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2 型糖尿病患者对急性冠状动脉综合征的知识、态度和信念。

Knowledge, attitudes, and beliefs about acute coronary syndrome among patients with type 2 diabetes.

机构信息

Charles Roza School of Nursing, Linden, Guyana.

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2021 Nov 19;29:e3503. doi: 10.1590/1518-8345.5435.3503. eCollection 2021.

Abstract

OBJECTIVE

to evaluate the knowledge, attitudes, and beliefs of Guyanese individuals with type 2 diabetes regarding acute coronary syndrome and explore associations between these measures and the population's sociodemographic and clinical characteristics.

METHOD

cross-sectional study conducted in Linden, Guyana, with sixty type 2 diabetics, interviewed using a sociodemographic and clinical questionnaire and the Acute Coronary Syndrome-Response Index. The Mann-Whitney test was used to assess potential differences between groups according to the ACS-Response Index subscales, and sex, age, time since diabetes diagnosis, and body mass index and the Kruskal-Wallis test to compare the ACS-Response Index subscales according to educational level.

RESULTS

only two participants correctly answered more than 70% of the Knowledge subscale. Participants obtained low mean scores in all subscales. Less than half of the participants reported chest pain and arm pain as symptoms of heart attack. Significant differences were found when comparing Knowledge (p=0.008) and Attitudes (p=0.009) according to educational level.

CONCLUSION

individuals with type 2 diabetes showed low level of Knowledge, Attitudes, and Beliefs. Participants who scored the highest in Knowledge and Attitudes presented the highest educational level. The results show a need for health professionals to heed knowledge deficits regarding acute coronary syndrome among type 2 diabetes.

摘要

目的

评估圭亚那 2 型糖尿病患者对急性冠脉综合征的知识、态度和信念,并探讨这些措施与人群社会人口统计学和临床特征之间的关系。

方法

在圭亚那林登进行横断面研究,对 60 名 2 型糖尿病患者进行访谈,使用社会人口统计学和临床问卷以及急性冠脉综合征反应指数。采用曼-惠特尼检验根据 ACS-反应指数子量表评估组间的潜在差异,采用克朗巴赫-α系数检验信度,采用卡方检验评估 ACS-反应指数子量表与性别、年龄、糖尿病诊断时间、体重指数和教育水平的关系。

结果

只有两名参与者正确回答了超过 70%的知识子量表问题。参与者在所有子量表上的平均得分都较低。不到一半的参与者报告胸痛和手臂疼痛是心脏病发作的症状。根据教育水平,知识(p=0.008)和态度(p=0.009)方面存在显著差异。

结论

2 型糖尿病患者的知识、态度和信念水平较低。在知识和态度方面得分最高的参与者具有最高的教育水平。结果表明,卫生专业人员需要注意 2 型糖尿病患者对急性冠脉综合征的知识缺陷。

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