Patient confidence regarding secondary lifestyle modification and knowledge of 'heart attack' symptoms following percutaneous revascularisation in Japan: a cross-sectional study.
Patient confidence regarding secondary lifestyle modification and knowledge of 'heart attack' symptoms following percutaneous revascularisation in Japan: a cross-sectional study.
复制标题
DOI：
10.1136/bmjopen-2017-019119
复制
发表时间：
2018-03-16
期刊：
影响因子：
2.9
通讯作者：
Fukuda K
中科院分区：
文献类型：
--
作者：
Kitakata H;Kohno T;Kohsaka S;Fujino J;Nakano N;Fukuoka R;Yuasa S;Maekawa Y;Fukuda K
评估患者对二次生活方式改变的看法以及对冠心病经皮冠状动脉介入治疗(PCI)后“心脏病发作”的认识。观察性横断面研究。在日本建立了一个以大学为基地的单一医院中心。总共有236名连续接受经皮冠状动脉介入治疗的患者完成了问卷调查(年龄为67.4±10.1岁；女性为14.8%；择期经皮冠状动脉介入治疗为75.4%)。调查问卷包括与以下方面的置信度相关的问题：(1)出院时的生活方式改变和(2)对心脏病发作症状的适当认识以及对这些症状的反应(1=不是 自信到4=完全 自信)。评估的主要结果是患者对生活方式改变和对心脏病发作症状的认识的信心水平。总体而言，患者对戒烟、禁酒和服药依从性有很高的信心(自信或完全自信，>；75%)。然而，他们对保持血压控制、健康饮食、体重和常规锻炼(≥3次/周)的信心相对较低(50%)。调整后，男性(OR3.61，95%可信区间1.11~11.8)和低文化程度(OR3.25；95% 可信区间1.70~6.23)被确定为较低自信水平的相关因素。就对心脏病发作的认知度而言，几乎所有受访者都对“当我心脏病发作时应尽快去医院”的回答为“是”；然而，只有28%的受访者对他们区分心脏病发作症状和其他情况的能力有信心。在与生活方式改变和对心脏病发作的认识/反应相关的信心水平上存在着很大的差异。这些差距需要进一步研究和传播，以改善心血管护理。
To assess patient perspectives on secondary lifestyle modification and knowledge of ‘heart attack’ after percutaneous coronary intervention (PCI) for coronary artery disease (CAD). Observational cross-sectional study. A single university-based hospital centre in Japan. In total, 236 consecutive patients with CAD who underwent PCI completed a questionnaire (age, 67.4±10.1 years; women, 14.8%; elective PCI, 75.4%). The survey questionnaire included questions related to confidence levels about (1) lifestyle modification at the time of discharge and (2) appropriate recognition of heart attack symptoms and reactions to these symptoms on a four-point Likert scale (1=not confident to 4=completely confident). The primary outcome assessed was the patients’ confidence level regarding lifestyle modification and the recognition of heart attack symptoms. Overall, patients had a high level of confidence (confident or completely confident,>75%) about smoking cessation, alcohol restriction and medication adherence. However, they had a relatively low level of confidence (<50%) about the maintenance of blood pressure control, healthy diet, body weight and routine exercise (≥3 times/week). After adjustment, male sex (OR 3.61, 95% CI 1.11 to 11.8) and lower educational level (OR 3.25; 95% CI 1.70 to 6.23) were identified as factors associated with lower confidence levels. In terms of confidence in the recognition of heart attack, almost all respondents answered ‘yes’ to the item ‘I should go to the hospital as soon as possible when I have a heart attack’; however, only 28% of the responders were confident in their ability to distinguish between heart attack symptoms and other conditions. There were substantial disparities in the confidence levels associated with lifestyle modification and recognition/response to heart attack. These gaps need to be studied further and disseminated to improve cardiovascular care.
登录
查看更多内容
影响因子：
8.1
作者：
McKinley, Sharon;Dracup, Kathleen;Pelter, Michele
通讯作者：
Pelter, Michele
影响因子：
39
作者：
Horwitz, Leora I.;Moriarty, John P.;Krumholz, Harlan M.
通讯作者：
Krumholz, Harlan M.
影响因子：
24
作者：
Merz, C. Noel Bairey;Andersen, Holly;Robinson, British
通讯作者：
Robinson, British
影响因子：
2.5
作者：
Khan, Sarah;Khoory, Ayesha;Al Suwaidi, Meera
通讯作者：
Al Suwaidi, Meera
影响因子：
2.7
作者：
Ibrahim, Nahla Khamis R.;Attia, Saeid G.;El-Sewi, Fatihey
通讯作者：
El-Sewi, Fatihey