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[高血压患者冠状动脉风险评估及其与健康行为的关系]

[Evaluation of coronary risk and its relationship to health actions in hypertensive patients].

作者信息

Silva Viviane Rassele, Molina Maria Del Carmen Bisi, Cade Nagela Valadão

机构信息

Secretaria Municipal de Saúde, Prefeitura Municipal de Vitória, Vitória, ES, Brasil.

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória, ES, Brasil.

出版信息

Rev Bras Enferm. 2014 Sep-Oct;67(5):730-6. doi: 10.1590/0034-7167.2014670509.

Abstract

The risk of developing acute coronary events was evaluated according to Framingham criteria and health actions performed to hypertensive patients at a Health Unit Family of Vitória-ES. This is a observational, cross-sectional study, involving 330 hypertensive. The sample considered a 50% prevalence of the disease. Data were collected from medical records and the variables were the coronary risk, blood pressure, the number of visits, educational activities and prescribed drugs. ANOVA was used to compare variables and paired t-test for comparison of pressure during the study period, with significance level of 5%. Respectively, 115 (34.8%) subjects had low risk for myocardial infarction or death from coronary heart disease in the next 10 years; 67 (20.4%) had average risk; and 148 (44.8%) had high-risk. Only the amount of prescribed medications showed significant relationship with high coronary risk.

摘要

根据弗雷明汉标准,对圣埃斯皮里图州维多利亚市一家健康单位家庭中高血压患者采取的健康措施进行了急性冠状动脉事件发生风险的评估。这是一项观察性横断面研究,涉及330名高血压患者。样本考虑了该疾病50%的患病率。数据从医疗记录中收集,变量包括冠心病风险、血压、就诊次数、教育活动和处方药。采用方差分析比较变量,并使用配对t检验比较研究期间的血压,显著性水平为5%。分别有115名(34.8%)受试者在未来10年发生心肌梗死或死于冠心病的风险较低;67名(20.4%)风险中等;148名(44.8%)风险较高。只有处方药的数量与高冠心病风险存在显著关系。

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