患者在冠状动脉事件后对二次预防的偏好
Tinka J van Trier1, Harald T Jørstad1, Wilma J M Scholte Op Reimer1,2
1Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
患者在住院后经常错误地识别心血管风险因素. 他们优先考虑生活方式的改变,如体力活动和减轻压力,比药物更喜欢这些,并寻求支持这些改进.
科学领域:
- 心脏病学 心脏病学
- 患者为中心的护理
- 健康行为研究研究健康行为研究
背景情况:
- 冠状动脉疾病 (CAD) 的二次预防至关重要,但往往无法达到指导目标.
- 患者的偏好是弥合风险因素管理差距的关键.
- 了解患者对风险因素的看法对于有效治疗至关重要.
研究的目的:
- 为了探索患者自我感知的心血管风险因素.
- 为了确定哪些风险因素患者优先改善.
- 确定急性冠状动脉事件后风险因素管理的支持需求.
主要方法:
- 一项调查研究涉及最近从急性冠状动脉护理单位出院的患者.
- 数字问卷评估自我感知,优先考虑和支持所需的风险因素.
- 将患者报告的因素与医疗记录中的数据进行比较.
主要成果:
- 患者确定的和医疗记录的风险因素之间存在重大差异,特别是"身体不活动".
- "身体不活动"",超重"和"压力"最常被优先考虑改善和支持.
- 大多数 (87%) 的人更喜欢改变生活方式而不是服用药物,如果它能减少药物依赖.
结论:
- 最近患有冠状动脉事件的患者对自己的风险因素有独特的看法.
- 生活方式的修改,特别是解决身体不活动,体重和压力,受到患者的高度重视.
- 根据患者的偏好和感知需求调整二次预防策略对于改善结果至关重要.
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