Gorman D R
Department of General Practice, University of Edinburgh, Scotland.
Fam Pract. 1988 Dec;5(4):297-301. doi: 10.1093/fampra/5.4.297.
This study examined the effects of a cardiovascular screening programme on a group of 79 patients in an Edinburgh general practice. Serum cholesterol levels were measured two to four months after the original screening interview and risk scores recalculated to see if the collection of data was reliable; a control group was used. Patient attitudes to this screening were assessed by questionnaire and the repeatability of the risk score calculation investigated. The programme was popular with patients and was successful in changing their reported behaviour. However, it may have been counter-productive in some patients by sanctioning personal habits detrimental to health. This effect was particularly marked in patients at lower risk levels who it is shown may have raised serum cholesterol levels. It is suggested that the risk score calculation could be improved, in particular by improving the accuracy of the serum cholesterol measurement. It is concluded that more research is needed into the behavioural aspects of cardiovascular screening.
本研究调查了一项心血管筛查项目对爱丁堡一家普通诊所79名患者的影响。在初次筛查访谈后的两到四个月测量血清胆固醇水平，并重新计算风险评分，以检验数据收集是否可靠；同时设立了一个对照组。通过问卷调查评估患者对该筛查的态度，并研究风险评分计算的可重复性。该项目受到患者欢迎，并成功改变了他们报告的行为。然而，对某些患者而言，认可有害健康的个人习惯可能会产生适得其反的效果。这种影响在低风险水平的患者中尤为明显，研究表明这些患者的血清胆固醇水平可能有所升高。建议改进风险评分计算方法，特别是提高血清胆固醇测量的准确性。得出的结论是，需要对心血管筛查的行为方面进行更多研究。
