丹麦评估你的心脏预测:一个集群随机对照试验,旨在改善心血管疾病的可修改风险因素
Kathrine Stjernholm1, Helene Støttrup Andersen2, Anders Elkær Jensen2
1Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Region of Southern Denmark, Denmark ksnielsen@health.sdu.dk.
Open heart
|January 28, 2026
概括
这项研究表明,通过风险沟通工具和电子邮件提高健康素养可以有效降低血压 (BP) 和总胆固醇与高密度脂蛋白比率 (TC/HDL) 的患者.
科学领域:
- 心血管健康 心血管健康
- 卫生识字研究 研究 卫生识字研究
- 风险传播策略 风险传播策略
背景情况:
- 高血压和脂质失调是心血管疾病 (CVD) 的主要危险因素.
- 有效的患者教育和风险沟通对于管理这些疾病至关重要.
- 现有的干预措施可能无法充分提高健康素养,以实现最佳的心血管疾病风险管理.
研究的目的:
- 评估结合风险沟通工具 ("你的心脏预测") 和教育电子邮件的干预措施对患者健康素养的影响.
- 确定这种干预是否可以导致血压 (BP) 和总胆固醇与高密度脂蛋白 (TC/HDL) 的比率显著降低.
主要方法:
- 一个集群随机对照试验在丹麦17家全科医院进行.
- 255名高血压患者 (35-75岁,以前没有心血管疾病) 被随机分为干预 (n=142) 或控制 (n=113) 组.
- 干预组接受了"你的心脏预测"工具以及12个月的每月生活方式电子邮件;对照组接受了通常的护理. 血压和TC/HDL在基线和随访 (10-18个月) 测量.
主要成果:
- 与对照组相比,干预组的血压下降幅度显著更大,特别是在血压适度升高的患者中.
- 在具有最高基线水平的干预患者中,TC/HDL比率显著下降.
- 两组患者的血压在调节良好的患者中都增加,TC/HDL在基线比率最低的患者中增加.
结论:
- 与通常护理相比,健康素养干预有效降低了患有失调水平的患者的血压和TC/HDL.
- 这些发现支持使用有针对性的风险沟通工具和教育电子邮件来改善心血管疾病风险因素管理.
- 进一步的研究可能会探索长期影响和在不同患者群体中更广泛的适用性.
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