Thakur Jarnail S, Ghai Sandhya, Saini Sushma K
Nursing Officer, All India Institute of Medical Sciences, Raipur, India.
National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
J Family Med Prim Care. 2022 Mar;11(3):1109-1113. doi: 10.4103/jfmpc.jfmpc_1119_20. Epub 2022 Mar 10.
Cardiovascular diseases (CVDs) cause significant morbidity and mortality worldwide. Task shifting in various forms has been adopted extensively around the world in an effort to increase access to CVD risk assessment for early identification of high-risk individuals. Present study explored the feasibility of task shifting of CVD risk assessment by anganwadi workers (AWWs).
An operational study was carried out with the objective to develop the knowledge and skill of AWWs in CVD risk assessment. The study was carried out in the anganwadi centres of Northern India. A total of 40 AWWs were enrolled by using purposive sampling technique. They were trained in CVD risk assessment till they fully developed the skill. These trained AWW carried out CVD risk assessment among subjects aged ≥40 years. Cohen Kappa was used to determine the reliability of risk assessment by AWWs. Communication skills of AWWs were measured by using a standardized communication checklist.
Result revealed high interrater reliability of risk scores generated by AWWs and researcher (k = 0.91). Majority of the AWWs (87%) demonstrated good communication skills.
Study concludes that AWWs can be trained in CVD risk assessment using WHO/ISH risk prediction charts. With proper training and supervision, the task of the CVD risk assessment can be shifted to AWWs.
心血管疾病（CVDs）在全球范围内导致了显著的发病率和死亡率。世界各地广泛采用了各种形式的任务转移，以增加获得心血管疾病风险评估的机会，从而早期识别高危个体。本研究探讨了由anganwadi工作人员（AWWs）进行心血管疾病风险评估任务转移的可行性。
开展了一项操作性研究，目的是培养AWWs在心血管疾病风险评估方面的知识和技能。该研究在印度北部的anganwadi中心进行。采用目的抽样技术共招募了40名AWWs。他们接受了心血管疾病风险评估培训，直到完全掌握该技能。这些经过培训的AWWs在年龄≥40岁的受试者中进行心血管疾病风险评估。使用科恩kappa系数来确定AWWs风险评估的可靠性。通过使用标准化沟通清单来衡量AWWs的沟通技巧。
结果显示AWWs和研究人员生成的风险评分具有较高的评分者间信度（k = 0.91）。大多数AWWs（87%）表现出良好的沟通技巧。
研究得出结论，使用世界卫生组织/国际高血压学会风险预测图表，可以对AWWs进行心血管疾病风险评估培训。经过适当的培训和监督，心血管疾病风险评估任务可以转移给AWWs。
