农村精神病医院住院患者中的心血管风险估计:横截面初步研究
Alan Woodall1,2, Amy Prosser1, Millie Griffiths1
1Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom.
农村精神病医院的住院患者显著增加了心血管疾病的风险. 使用QRISK3进行例行评估,发现28%的患者有高风险,这突显了对综合精神和身体健康护理的未满足需求.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 对患有心理健康状况的个人构成重大风险.
- 农村人口在获得医疗保健,包括预防性服务方面经常面临独特的挑战.
研究的目的:
- 为了评估入住农村住院精神病医疗服务的患者的心血管风险.
- 在这个人群中评估常规心血管风险因素记录和估计的可行性.
主要方法:
- 对英国农村地区精神病医院住院患者一年以上的风险因素记录的护理记录的分析.
- 使用QRISK3计算器估计10年心血管风险.
主要成果:
- 在86%可能的QRISK3输入中完成了风险因素记录.
- 与匹配的人群相比,这种患者群体的心血管风险显著增加.
- 28%的患者患有高心血管疾病风险 (QRISK3评分>10%).
结论:
- 在农村精神病医院住院患者中,对心血管风险降低存在重大未满足的需求.
- 常规心血管风险评估是可行的,并确定一个高风险群体.
- 建议整合精神和身体健康护理,提供足够的资源和培训.
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