Department of Public Health, Ghent University, De Pintelaan 185, Blok A.-2, 9000, Ghent, Belgium,
Int J Public Health. 2014 Jun;59(3):475-83. doi: 10.1007/s00038-014-0551-0. Epub 2014 Apr 26.
The purpose of this study was to investigate the risk factor level awareness in coronary patients and to assess its associations with health-related quality of life (HRQoL)/psychological distress.
Data on 8,743 coronary patients from 22 European countries, interviewed and examined at least 6 months after their acute event was available.
81.7% of patients indicated to be aware of their own blood pressure level, whereas only 46.6% of patients indicated to be aware of their cholesterol level. Furthermore, 43.7% of patients were aware of their blood glucose level, whereas in diabetes patients blood glucose level awareness reached 81.8%. Risk factor level awareness was significantly associated with HRQoL/psychological distress, with patients being unaware of their risk factor levels having worse outcomes. The relationship between awareness and HRQoL/psychological distress seemed to be partly mediated by the attempt of patients to adopt a healthier behaviour.
Health care workers should be encouraged to inform their patients about the importance of their coronary risk factors, the actual level and their personal target.
本研究旨在调查冠心病患者对危险因素水平的认知情况，并评估其与健康相关生活质量（HRQoL）/心理困扰之间的关系。
本研究纳入了来自 22 个欧洲国家的 8743 例冠心病患者，这些患者在急性事件发生至少 6 个月后接受了访谈和检查。
81.7%的患者表示知晓自己的血压水平，而仅有 46.6%的患者知晓自己的胆固醇水平。此外，43.7%的患者知晓自己的血糖水平，而在糖尿病患者中，血糖水平的知晓率达到 81.8%。危险因素水平的认知与 HRQoL/心理困扰显著相关，未意识到自身危险因素水平的患者结局更差。意识与 HRQoL/心理困扰之间的关系似乎部分受到患者试图采取更健康行为的影响。
应鼓励医护人员向患者告知其冠心病危险因素的重要性、实际水平及其个人目标。
