心脏康复患者的教育程度和心血管风险
Suzanne Irani1, Eric J Brandt2, Chih-Wen Pai1
1Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
The American journal of cardiology
|October 7, 2023
概括
患者的教育成就在心脏康复 (CR) 期间没有显著影响心血管风险因素的改善. 低学历和高学历的群体都显示出类似的积极变化,突出了CR.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 心脏康复 (CR) 对于心血管风险因素管理至关重要.
- 教育程度是健康的公认社会决定因素.
- 了解教育对CR结果的影响可以为有针对性的干预提供信息.
研究的目的:
- 调查患者的教育程度是否会影响心血管风险因素在2期心脏康复期间的变化.
- 为了比较低教育程度和高教育程度的患者之间的饮食习惯,身体组成,生物物理健康和心理痛苦的改善.
主要方法:
- 这是一项对1,307名完成CR第二阶段的患者的观察性研究.
- 患者分为教育程度低 (<16岁) 和高 (>16岁) 的两组.
- 测量结果:食物频率评估 (FFA),身体组成,生物物理健康和心理痛苦.
主要成果:
- 所有心血管风险标志物在两组教育群体中都在CR后得到改善.
- 在食物频率评估 (FFA) 平均得分或简要症状目录-53全球严重性指数得分的变化中,没有观察到群体之间的显著差异.
- 心血管风险的改善在各个教育水平上都是一致的.
结论:
- 心脏康复 (CR) 有效地改善心血管风险因素,无论学历如何.
- 在低教育程度和高教育程度的群体之间,风险因素变化的差异很小.
- 对教育作为心血管健康结果的社会决定因素的进一步研究是有必要的.
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