Perceived quality of care and lifestyle counseling among patients with heart disease.
Perceived quality of care and lifestyle counseling among patients with heart disease.
复制标题
心脏病患者对护理和生活方式咨询质量的感知。
DOI：
10.1002/clc.20839
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发表时间：
2010
影响因子：
2.7
通讯作者：
Rubenfire,Melvyn
中科院分区：
文献类型：
--
作者：
Jackson,ElizabethA;Krishnan,Sangeetha;Meccone,Nancy;Ockene,IraS;Rubenfire,Melvyn
BackgroundTo examine patients' perceived quality of care and reported receiving of information on diet and exercise related to cardiovascular disease prevention.MethodsPatients admitted with acute coronary syndrome or elective cardiac catheterization were eligible for enrollment.通过病历审查收集基线医学信息。患者在住院时完成了调查，其中包括关于感知护理质量的项目，以及他们是否从医疗保健提供者那里获得了与心脏相关的饮食和运动信息。感知的护理质量分为3类：（1）差至一般，（2）良好，（3）很好至优秀。与那些认为他们的护理质量为好或很好到优秀的人相比，那些报告护理质量差到一般的人更有可能报告他们没有得到关于饮食的建议（61%、59%和26%，P <0.0001）。运动（71%，74%和36%，分别为P <0.0001）观察到类似的模式。考虑到饮食和运动在二级预防中的核心作用，改善生活方式咨询的接受是必要的。版权所有© 2010 Wiley Periodicals，Inc.杰克逊博士获得美国国立卫生研究院国家心肺血液研究所的支持（K23 HL 073310 - 01）。作者没有其他资金，财务关系或利益冲突可供披露。
BackgroundTo examine patients' perceived quality of care and reported receipt of information on diet and exercise related to cardiovascular disease prevention.MethodsPatients admitted with acute coronary syndromes or elective cardiac catheterization were eligible for enrollment. Baseline medical information was collected through medical‐record review. Patients completed surveys at the time of hospitalization that included items on perceived quality of care and whether they had received information from a healthcare provider on diet and exercise as related to their heart. Perceived quality of care was grouped into 3 categories: (1) poor to fair, (2) good, and (3) very good to excellent.ResultsAmong the 182 cardiac patients who completed the survey, those who reported poor to fair quality of care were more likely to report that they had received no advice regarding diet as compared with those who perceived their quality of care as good or very good to excellent (61%, 59%, and 26%, respectively,P <0.0001). A similar pattern was observed for exercise (71%, 74%, and 36%, respectively,P <0.0001).ConclusionsPatients with low perceived quality of care were less likely to have discussed diet and exercise habits with healthcare providers. Improving receipt of lifestyle counseling is warranted given the central role that diet and exercise play in secondary prevention. Copyright © 2010 Wiley Periodicals, Inc.Dr. Jackson receives support from the National Heart, Lung, and Blood Institute of the National Institutes of Health (K23 HL073310‐01). The authors have no other funding, financial relationships, or conflicts of interest to disclose.