Lechowicz Marta, Wiliński Jerzy, Kameczura Tomasz, Wojciechowska Wiktoria, Głowacki Mikołaj, Chrapusta Anna, Wiliński Bogdan
Malopolska Burns and Plastic Surgery Center, Ludwik Rydygier Specialized Hospital, os. Złotej Jesieni 1, Krakow, Poland.
Department of Human Developmental Biology, Institute of Nursing and Midwifery, Faculty of Health Science, Jagiellonian University Medical College, Kopernika 7, Krakow, Poland.
Folia Med Cracov. 2015;55(2):15-22.
Cardiovascular diseases (CVD) are the leading cause of mortality. The majority of CVD risk factors are modifiable and controllable so the knowledge of them might prevent circulatory diseases development and improve already diagnosed CVD outcomes. The aim of the study was to assess the awareness of risk factors for CVD in ambulatory patients of cardiology offices. A specially designed questionnaire was used by trained physicians in a structured technique of face-to-face interview in 284 consecutive patients (men - 47.9%, aged 64.1 ± 11.2 years). As many as 6.3% of the study participants did not name any CVD risk factor, whereas only 7.4% of patients knew at least 3 of them. Smoking and high cholesterol were best recognized (33.1% and 27.4%, respectively) while the least often quoted old age was identified only by 2.5% of the individuals. The average number of the listed CVD risk factors equaled 1.38 ± 0.77. In the multiple regression analysis the factors significantly associated with knowledge of CVD risk factors comprised the level of education (b = 0.55, p < 0.0001) and age (b = -0.02, p < 0.0001). The patients with family history of CVD diseases were more often aware of the fact that family history of CVD is a risk factor for CVD as compared to individuals with no relatives affected by CVD (21.9% vs 10.1%, p = 0.0061). To the contrary, respondents with hypercholesterolemia less often knew that dyslipidemia is a CVD risk factor than patients with normal cholesterol levels (24.1% vs 41.1%, p = 0.0108). In conclusion, the awareness of cardiovascular risk factors in ambulatory cardiology patients is very low. The perception of CVD risk factors is affected by the level of education and age.
心血管疾病(CVD)是主要的死亡原因。大多数心血管疾病风险因素是可改变和可控的,因此了解这些因素可能会预防循环系统疾病的发展,并改善已确诊心血管疾病的预后。本研究的目的是评估心脏病门诊患者对心血管疾病风险因素的知晓情况。经过培训的医生采用专门设计的问卷,以面对面访谈的结构化方式对284例连续患者进行调查(男性占47.9%,年龄64.1±11.2岁)。多达6.3%的研究参与者未提及任何心血管疾病风险因素,而只有7.4%的患者至少知晓其中3种。吸烟和高胆固醇最常被提及(分别为33.1%和27.4%),而最少被提及的老年仅被2.5%的个体识别。列出的心血管疾病风险因素的平均数量为1.38±0.77。在多元回归分析中,与心血管疾病风险因素知晓情况显著相关的因素包括教育程度(b = 0.55,p < 0.0001)和年龄(b = -0.02,p < 0.0001)。与没有亲属患心血管疾病的个体相比,有心血管疾病家族史的患者更常意识到心血管疾病家族史是心血管疾病的一个风险因素(21.9%对10.1%,p = 0.0061)。相反,高胆固醇血症患者知晓血脂异常是心血管疾病风险因素的比例低于胆固醇水平正常的患者(24.1%对41.1%,p = 0.0108)。总之,心脏病门诊患者对心血管风险因素的知晓率非常低。对心血管疾病风险因素的认知受教育程度和年龄的影响。