鉴定和跟踪心血管疾病风险因素在参加药房学生领导的查计划的参与者
Umara Bibi Qureshi1, Dineo Mpanya2, Razeeya Khan1
1Division of Clinical Pharmacy, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Exploratory research in clinical and social pharmacy
|August 8, 2025
概括
药学学生主导的药学学生查和测试计划 (STEPPS) 倡议成功确定了大学工作人员和学生中未被诊断的心血管疾病风险因素. 显著的80%的异常结果的转诊导致了医疗干预,突出了该计划.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康查计划 卫生查计划
背景情况:
- 心血管疾病 (CVD) 和风险因素 (高血压,糖尿病,脂质失调,肥胖) 的流行率不断上升,需要早期检测.
- 药学学生查和测试计划 (STEPPS) 是一项以大学为基础的倡议,提供预防性心血管风险查.
- 该计划使用基于工作的学习模式,让药房学生进行查.
研究的目的:
- 确定2022年维特沃特斯兰德大学的参与者中未被诊断和未控制的心血管疾病风险因素的患病率.
- 评估推对确定的参与者的有效性,特别是如果它们导致了诊断和干预.
主要方法:
- 这是一项涉及18岁以上大学工作人员和学生的方便样本的横截面研究.
- 药学四年级学生进行了查:血压,血糖,胆固醇和人体测量测量.
- 通过电话采访进行后续评估,评估转诊,诊断和干预措施.
主要成果:
- 自我报告的患病率:高血压 (6.5%),糖尿病 (2.09%),脂质失调 (2.87%),肥胖 (3.91%). 其他疾病
- 查读数升高:血压 (18.25%),血糖 (2.83%) 和血胆固醇 (11.36%).
- 在33名参与者中,75%的参与者符合要求;35%的参与者有重大发现 (新诊断,疾病升级,生活方式变化). 80%的人报告了干预.
结论:
- 由学生领导的STEPPS倡议有效地确定了大学人口中未被诊断和未控制的心血管疾病风险因素.
- 该计划取得了成功,80%的转诊导致医疗干预,这强调了其在预防性医疗保健中的价值.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
467
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
467
Coronary Artery Disease V: Interprofessional Care
33
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
33
Atherosclerosis III: Management
35
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
35
Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
Coronary Artery Disease IV: Preventive Measures
34
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
34
Acute Coronary Syndrome IV: Interprofessional Care
28
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
28


