一般医生的态度和阻碍患者参与心血管疾病预防的障碍:来自DECADE研究的见解
Willy Gräfe1, Iris Tinsel2, Maja Börger3
1Department of General Practice, Faculty of Medicine Carl Gustav Carus, Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany. willy.graefe@ukdd.de.
BMC primary care
|March 29, 2025
概括
德国的全科医生认为,患者激活对于预防心血管疾病至关重要. 然而,时间和资金等障碍阻碍了生活方式咨询,尽管全科医生重视跨专业合作.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是德国的主要死亡原因.
- 一般医生在心血管疾病预防策略中发挥着至关重要的作用.
- 十年的干预旨在加强患者对心血管疾病预防的自我管理,包括全科医生和患者.
研究的目的:
- 调查全科医生对患者在心血管疾病预防中的激活态度.
- 探索全科医生对患者激活的感知与患者实际激活水平之间的关系.
- 识别生活方式咨询的障碍,以及一般医生对专业间咨询的看法.
主要方法:
- 在DECADE-cRCT中进行了基于问卷的横截面研究.
- 用临床医生支持患者激活措施 (CS-PAM) 评估了全科医生对患者激活的态度.
- 用患者激活量 (PAM13-D) 测量患者激活水平. 对生活方式咨询责任的障碍和态度被评估,使用5分利克特级别的自我生成项目. 使用线性混合模型分析了关联.
主要成果:
- 在82名全科医生中,有79人做出了反应. 平均CS-PAM得分为23.00分. 这是一个很好的结果.
- 一般医生认为缺乏时间,资金和对影响的不确定性是生活方式咨询的主要障碍.
- 在全科医生的CS-PAM得分和患者的PAM13-D得分之间没有发现显著的相关性.
结论:
- 一般医生认识到患者激活对于心血管风险因素管理的重要性.
- 尽管报告了常规的生活方式咨询,但确定的障碍妨碍了有效的,以患者为中心的咨询.
- 一般医生主张专业间的合作,以减轻他们的工作量,并加强心血管疾病预防工作.
相关概念视频
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