医生对沙特阿拉伯当前失脂症管理实践的看法和信念
Turky H Almigbal1,2, Dina S Almunif1,2, Eman Ali Deshisha3
1Family and Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
概括
沙特阿拉伯的医生对脂质指导方针的理解有所不同,成本和知识差距等障碍阻碍了最佳的脂质失调管理. 应对这些挑战对于改善心血管疾病预防至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 对于医生遵守低密度脂蛋白胆固醇 (LDL-C) 目标和沙特阿拉伯治疗失脂症的他激素强度的了解有限.
- 这项研究调查了沙特阿拉伯临床医生在临床实践中对脂质准则遵守的看法,信念和感知障碍.
研究的目的:
- 评估沙特医生对国际失脂症管理指南的理解和应用.
- 确定影响沙特阿拉伯执业临床医生遵守脂质指南的感知障碍.
主要方法:
- 一份调查问卷评估了医生对七项国际脂质指南的熟悉程度,使用程度和遵守程度.
- 该调查评估了失脂症管理实践,患者治疗以及遵守指南的障碍.
主要成果:
- 467名医生的近91%遵循国际指南,主要是ACC/AHA. 动脉样硬化心血管疾病 (ASCVD) 风险计算器是最常用的工具.
- 医生报告的挑战包括他类药物不耐受 (63%),由于成本和可用性而有限地使用PCSK9抑制剂 (66%),以及患者不坚持和缺乏教育工具等障碍.
- 在初级保健医生和专家之间,在准则偏好和感知障碍方面,注意到了显著的差异.
结论:
- 沙特医生之间的不同看法和态度源于不同的国际指导方针建议.
- 在患者,医生和实践层面发现的障碍需要有针对性的干预措施.
- 标准化实践和解决已识别障碍的行动对于优化沙特阿拉伯的健康结果和ASCVD预防至关重要.
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