Maksimović Miloš Ž, Marinković Jelena M, Vlajinac Hristina D, Maksimović Jadranka M, Tomanić Milena S, Radak Djordje J
Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Wien Klin Wochenschr. 2017 Jul;129(13-14):458-463. doi: 10.1007/s00508-017-1192-0. Epub 2017 Mar 29.
The aim of this study was to assess the knowledge and attitude of medical students in relation to cardiovascular disease (CVD) risk factors as well as to assess the impact of medical education on their knowledge and recognition of the importance of implementation of preventive measures.
This cross-sectional study included 514 students in the second year of studying at the Faculty of Medicine in Belgrade, Serbia (younger students response rate 79.57%) and 511 students in the last year of education (older students response rate 90.21%). For data collection, an anonymous self-administered questionnaire was used, which included two types of questions about CVD risk factors and questions about the student's attitude.
Older students knew significantly more about CVD risk factors than students who were at the beginning of their medical studies; however, more than half of the older students did not know the correct answers about CVD risk factors. The only exceptions were questions about "bad" and "good" cholesterol, metabolic syndrome (MSy) and lipid lowering therapy in high risk subjects. Physical inactivity, obesity, type 2 diabetes, smoking and hypertension were not ranked highly enough as important CVD risk factors. Compared groups of students did not significantly differ in attitude scores. The majority of them recognized CVD as the leading cause of death, had normal weight and knew their own blood pressure.
Knowledge of medical students from Belgrade about CVD risk factors should be improved.
本研究旨在评估医学生对心血管疾病（CVD）危险因素的知识和态度，并评估医学教育对他们关于实施预防措施重要性的知识及认知的影响。
这项横断面研究纳入了塞尔维亚贝尔格莱德医学院二年级的514名学生（低年级学生应答率为79.57%）和最后一年学业的511名学生（高年级学生应答率为90.21%）。数据收集采用匿名自填问卷，问卷包括两类关于CVD危险因素的问题以及关于学生态度的问题。
高年级学生对CVD危险因素的了解明显多于刚开始医学学习的学生；然而，超过一半的高年级学生不知道关于CVD危险因素的正确答案。唯一的例外是关于“坏”胆固醇和“好”胆固醇、代谢综合征（MSy）以及高危人群降脂治疗的问题。身体活动不足、肥胖、2型糖尿病、吸烟和高血压作为重要的CVD危险因素未得到足够高的排名。比较的学生组在态度得分上没有显著差异。他们中的大多数人认识到CVD是主要死因，体重正常且知道自己的血压。
贝尔格莱德医学生对CVD危险因素的知识应得到改善。
