一个平行臂随机对照试验,研究风险传播方法对预防心血管疾病的影响:EFFRICO试验
Kritika Singhal1, Pankaj Prasad1, Deb Kumar Pal2
1Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Journal of family medicine and primary care
|July 1, 2024
概括
对心血管疾病 (CVD) 的风险沟通策略显示出改善健康行为和药物坚持的潜力,尽管结果在统计学上并不显著. 需要进一步的研究来证实这些心血管疾病预防方法的影响.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 卫生教育卫生教育教育
背景情况:
- 心血管疾病 (CVD) 对健康构成重大风险,有许多可修改的风险因素.
- 传统的健康教育和患者咨询往往无法有效地改变预防心血管疾病的健康行为.
- 需要新的风险沟通方法来提高患者的参与度和遵守预防策略.
研究的目的:
- 评估不同风险沟通策略对降低心血管疾病 (CVD) 风险的影响.
- 评估这些沟通方法对患者药物坚持的影响.
- 为了比较Framingham10年心血管疾病风险得分和心脏年龄沟通与常规护理的有效性.
主要方法:
- 进行了一项涉及159名患者的开放标签,随机对照试验.
- 参与者被分配接受10年弗雷明汉心血管疾病风险评分,心脏年龄或例行护理的沟通.
- 结果包括心血管疾病风险得分的变化和可修改的行为风险因素的状态在3个月的随访期间.
主要成果:
- 虽然两个干预组都显示出更高的可修改行为的积极维持,特别是10年弗雷明汉风险评分组,但超过10年心血管疾病风险评分的减少在统计学上并不显著 (P > 0.05).
- 干预组报告说,在药物坚持,戒毒和饮食改变的"行动"阶段,参与度更高.
- 与常规护理相比,干预组中更频繁地观察到积极维持健康行为的情况.
结论:
- 系统风险沟通方法可能会降低未来患心血管疾病的可能性.
- 在这项研究中,观察到的心血管疾病风险的降低和遵守的改善在统计学上并不显著.
- 需要进一步调查,以优化风险沟通策略,以有效预防心血管疾病和改变行为.
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