Rheumatology Department, Beaumont Hospital, Dublin, Ireland.
Ir J Med Sci. 2009 Mar;178(1):53-5. doi: 10.1007/s11845-008-0252-x. Epub 2008 Nov 13.
Patients with rheumatoid arthritis (RA) are at increased risk of cardiovascular disease and premature death.
Our aims were: (1) to assess how thoroughly RA patients were being screened for cardiovascular risk factors in our outpatient population and (2) to evaluate the benefit of introducing a shared care cardiovascular booklet.
We assessed 80 patients who attend our service with RA. Our initial audit revealed that 80% of patients had not been thoroughly assessed for basic cardiovascular risk. Based on these findings, we created a shared care booklet.
On re-auditing our service, we found a significant improvement in the assessment of cardiovascular risks.
There is currently a low level of screening for cardiovascular risks in busy outpatient clinics. We felt the introduction of a shared care booklet allowed an increased level of screening in our clinics and also acted as a tool for doctor and patient education.
类风湿关节炎（RA）患者罹患心血管疾病和过早死亡的风险增加。
我们的目的是：（1）评估我们的门诊患者中 RA 患者接受心血管危险因素筛查的彻底程度；（2）评估引入共享护理心血管手册的益处。
我们评估了 80 名患有 RA 的患者。我们的初始审核显示，80%的患者未接受基本心血管风险的全面评估。基于这些发现，我们创建了一本共享护理手册。
在重新审核我们的服务时，我们发现心血管风险评估有了显著改善。
目前，在繁忙的门诊诊所中，对心血管风险的筛查水平较低。我们认为，引入共享护理手册可增加我们诊所的筛查水平，并可作为医生和患者教育的工具。
