患者因子与外周动脉疾病的激活水平相关
Margaret A Reilly1, Megan E Alagna1, Cassandra Iroz1
1Department of Surgery, Northwestern University, Chicago, IL, USA.
Vascular medicine (London, England)
|March 13, 2025
概括
患者的激活是管理周围动脉疾病 (PAD) 的关键. 更高的收入,更好的PAD知识和更年轻的年龄与更大的患者激活相关,而其他人则需要有针对性的教育干预.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 患者教育 患者教育
背景情况:
- 周围动脉疾病 (PAD) 是一种慢性疾病,需要患者积极自我管理.
- 患者激活,包括知识,技能和信心,改善慢性疾病的结果.
- 确定与PAD患者激活相关的因素对于优化护理至关重要.
研究的目的:
- 确定与患有PAD的个体患者激活相关的人口和健康相关因素.
- 了解针对性干预的患者激活的预测因素.
主要方法:
- 一项单中心研究调查了91名PAD患者的人口统计,激活 (PAM-13),PAD知识和功能健康素养 (FHL).
- 使用双变量和逻辑回归分析来确定与患者激活相关的因素.
主要成果:
- 72.6%的参与者被激活,具有足够的FHL (78.7%) 和高PAD知识 (平均79.1%).
- 在双变量分析中,与激活相关的因素包括白人种族,更高的收入,行走能力和更高的PAD知识分数.
- 后勤回归显示年龄较小,收入较高和PAD知识得分较高是患者激活程度更高的独立预测因素.
结论:
- 这个队列中的大多数PAD患者被激活了良好的FHL和知识.
- 显著的少数人 (27.5%) 仍然没有被激活,这与较差的PAD知识和特定的人口统计数据有关.
- 未来的研究应该开发以患者为中心的教育干预措施,以加强服务不足的PAD人群的激活.
更多相关视频
14:52Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
11.4K
07:25Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
Published on: September 22, 2020
3.4K
相关概念视频
01:27Assessment of the Cardiovascular System III: Palpation
167
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
167
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
518
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
518
01:16Pulse
409
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
The pulse serves as a clinical...
409
01:17Pulse amplitude and quality
1.5K
Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
1.5K
01:11Pulse Assessment Sites
878
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
878
01:28Factors affecting Blood pressure
2.9K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
2.9K