Alm-Roijer Carin, Fridlund Bengt, Stagmo Martin, Erhardt Leif
Department of Cardiology, Malmö University Hospital, Lund University, Malmö, Sweden.
J Cardiovasc Nurs. 2006 Sep-Oct;21(5):E24-31. doi: 10.1097/00005082-200609000-00015.
Implementation of guidelines for coronary heart disease prevention is less optimal in clinical practice. The aim of this study was to investigate if specific knowledge (patients' knowledge about their own coronary heart disease risk factors) would correlate to their adherence as measured by self-reported lifestyle changes, reaching defined treatment goals and adhering to treatment with prescribed drugs. The consecutive medical records of 509 men and women younger than 71 years, hospitalized for a cardiac event, were screened. Of these, 392 patients came for an interview and were subjected to a clinical examination. All patients received a questionnaire regarding their specific knowledge of risk factors and their adherence to lifestyle changes, which was completed by 347 patients. In addition, data were collected and analyzed on how their treatment goals were attained in 8 domains and their adherence to drug treatment. There were significant correlations between specific knowledge and self-reported lifestyle changes, the ability to reach treatment goals in all 8 domains, and adherence to prescribed drugs. Patients with coronary heart disease will benefit from increased specific knowledge of risk factors to adhere with lifestyle changes and prescribed medication after a cardiac event.
冠心病预防指南在临床实践中的实施情况不太理想。本研究的目的是调查特定知识（患者对自身冠心病危险因素的了解）是否与通过自我报告的生活方式改变、达到既定治疗目标以及坚持服用处方药所衡量的依从性相关。对509名71岁以下因心脏事件住院的男性和女性的连续病历进行了筛查。其中，392名患者前来接受访谈并接受了临床检查。所有患者都收到了一份关于其对危险因素的特定知识以及对生活方式改变的依从性的问卷，347名患者完成了该问卷。此外，还收集并分析了他们在8个领域实现治疗目标的情况以及对药物治疗的依从性的数据。特定知识与自我报告的生活方式改变、在所有8个领域实现治疗目标的能力以及对处方药的依从性之间存在显著相关性。冠心病患者将受益于对危险因素的特定知识增加，从而在心脏事件后坚持生活方式改变和服用处方药。
