概括
医生的冷漠和患者的冷漠阻碍了无症状成年人的冠状动脉风险因素减少. 许多患者没有参加后续预约,也没有遵守处方治疗和建议.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 冠状动脉风险因素显著增加心血管疾病的可能性.
- 早期识别和管理风险因素对于预防至关重要.
- 具有危险因素的无症状个体需要有效的干预策略.
研究的目的:
- 评估医生和患者参与管理冠状动脉风险因素的情况.
- 评估遵守医疗建议和处方治疗以减少风险.
- 在无症状的成年人中识别对冠状动脉风险因素有效管理的障碍.
主要方法:
- 一组1817名成年人进行了两次冠心风险因素查.
- 使用医生和患者问卷收集后续数据.
- 数据分析侧重于随访率,治疗开始和坚持.
主要成果:
- 超过20%的患有风险因素的人没有参加后续护理.
- 只有13.5%的患者接受了风险因素治疗或咨询.
- 在被处方药 (51.7%) 或接受咨询 (78.9%) 的患者中,很大一部分是不遵守药物的.
结论:
- 医生的冷漠和患者的冷漠有助于低于最佳的冠状动脉风险因素管理.
- 在无症状人群中有效减少冠状动脉风险因素方面存在很大的差距.
- 需要进行干预措施,以改善患者的坚持和医生参与预防性心脏病学.
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