管理病和动脉样硬化心血管疾病的前景
Tarlan Namvar1, Matthew A Cavender2, Eden Miller3
1Novo Nordisk Inc, Plainsboro, New Jersey, USA.
Cardiorenal medicine
|June 16, 2024
概括
医疗保健提供者经常未能与患者讨论慢性病 (CKD) 和动脉样硬化心血管疾病 (ASCVD) 的风险,尽管已知的联系. 科医生是改善患者对这些相互关联的疾病的理解和管理的关键.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 和动脉样硬化心血管疾病 (ASCVD) 与心脏代谢状况密切相关.
- 关于患者和提供者对这种临床重叠的看法存在有限的数据.
研究的目的:
- 评估医疗保健提供者 (HCP) 和患者对CKD和ASCVD风险,诊断和管理的态度.
- 发现患者和提供者之间关于这些相关疾病的沟通和教育方面的差距.
主要方法:
- 在美国进行的横截面调查 (2021年5月至6月).
- 参与者包括58名脏病学家,74名心脏病学家和195名自我报告的CKD和ASCVD患者.
主要成果:
- 大多数科医生承认心脏代谢并发症会增加CKD风险,但只有52%的患者与CKD风险讨论.
- 只有35%的患者报告说,他们的医疗保健工作者讨论了其他疾病如何影响CKD发展.
- 虽然83%的科医生建议改变生活方式,但只有53%的患者报告遵守.
结论:
- 卫生保健工作者通常不会对患者提供关于CKD和ASCVD之间的双向关系的教育.
- 科医生有很好的地位,可以为患者提供心脏脏健康,风险减轻和治疗策略的教育.
- 改善患者和医疗服务提供者的沟通对于管理CKD与心血管健康之间的相互作用至关重要.
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