the life-style in the group who did not maintain the data improved after re-education, the degree was not as much as that obtained just after the first session.5.Fifty percent of the participants with whom good life-style was fixed maintained the examination data four years after the program and only twenty percent of the participants with whom life-style did not change maintained the data.Our program produced good results in half of the participants after two years of the first session. However the effect became less and less with the lapse of time. In conclusion, periodic screening, evaluation and re-education are necessary to maintain the effect of the education program.