在初级保健中测量腰围的价值:一种混合方法研究
Willemijn J van den Hout1, Petra van Peet2, Mattijs E Numans2
1Leiden University Medical Center, Department of Public Health and Primary Care, Leiden, Netherlands W.J.van_den_Hout@lumc.nl.
概括
测量腰围可以在初级保健中有效地查患者的心血管疾病风险. 尽管记录率和GP障碍物下降,但它确定了高比例的风险人群.
科学领域:
- 初级保健研究研究初级保健研究
- 心血管流行病学心血管流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般医生 (GPs) 在识别心血管疾病 (CVD) 风险增加的所有患者方面面临挑战.
- 对每个患者进行常规的心血管风险评估在初级保健中是不可行的.
- 需要一个简单的查工具来识别符合心血管疾病风险评估条件的患者.
研究的目的:
- 评估腰围测量在初级保健中的实用性.
- 调查当前的记录实践,并确定医生测量腰围的障碍和促进因素.
- 评估腰围作为对心血管疾病风险增加的查工具的贡献.
主要方法:
- 在荷兰初级保健中进行的一项混合方法研究.
- 分析了676,708名成年患者的日常健康记录.
- 来自6个重点小组的21名全科医生的定性数据和来自荷兰肥胖流行病学 (NEO) 研究的数据 (n=6,671).
主要成果:
- 从2012年到2023年,GP对腰围的记录显著下降.
- 障碍包括GP的不适,不准确的测量,缺乏工具,以及缺乏实用性的感知.
- 腰围测量确定了NEO研究群体中89%的中等和93%的高心血管风险个体.
结论:
- 腰围测量显示出作为初级保健中心血管风险查工具的潜力.
- 解决GP障碍和促进促进者可以改善腰围测量的吸收.
- 这种简单的测量可以帮助识别大量需要进一步评估心血管风险的患者.
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