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吉马大学医学中心糖尿病患者可改变的心血管疾病危险因素及其一级预防措施的知晓情况:一项横断面研究

Knowledge of modifiable cardiovascular diseases risk factors and its primary prevention practices among diabetic patients at Jimma University Medical Centre: A cross-sectional study.

作者信息

Workina Abdata, Habtamu Asaminew, Diribsa Tujuba, Abebe Fikadu

机构信息

School of Nursing, Jimma University, Jimma, Oromia, Ethiopia.

School of Midwifery, Jimma University, Jimma, Oromia, Ethiopia.

出版信息

PLOS Glob Public Health. 2022 Jul 12;2(7):e0000575. doi: 10.1371/journal.pgph.0000575. eCollection 2022.

Abstract

Cardiovascular diseases (CVDs) are the most common cause of mortality and morbidity globally. This is due to the increasing prevalence of modifiable CVDs risk factors. Hence, the study was aimed to identify knowledge and unhealthy behaviors that contribute to CVD among diabetes mellitus patients. An institutional-based cross-sectional study design was employed among diabetes mellitus patients. A close-ended questionnaire developed from up-to-date similar literature was pretested and face-to-face interview techniques were used to collect data. Checked data were entered into the Epidata 4.1 versions. Then, descriptive and bivariate logistic regression was done using SPSS 25 versions. Of the study participants included in the study, 318, more than half of them, 167(52.5%), were aged ≥45 years and 187(58.8%) of them were females. Among the study participants, more than half, 198(62.3%), had good Knowledge of modifiable CVDs risk factors. Most of the study participants identified consuming foods rich in fats instead of vegetables and fruits 198(62.3%), followed by physical inactivity 196(61.6%) as a risk factor for CVD. Regarding CVDs prevention practice, 175(55.0%) of the patients had a good practice. More than three-fourths, 267(84.0%), practice avoiding foods rich in fats and, sugar, and cigarette smoking 250(78.6%). Predictors like educational status, college and above (AOR 2.68; 95% CI 1.14-6.27), and urban residence area (AOR 1.94; 95% CI 1.09-3.15) were associated with knowledge of CVDs risk factors. While sex, marital status monthly income, and age of the participants had no association with knowledge and prevention practice of modifiable CVDs risk factors. The study participants' knowledge and prevention practice of modifiable cardiovascular disease risk factors was satisfactory, even though continuous awareness creation is required to lower CVD mortality and morbidity burdens. Educational status and residence are of the study participants affect the knowledge and prevention practice modifiable of cardiovascular disease risk factors.

摘要

心血管疾病(CVDs)是全球最常见的死亡和发病原因。这归因于可改变的心血管疾病风险因素的患病率不断上升。因此,该研究旨在确定糖尿病患者中导致心血管疾病的知识和不健康行为。在糖尿病患者中采用了基于机构的横断面研究设计。根据最新的类似文献编制了一份封闭式问卷,并进行了预测试,采用面对面访谈技术收集数据。检查后的数据录入Epidata 4.1版本。然后,使用SPSS 25版本进行描述性和双变量逻辑回归分析。在纳入研究的参与者中,318人,其中一半以上,即167人(52.5%)年龄≥45岁,187人(58.8%)为女性。在研究参与者中,超过一半,即198人(62.3%)对可改变的心血管疾病风险因素有良好的认识。大多数研究参与者认为食用富含脂肪的食物而非蔬菜和水果是心血管疾病的风险因素,有198人(62.3%),其次是缺乏身体活动,有196人(61.6%)。关于心血管疾病的预防措施,175名患者(55.0%)有良好的预防措施。超过四分之三的患者,即267人(84.0%)采取了避免食用富含脂肪和糖的食物以及吸烟的措施,有250人(78.6%)。诸如教育程度、大专及以上(比值比2.68;95%置信区间1.14 - 6.27)以及城市居住地区(比值比1.94;95%置信区间1.09 - 3.15)等预测因素与心血管疾病风险因素的知识相关。而参与者的性别、婚姻状况、月收入和年龄与可改变的心血管疾病风险因素的知识及预防措施无关。尽管需要持续开展提高认识的活动以降低心血管疾病的死亡率和发病率负担,但研究参与者对可改变的心血管疾病风险因素的知识和预防措施情况令人满意。研究参与者的教育程度和居住地区会影响对可改变的心血管疾病风险因素的知识和预防措施。

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