Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome
Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome
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DOI：
10.1177/1741826711423114
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发表时间：
2013-02-01
影响因子：
8.3
通讯作者：
de Alvaro, Cristina
中科院分区：
文献类型：
--
作者：
Martell-Claros, Nieves;Aranda, Pedro;de Alvaro, Cristina
背景资料：心血管（CV）疾病死亡率增加糖尿病（DM）和代谢综合征（MS），条件共享CV的危险factors.Aim：本研究的目的是评估心血管风险的糖尿病和/或MS患者诊断不到1年前，在初级保健的理解。感知这些患者的健康状态也analysed.Design：一个多中心，观察性研究的主题诊断为糖尿病诊断不到1年前和/或MS，在其中的CV风险之间的协议由患者感知和评估由physicians analysed.Methods：医疗登记数据和调查的健康状况和感知风险的患者和医生。评估了患者对CV风险的感知与主治医生的感知以及与根据临床登记数据确定的CV风险的一致性。结果：共有150名医生招募了681名患者（71.5%的DM和28.5%的MS），年龄为60.8 +/- 10.8岁（55.8%为男性）。41.3%和0.9%的人报告健康状况良好或极好。39.8%的患者无法估计CV风险。患者感知的CV风险与图表评估的CV风险之间的一致性较差：kappa指数0.145（95% CI 0.101-0.189），p < 0.001。患者对心血管风险的认知与医学登记中的临床数据之间的一致性较弱：kappa指数为0.165（95% CI为0.117-0.213），p <0.001。结论：新诊断的DM和/或MS患者对心血管风险的认知较差，42.2%的患者认为自己的健康状况良好或极好。
Background: Cardiovascular (CV) disease mortality is increased in diabetes mellitus (DM) and metabolic syndrome (MS), conditions which share CV risk factors.Aim: The purpose of this study was to assess understanding of CV risk by patients with DM and/or MS diagnosed less than 1 year before and seen in primary care. Perception by these patients of their health state is also analysed.Design: A multicentre, observational study in subjects diagnosed with DM diagnosed less than 1 year before and/or with MS, in whom agreement between CV risk perceived by patients and assessed by physicians was analysed.Methods: Medical registry data and a survey of health status and perceived risk by patients and physicians. Agreement of patient perception of CV risk with perception of the physician in charge and with the CV risk established with clinical registry data was assessed. Self-perceived health status was also studied.Results: A total of 150 physicians recruited 681 patients (71.5% with DM and 28.5% with MS) aged 60.8 +/- 10.8 years (55.8% males). Good or excellent health were reported by 41.3% and 0.9%, respectively. Inability to give an estimate of CV risk was found in 39.8%. Agreement between the CV risks perceived by patients and evaluated by chart was poor: kappa index 0.145 (95% CI 0.101-0.189), p < 0.001. Agreement between CV risk perceived by patients and clinical data in the medical registry was weak: kappa index 0.165 (95% CI 0.117-0.213), p < 0.001.Conclusions: Patients with recently diagnosed DM and/or with MS have a poor awareness of their CV risk and 42.2% of them think that they have good or excellent health.