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[荷兰全科医生学院《预防就诊》实践指南总结]

[Summary of the practice guideline 'The Prevention Visit' from the Dutch College of General Practitioners].

作者信息

Dekker Jacqueline M, Alssema Marjan, Janssen Paul G H, Goudswaard Lex N

机构信息

VU Medisch Centrum, EMGO+ Instituut, afd. Epidemiologie en Biostatistiek, Amsterdam, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155(18):A3428.

Abstract

The aim of the practice guideline 'The Prevention Visit' is the prevention of cardiovascular diseases, type 2 diabetes and chronic kidney injury in adults not previously diagnosed with hypertension, hypercholesterolaemia, or the above-mentioned cardiometabolic disorders. This is done by actively offering risk assessment combined with relevant treatment and advice (if indicated), integrated into primary health care. A self-report questionnaire is used to identify persons at high risk of developing cardiometabolic disease. Individuals with a risk score above the established threshold are advised to visit their general practitioner for measurement of height, weight, waist circumference, blood pressure, fasting glucose, cholesterol, and HDL cholesterol. At a subsequent practice visit, a risk assessment is performed according to the Dutch College of General Practitioners' practice guideline 'Cardiovascular Risk Management', at which time the patient's lifestyle is evaluated. If indicated, the general practitioner will initiate support and treatment according to relevant practice guidelines established by the Dutch College of General Practitioners.

摘要

《预防就诊》实践指南的目标是预防成年人心血管疾病、2型糖尿病和慢性肾损伤,这些成年人之前未被诊断患有高血压、高胆固醇血症或上述心脏代谢紊乱疾病。这通过积极提供风险评估并结合相关治疗和建议(如适用)来实现,这些内容融入初级卫生保健中。使用一份自我报告问卷来识别有患心脏代谢疾病高风险的人群。风险评分高于既定阈值的个体被建议前往其全科医生处测量身高、体重、腰围、血压、空腹血糖、胆固醇和高密度脂蛋白胆固醇。在随后的就诊中,根据荷兰全科医生学院的《心血管风险管理》实践指南进行风险评估,届时评估患者的生活方式。如适用,全科医生将根据荷兰全科医生学院制定的相关实践指南启动支持和治疗。

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