在牛皮队列中改善心血管结果. 牛皮和心血管疾病-临床医生的知识,实践和感知
Annika Smith1,2, Belinda Lai1,2, Sarah Zaman1,3
1Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
The Australasian journal of dermatology
|February 22, 2025
概括
牛皮显著增加了心血管疾病 (CVD) 的风险,但临床医生和患者的认识仍然很低. 提高知识和建立国家共识对于更好的患者护理至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 牛皮是心血管疾病 (CVD) 的确立的独立风险因素.
- 牛皮患者心血管疾病的增加风险超出了传统的心血管 (CV) 风险因素.
- 了解临床医生和患者对牛皮-心血管疾病风险的看法对于有效管理至关重要.
研究的目的:
- 评估临床医生和患者关于牛皮和心血管疾病之间的关联的知识.
- 评估与牛皮患者心血管风险查和管理相关的看法和当前做法.
- 识别意识上的差距,并为改善临床护理的策略提供信息.
主要方法:
- 一项横截面研究,使用自行管理的问卷,分发给澳大利亚的临床医生和牛皮患者.
- 收集的数据包括人口统计数据,有关牛皮-心血管疾病联系的知识,以及对心血管查和管理的看法.
- 统计分析包括描述性统计和后勤回归,以确定意识和感知的预测因素.
主要成果:
- 皮肤病学家 (98.8%) 和风湿病学家 (91.1%) 报告皮肤病-心血管疾病联系的高度意识,但心脏病学家 (54.7%) 和全科医生 (29.1%) 较低.
- 只有23.5%的牛皮患者知道心血管疾病风险增加.
- 临床医生在他们的病例中有更多的牛皮患者,他们表现出明显更高的意识 (OR 3.05). 大多数临床医生更喜欢全科医生进行心血管风险管理,而患者更喜欢专家或多学科的投入.
结论:
- 在患者和相当一部分临床医生中,关于牛皮和心血管疾病之间的关联的知识存在重大差距.
- 研究结果表明,需要改善针对医疗保健提供者和公众的教育和宣传倡议.
- 建议建立全国共识和协调方法,以解决临床护理中的这种差异,并减轻牛皮患者的心血管疾病风险.
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