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

对1999年（第一期）在群众体检中连续两年被诊断为高血压病的54名参加健康促进计划的居民，通过与2001年两年后的筛查资料比较，评价了高血压病教育效果的固定性。然后，我们试图找出影响固定性的因素。然后对没有获得固定性的被试进行刺激，并于2003年再次进行效果评估。1.有一半的被试在第一次治疗后两年内保持了检查数据。2.保持数据组的生活方式优于不保持数据组。3.饮食习惯项目（食物量、零食量、蔬菜量、蛋黄酱或敷料摄入量）作为影响高血压教育效果的固定性因素。4.未保持数据的组在再教育后生活方式有改善，5.在生活方式固定的参与者中，有50%的人在项目实施四年后仍保持着检查数据，而在生活方式没有改变的参与者中，只有20%的人保持着检查数据。然而，随着时间的推移，效果越来越小。总之，定期筛查、评估和再教育对于保持教育方案的效果是必要的。

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.