Bowers Margaret T
Duke University School of Nursing, 3322 Duke University, Durham, NC 27710, USA.
Nurs Clin North Am. 2015 Sep;50(3):457-64. doi: 10.1016/j.cnur.2015.05.002. Epub 2015 Jul 8.
Despite general efforts to reduce risk factors in cardiovascular disease in the United States over the previous decade, disparities in cardiovascular care remain more prevalent in the underserved population. Recent focus has shifted from treatment of disease to promotion of health. The impact goals for 2020 are improvement in 7 health metrics (smoking status, body mass index, physical activity, healthy dietary score, total cholesterol, blood pressure, and fasting plasma glucose) of cardiovascular health and reduction of cardiovascular disease and stroke by 20%. Identification of those at high risk for poor cardiovascular health in adulthood should begin during early adolescence.
尽管在过去十年里美国为降低心血管疾病风险因素做出了全面努力，但心血管护理方面的差异在服务不足的人群中仍然更为普遍。最近的重点已从疾病治疗转向健康促进。2020年的影响目标是改善心血管健康的7项健康指标（吸烟状况、体重指数、身体活动、健康饮食评分、总胆固醇、血压和空腹血糖），并将心血管疾病和中风减少20%。确定成年后心血管健康状况不佳的高危人群应在青春期早期开始。
