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冠心病患者心脏康复治疗中信息需求的决定因素:一项前瞻性观察研究。

Determinants of information needs in patients with coronary artery disease receiving cardiac rehabilitation: a prospective observational study.

机构信息

Department of Cardiology/Cardiac Rehabilitation, Maxima Medical Centre, Eindhoven, The Netherlands

Department of Industrial Design, University of Technology Eindhoven, Eindhoven, The Netherlands.

出版信息

BMJ Open. 2023 Feb 28;13(2):e068351. doi: 10.1136/bmjopen-2022-068351.

DOI:10.1136/bmjopen-2022-068351
PMID:36854593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9980372/
Abstract

OBJECTIVES

Knowledge on information needs in cardiac rehabilitation (CR) patients is scarce. This study investigates determinants of information needs in patients with coronary artery disease (CAD).

DESIGN

Prospective observational study.

PARTICIPANTS

A total of 259 patients participated.

SETTING

CR centre serving a general hospital in The Netherlands.

METHODS

Patients with a coronary event and/or revascularisation referred for CR completed questionnaires assessing their level of information needs with respect to nutrition, physical activity, smoking, medication use and psychological well-being, and potential determinants of information needs (sociodemographic characteristics, health literacy, illness perceptions, anxiety, depression, Type D personality and quality of life).

RESULTS

The majority (63%) of patients indicated a need for information on at least one of the four topics (nutrition, physical activity, medication use, psychological well-being), with considerable inter-individual variation. Female sex, being employed, higher socioeconomic status, higher levels of anxiety and higher illness perception were associated with higher information needs on specific topics.

CONCLUSIONS

The majority of CR patients with CAD have a need for information, with considerable inter-individual variability. Several demographic, socioeconomic and psychosocial characteristics were related to their preference for information topics. These results underline the need for personalised information strategies in patients undergoing CR.

摘要

目的

人们对心脏康复(CR)患者信息需求的了解甚少。本研究旨在调查冠心病(CAD)患者信息需求的决定因素。

设计

前瞻性观察研究。

参与者

共有 259 名患者参与。

地点

荷兰一家综合医院的 CR 中心。

方法

患有冠状动脉事件和/或血运重建并被转介至 CR 的患者完成了问卷,评估他们对营养、身体活动、吸烟、药物使用和心理幸福感的信息需求水平,以及信息需求的潜在决定因素(社会人口统计学特征、健康素养、疾病认知、焦虑、抑郁、D 型人格和生活质量)。

结果

大多数(63%)患者表示至少对四个主题(营养、身体活动、药物使用、心理幸福感)中的一个主题有信息需求,个体间存在相当大的差异。女性、就业、较高的社会经济地位、较高的焦虑水平和较高的疾病认知与特定主题的更高信息需求相关。

结论

大多数患有 CAD 的 CR 患者都有信息需求,且个体间存在相当大的差异。一些人口统计学、社会经济和心理社会特征与他们对信息主题的偏好有关。这些结果强调了在接受 CR 的患者中实施个性化信息策略的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3087/9980372/260ae93a233e/bmjopen-2022-068351f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3087/9980372/260ae93a233e/bmjopen-2022-068351f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3087/9980372/260ae93a233e/bmjopen-2022-068351f01.jpg

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Cureus. 2021 Jan 15;13(1):e12718. doi: 10.7759/cureus.12718.
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The Beneficial Effects of Cardiac Rehabilitation.心脏康复的有益效果。
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Analysis of the characteristics and illness comprehension bias among Chinese patients with psycho-cardiovascular disease: a multi-centre cross-sectional survey.中国心血管疾病患者的特征及疾病认知偏差分析:一项多中心横断面调查
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