心血管疾病二次预防中的性别不平等:一个范围审查
Irene López Ferreruela1,2,3, Blanca Obón Azuara4,5, Sara Malo Fumanal5,6
1Internal Medicine Service, Miguel Servet University Hospital, Saragossa, Spain. irene.ilf@hotmail.com.
International journal for equity in health
|July 23, 2024
概括
这一综述强调了心血管疾病二次预防中的性别差异. 妇女接受的指导方针推的治疗和心脏康复较少,表明需要公平的护理策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心血管疾病 (CVD) 仍然是全球的主要公共卫生问题.
- 心血管事件后的二次预防对于减少复发至关重要.
- 现有证据表明,心血管疾病管理中存在潜在的性别差异,特别是影响女性.
研究的目的:
- 识别和综合现有证据,以性别差异在医疗保健注意力主要不良心血管事件后.
- 了解二次心血管疾病预防中性别差异研究的范围.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 纳入标准是使用Joanna Briggs Institute (JBI) 框架来定义的.
- 在MEDLINE (PubMed),EMBASE和Cochrane数据库中进行了系统的搜索.
主要成果:
- 在3322项初步研究中,有93项被纳入了审查.
- 在药理治疗,指南推的护理和心脏康复 (CR) 中观察到性别差异.
- 女性接受指南推药物的可能性较低,风险因素测试和目标实现率较低,CR转诊和参与率较低.
结论:
- 这一审查证实,在心血管疾病的二次预防中存在性别不平等.
- 需要进一步的研究来探索导致这些治疗和CR参与差异的因素.
- 解决这些不平等问题对于确保对所有性别进行公平有效的心血管疾病管理至关重要.
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