气候变化的脆弱性和适应能力的机会,心力衰竭患者在门诊设置
Rachel Heschke1, Abigail Thorgerson2, Margaret Angeli3
1Medical College of Wisconsin, Milwaukee, Wisconsin, rachel.m.heschke@gmail.com.
概括
患有心力衰竭的患者面临更高的热病风险. 许多人不知道风险,缺乏保护措施的知识,强调需要更好的教育和资源意识.
科学领域:
- 环境健康 环境健康
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 气候变化加剧了健康风险,特别是热浪.
- 心力衰竭患者是易受热相关疾病影响的脆弱人群.
- 了解心力衰竭患者的热脆弱性对于适应性策略至关重要.
研究的目的:
- 评估门诊心力衰竭诊所患者的与热量相关的脆弱性.
- 确定有关热病风险和防护措施的知识差距.
- 探索增强这一患者群体适应能力的机会.
主要方法:
- 在克莱门特·扎布洛基 (Clement J. Zablocki) 退伍军人医疗中心心力衰竭诊所对60名患者进行的一项调查.
- 采用了25个问题多选项调查,收集有关热病意识和风险因素的数据.
- 使用描述性统计数据来分析调查答案.
主要成果:
- 超过46%的患者认为与医生讨论热病风险是有益的.
- 31%的人不知道在超过90°F (32.2°C) 的天气中,热病风险增加.
- 常见的弱点包括流体限制 (70%),独自生活 (33%),缺乏空调 (20%) 和对公用事业账单的担忧 (20%).
- 关于温度检查 (65%),为较冷时段规划活动 (60%),冷却中心 (43%),症状意识 (33%) 和能源援助计划 (27%) 观察到重大知识差距.
结论:
- 许多心力衰竭患者认识到需要对热病的临床指导.
- 许多患者低估了他们个人热病风险,并表现出普遍存在的脆弱性因素.
- 调查结果强调了有针对性的教育,预期指导和资源意识的重要性,以提高心力衰竭患者在门诊环境中的适应能力.
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