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[健康心脏:心血管健康社区教育项目的成果]

[Healthy heart: Results of a community education program on cardiovascular health].

作者信息

Madridejos Mora Rosa, Majem Fabres Lourdes, Puig Acebal Helena, Sanz Latorre Inma, Llobet Traveset Eva, Arce Casas Mar, Ruiz Morilla Dolors, Mercadal Dalmau Angel, Pañart Sánchez Dani

机构信息

Atención Primaria, CAP Sant Cugat-La Mina de Mútua Terrassa, Barcelona, España.

Atención Primaria, CAP Sant Cugat-Valldoreix de Mútua Terrassa, Barcelona, España.

出版信息

Aten Primaria. 2014 Nov;46(9):457-63. doi: 10.1016/j.aprim.2013.12.009. Epub 2014 Apr 24.

Abstract

OBJECTIVE

To improve the knowledge of the population about heart-healthy habits through a training program supplemented by a web site and community activities.

DESIGN

A controlled clinical trial with intervention done through participation in the Cardiovascular Health Training Classroom (CHTC) LOCATION: A town of 80,000 inhabitants.

PATIENTS

both sexes, aged 55 to 70 years, with at least one cardiovascular risk factor (CVRF).

INTERVENTION

The intervention group (IG) consisted of patients who participated in the CHTC. Intervention was carried out through a 20-hour presential group course in which a support web site was offered and complementary activities were organized. Classes were taught by three Primary Care nurses.

MAIN MEASUREMENTS

The primary endpoint was knowledge of CVRF. The secondary variables were age, sex, CVRF, lifestyle, visits to health centers, pharmaceutical use adherence, and satisfaction with the program.

RESULTS

Data from patients in the first 10 courses (n=150) were evaluated. A statistically significant improvement was observed in overall knowledge of CVRF in the IG (87.3% to 100%) compared with control group (GC) (84.5% to 92.7%), p<.001, as well as an improvement in physical activity is (IG: 71.2% to 83.1% versus CG: 72.6% to 78.2%), p=.05. The total number of Primary Care visits (medical and nursing) decreased in the IG more than in the CG. The satisfaction rate of the course was very high.

CONCLUSIONS

This experience is effective in improving cardiovascular health knowledge and promoting some healthy habits.

摘要

目的

通过一个由网站和社区活动辅助的培训项目,提高民众对心脏健康习惯的认知。

设计

一项通过参与心血管健康培训课堂(CHTC)进行干预的对照临床试验。

地点

一个有8万居民的城镇。

患者

年龄在55至70岁之间、至少有一个心血管危险因素(CVRF)的男女患者。

干预

干预组(IG)由参与CHTC的患者组成。干预通过一个20小时的面授小组课程进行,课程提供了一个支持网站并组织了补充活动。课程由三名初级护理护士授课。

主要测量指标

主要终点是对CVRF的认知。次要变量包括年龄、性别、CVRF、生活方式、到健康中心就诊情况、药物使用依从性以及对该项目的满意度。

结果

对前10期课程的患者(n = 150)数据进行了评估。与对照组(GC)相比,干预组对CVRF的总体认知有统计学显著改善(IG组从87.3%提高到100%,GC组从84.5%提高到92.7%),p <.001,身体活动情况也有所改善(IG组:从71.2%提高到83.1%,CG组:从72.6%提高到78.2%),p =.05。干预组初级护理就诊(医疗和护理)的总数下降幅度大于对照组。该课程的满意度非常高。

结论

这一经验在提高心血管健康知识和促进一些健康习惯方面是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6e5/6983649/26f605509a11/fx1.jpg

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