在怀孕和产后期间进行心血管风险评估后,患者经验和行为变化
Kerly M Guerrero1, Diana S Wolfe1, Afshan B Hameed2
1Obstetrics, Gynecology and Women's Health, Division of Maternal Fetal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Journal of patient experience
|April 28, 2025
概括
被确定患有心血管疾病 (CVD) 风险的孕妇患者对其与妊娠并发症的联系的理解有限. 提高健康素养和患者参与度对于有效的后续护理和行为改变至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 心血管疾病 (CVD) 是美国孕产妇死亡的主要原因.
- 需要对孕妇和产后患者进行标准化的心血管疾病风险评估.
- 新型查旨在识别以前未知的心血管疾病或风险患者.
研究的目的:
- 探索产科患者在被确定为心血管疾病风险患者后的经历.
- 在心血管疾病风险评估期间了解患者的意识,情绪反应和沟通.
主要方法:
- 这项定性研究涉及来自两个医院网络的10名产科患者.
- 针对不同的人口统计和并发性疾病进行有目的的抽样.
- 采访的专题分析使用Atlas.ti 8.
主要成果:
- 患者对怀孕期间的心血管疾病风险和终身风险的理解有限.
- 积极的风险评估引发了惊喜和担忧.
- 临床医生与患者之间的沟通被看作是积极的,但往往缺乏足够的细节.
- 患者对风险信息的反应各不相同,有些人立即开始改变生活方式,有些人正在等待进一步的指导.
结论:
- 患者参与查实施是必不可少的.
- 提高健康素养对于促进后续护理和促进行为改变至关重要.
- 需要进一步的研究来优化心血管疾病风险沟通和孕妇和产后患者的支持.
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