Department of Internal Medicine, University of Michigan Health System, Ann Arbor, USA.
Clin Cardiol. 2010 Dec;33(12):765-9. doi: 10.1002/clc.20839.
To examine patients' perceived quality of care and reported receipt of information on diet and exercise related to cardiovascular disease prevention.
Patients 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.
Among 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).
Patients 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.
调查患者对医疗护理的感知质量，并报告他们是否收到有关心血管疾病预防的饮食和运动方面的信息。
患有急性冠脉综合征或择期心导管检查的患者符合入组条件。通过病历回顾收集基线医疗信息。患者在住院期间完成了包括感知医疗护理质量和是否从医疗保健提供者那里获得有关饮食和运动与心脏相关信息的调查项目。感知医疗护理质量分为 3 类：（1）差到一般，（2）良好，（3）非常好到优秀。
在完成调查的 182 名心脏患者中，那些报告医疗护理质量差到一般的患者更有可能报告他们没有收到关于饮食的建议，而那些认为他们的医疗护理质量好或非常好到优秀的患者则不然（分别为 61%、59%和 26%，P<0.0001）。对于运动，也观察到类似的模式（分别为 71%、74%和 36%，P<0.0001）。
感知医疗护理质量低的患者与医疗保健提供者讨论饮食和运动习惯的可能性较小。鉴于饮食和运动在二级预防中起着核心作用，提高生活方式咨询的接受度是必要的。
