产后血管风险降低诊所对先兆子痫女性行为改变和长期心血管结局的有效性：一项病例对照研究。
Effectiveness of a postpartum vascular risk reduction clinic on behavioral change and long-term cardiovascular outcomes in women who had preeclampsia: a case-control study.
作者信息
Pihelgas Allison, Sevick Laura, Pelinska Gabriela, Sia Winnie W
机构信息
Departments of Medicine and Obstetrics and Gynecology, Lois Hole Hospital for Women, Royal Alexandra Hospital, University of Alberta, Canada.
出版信息
Obstet Med. 2024 Jul 25;18(3):150-156. doi: 10.1177/1753495X241260792. eCollection 2025 Sep.
OBJECTIVES
We aimed to evaluate the effectiveness of our vascular risk reduction clinic for women who had preeclampsia, in improving patients' cardiovascular outcomes, self-reported healthy behaviors, and knowledge about their long-term cardiovascular health.
STUDY DESIGN
Retrospective case-control study where 470 surveys were mailed: half were patients seen in Postpartum Preeclampsia Clinic 2010-2019, and controls were patients who did not attend a scheduled clinic appointment or were seen in Obstetric Medicine clinic postpartum for preeclampsia. Primary outcome was a lack of postpartum weight gain. Secondary outcomes included new vascular diseases, smoking, exercise, and physician follow-up.
RESULTS
Ninety-four (43.3%) of clinic attendees returned survey and 30.3% of controls. Fewer clinic attendees gained weight postpartum, and attendees had fewer hypertension and followed up more with family physicians. Most attendees found the clinic helpful.
CONCLUSIONS
Postpartum Preeclampsia Clinic was effective in affecting some vascular outcomes and in improving knowledge and follow-up behaviors.
目的
我们旨在评估我们的血管风险降低诊所对患有子痫前期的女性在改善患者心血管结局、自我报告的健康行为以及对其长期心血管健康的认知方面的有效性。
研究设计
回顾性病例对照研究，共邮寄了470份调查问卷：一半是2010年至2019年在产后子痫前期诊所就诊的患者，对照组是未按预约就诊或在产后产科医学诊所因子痫前期就诊的患者。主要结局是产后体重未增加。次要结局包括新发血管疾病、吸烟、运动以及医生随访。
结果
94名（43.3%）诊所就诊者回复了调查问卷，对照组的回复率为30.3%。较少有诊所就诊者产后体重增加，就诊者患高血压的人数较少，并且与家庭医生的随访更多。大多数就诊者认为该诊所很有帮助。
结论
产后子痫前期诊所对影响一些血管结局以及改善认知和随访行为有效。
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