在糖尿病患者中探索性别特异性中风风险:从对促成因素的回顾性分析中获得的见解
Sangroyangla Imchen1, S Latha1, Sujatha R Kannappan2
1Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, Nitte (Deemed to be University), Paneer, Derlakatte, Mangalore, Karnataka, India.
Iranian journal of nursing and midwifery research
|June 16, 2025
概括
糖尿病患者面临中风风险增加. 冠状动脉疾病,酒精和吸烟是主要的危险因素,特别是在男性中. 早期发现和管理对于预防至关重要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病显著增加中风风险,全球发病率不断上升.
- 性别特定的因素,如男性的BMI和女性的肥胖/压力,有助于中风风险.
- 识别和解决这些风险因素对于糖尿病人群中有效的中风预防策略至关重要.
研究的目的:
- 调查糖尿病患者中风的促成因素.
- 为了确定与糖尿病患者中风发展相关的特定风险因素.
- 通过了解这一高风险群体中风的决定因素,为预防策略提供信息.
主要方法:
- 在第三级护理医院对糖尿病患者 (2017-2021) 电子病历的回顾性分析.
- 使用经过验证的28项检查清单进行数据审查.
- 使用描述性统计和推断测试,包括奇平方,费舍尔的精确测试和赔率比 (OR) 来进行分析.
主要成果:
- 在3152名糖尿病患者中,569名 (18.05%) 患有中风.
- 冠状动脉疾病 (CAD) (OR:1.43),酒精使用 (OR:1.58) 和吸烟 (OR:1.9) 与男性中风风险显著相关.
- 虽然注意到了特定的性别差异,但总体发现突出了共同的风险因素.
结论:
- 冠状动脉疾病 (CAD) 和不健康的生活习惯 (饮酒,吸烟) 是糖尿病患者中风发展的重要因素.
- 有效的中风预防需要早期检测和全面的管理计划.
- 医疗保健专业人员,研究人员,政策制定者和教育工作者之间的合作对于实施成功的预防计划至关重要.
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