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子痫前期后女性对心血管风险的认知。

Women's Knowledge of Cardiovascular Risk After Preeclampsia.

作者信息

Burgess Adriane, Feliu Kristin

出版信息

Nurs Womens Health. 2019 Oct;23(5):424-432. doi: 10.1016/j.nwh.2019.07.001. Epub 2019 Aug 23.

Abstract

OBJECTIVE

To determine women's self-reported knowledge of the association between preeclampsia and cardiovascular disease and to determine if they received appropriate education on the recommendations of the American Heart Association for follow-up and for cardiovascular risk reduction strategies after preeclampsia.

DESIGN

Cross-sectional descriptive study using an online survey.

SETTING/LOCAL PROBLEM: A survey link was placed on the Facebook pages for two preeclampsia support groups.

PARTICIPANTS

A total of 241 women who were members of these Facebook groups completed the online survey.

INTERVENTION/MEASUREMENTS: An online survey was created using Campus Labs software. Most questions were closed response. Participants were asked to answer survey questions about their first pregnancy with preeclampsia and the education/referrals they received specific to the association between preeclampsia and cardiovascular risk.

RESULTS

Of all those who responded, 36.9% (n = 89) reported being unaware of the association between preeclampsia and cardiovascular disease. Of those who gave birth since the American Heart Association issued recommendations for follow-up after preeclampsia, 43.9% (n = 61) reported that they received no counseling regarding incorporating healthful lifestyle changes or follow-up after their diagnosis of preeclampsia.

CONCLUSION

Women with a history of preeclampsia may not be receiving adequate education on its association with cardiovascular disease. Nurses can work to fill this gap through collaboration with cardiovascular and primary care providers to orchestrate seamless cardioprotective follow-up for this population of women.

摘要

目的

确定女性自我报告的关于子痫前期与心血管疾病关联的知晓情况,并确定她们是否接受了关于美国心脏协会对子痫前期后随访及心血管风险降低策略建议的适当教育。

设计

采用在线调查的横断面描述性研究。

背景/当地问题:在两个子痫前期支持小组的脸书页面上放置了调查链接。

参与者

这些脸书小组的总共241名女性成员完成了在线调查。

干预措施/测量方法:使用校园实验室软件创建了一项在线调查。大多数问题为封闭式回答。参与者被要求回答关于她们首次患子痫前期妊娠的调查问题,以及她们收到的关于子痫前期与心血管风险关联的特定教育/转诊情况。

结果

在所有做出回应的人中,36.9%(n = 89)报告不知道子痫前期与心血管疾病之间的关联。在美国心脏协会发布子痫前期后随访建议后分娩的人中,43.9%(n = 61)报告称在子痫前期诊断后,她们没有接受关于纳入健康生活方式改变或随访的咨询。

结论

有子痫前期病史的女性可能未接受关于其与心血管疾病关联的充分教育。护士可以通过与心血管和初级保健提供者合作,为这群女性精心安排无缝的心脏保护随访,来填补这一空白。

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