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

对连续两年体检确诊为高脂血症，并参加1999年(第一期)健康促进项目的54名居民，通过与2001年两年后健康促进项目资料的比较，评价降血脂教育效果的稳定性。然后，我们试图找出影响固定性的因素。对固定效果不佳的受试者给予提振，并于2003年再次进行效果评价。2.保留数据组的生活方式好于不保存数据组。3.提取饮食习惯(食物量、零食、蔬菜量、蛋黄酱或调味品消费)作为影响降血脂教育效果稳定性的因素。4.由于未保存数据组的生活方式在再教育后有所改善，5.良好生活方式固定的参与者中，50%的人在项目四年后保持了考试数据，而生活方式没有改变的参与者中只有20%的人保持了这些数据。我们的项目在第一阶段两年后，一半的参与者取得了良好的成绩。然而，随着时间的推移，影响越来越小。总之，定期的筛查、评估和再教育是维持教育计划效果所必需的。

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.