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[急性冠状动脉综合征后患者心血管危险因素及推荐的生活方式改变的知识。短期住院康复的影响。初步结果]

[Knowledge of cardiovascular risk factors and recommended lifestyle modifications in patients after an acute coronary syndrome. The influence of short-term, stationary rehabilitation. Preliminary results].

作者信息

Deskur-Smielecka Ewa, Borowicz-Bieńkowska Sławomira, Przywarska Izabela, Brychcy Aleksandra, Dylewicz Piotr

机构信息

Zakład Rehabilitacji Kardiologicznej, Akademia Wychowania Fizycznego, ul. Uzdrowiskowa 2, 60-480 Poznań.

出版信息

Kardiol Pol. 2008 Feb;66(2):230-2.

Abstract

BACKGROUND

Education on behavioural risk factors and lifestyle modification is one of the core components of comprehensive cardiac rehabilitation.

AIM

To assess the level of knowledge of cardiovascular risk factors and recommended lifestyle changes in patients rehabilitated after an acute coronary syndrome (ACS).

METHODS

The study group consisted of 31 consecutive patients (22 males, 56.6+/-10.9 years) participating in short-term, early, comprehensive cardiac rehabilitation. On admission, at discharge and 3 months after discharge patients' knowledge was assessed with a questionnaire worked out by the authors.

RESULTS

On admission, patients had poor knowledge of cardiovascular risk factors and recommended lifestyle modifications, especially concerning diabetes, hypertension, and diet. After completing the rehabilitation programme, significantly higher percentage of patients gave correct answers to questions concerning diabetes and cholesterol-rich diet as cardiovascular risk factors, and substitution of vegetable fat for animal fat as a lifestyle modification, and significantly higher proportion of patients gave the correct value for elevated systolic blood pressure.

CONCLUSIONS

Patients after ACS have poor knowledge of cardiovascular risk factors and recommended lifestyle modifications. The level of knowledge improves after short-term, stationary cardiac rehabilitation; however, the degree of this improvement is not completely satisfactory.

摘要

背景

行为危险因素教育和生活方式改变是心脏综合康复的核心组成部分之一。

目的

评估急性冠状动脉综合征(ACS)后接受康复治疗的患者对心血管危险因素的认知水平以及推荐的生活方式改变。

方法

研究组由31例连续参与短期、早期心脏综合康复的患者组成(22例男性,年龄56.6±10.9岁)。入院时、出院时及出院后3个月,采用作者编制的问卷对患者的知识认知情况进行评估。

结果

入院时,患者对心血管危险因素及推荐的生活方式改变了解不足,尤其是关于糖尿病、高血压和饮食方面。完成康复计划后,对于糖尿病和富含胆固醇饮食作为心血管危险因素以及用植物脂肪替代动物脂肪作为生活方式改变的问题,给出正确答案的患者比例显著提高,并且对于收缩压升高的正确数值,给出正确答案的患者比例也显著增加。

结论

ACS后患者对心血管危险因素及推荐的生活方式改变了解不足。短期住院心脏康复后知识水平有所提高;然而,这种提高的程度并不完全令人满意。

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