患者和医生的语言一致性,抗高血压药物和心血管结果在高血压的全音通话患者中
Michael Reaume1, Mathieu N Labossière2, Ricardo Batista3,4
1Department of Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
CJC open
|February 24, 2026
概括
患者和医生的语言一致性减少了主要的心血管不良事件 (MACE). 使用抗高血压药物并不能调解这种保护作用,这表明其他因素在发挥作用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心血管医学 心血管医学
- 健康 公平 卫生 公平
背景情况:
- 患者与医生的沟通显著影响健康结果.
- 将语言一致性与更好的结果联系在一起的机制仍然不清楚.
- 调查像药物使用这样的调解者对于理解这些关联至关重要.
研究的目的:
- 确定抗高血压药物的使用是否调解了患者和医生的语言一致性和主要不良心血管事件 (MACE) 之间的关联.
主要方法:
- 基于人口的回顾性队列研究,使用加拿大社区健康调查数据 (2003-2014).
- 识别了高血压的通话患者,将调查数据与住院和死亡记录联系起来.
- 分析了语言一致性,药物使用和MACE之间的关联,使用回归模型,测试药物调解.
主要成果:
- 研究了5013名通用语患者;34.1%的患者接受了与语言一致的护理.
- 语言一致的护理与38%较低的MACE可能性相关 (HR 0.62).
- 没有证据支持使用抗高血压药物作为这种关联的调解者.
结论:
- 患者和医生的语言一致性与降低MACE风险有关.
- 使用抗高血压药物并不能解释这种保护性关联.
- 需要进一步的研究来确定其他可修改的介质.
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