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冠心病患者二级预防知识的评估

Evaluation of Secondary Prevention Knowledge in Patients with Coronary Artery Disease.

作者信息

Bálint Gabriel, Slezáková Zuzana

机构信息

Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, 833 03 Bratislava, Slovakia.

Department of Acute Cardiology-Coronary Care, National Institute of Cardiovascular Diseases, 833 48 Bratislava, Slovakia.

出版信息

Medicina (Kaunas). 2025 Apr 10;61(4):693. doi: 10.3390/medicina61040693.

DOI:10.3390/medicina61040693
PMID:40282984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12029132/
Abstract

: Most patients with cardiovascular disease have limited health literacy and knowledge. The promotion of knowledge among patients with coronary artery disease is an integral part of health maintenance and the minimisation of secondary cardiac events. The aim of this study was to map the percent proportion of answers and scores obtained from them in the studied domains. : In this cross-sectional study, a Coronary Artery Disease Education Questionnaire (CADE-Q II) was used to verify knowledge gaps in the five studied domains. In total, 253 patients with coronary artery disease completed the CADE-Q II, which targeted five domains: health status, risk factors, exercise, nutrition and psychosocial risk. Data were collected between June 2021 and November 2024. : An analysis of the data found a total mean CADE-Q II score of 61.05 ± 11.42 SD out of 93 points. Our research showed that the total mean score of a group of patients corresponded to an acceptable level of knowledge. Patients in the cohort provided a total of 7843 responses for the five study domains. In total, 46.8% of patients scored all answers correctly in terms of risk factors, 49.0% in terms of nutrition, 53.1% in terms of health status, 64.4% in terms of psychosocial risk, and 65.0% in terms of exercise. : The use of the CADE-Q II questionnaire, with its focus on the studied domains, verifies patient knowledge and provides a foundation for education, the provision of effective information and the promotion of secondary prevention knowledge.

摘要

大多数心血管疾病患者的健康素养和知识有限。在冠心病患者中推广知识是健康维护和减少继发性心脏事件的一个组成部分。本研究的目的是梳理在所研究领域中获得的答案的百分比和分数。

在这项横断面研究中,使用了冠心病教育问卷(CADE-Q II)来验证五个研究领域的知识差距。共有253名冠心病患者完成了CADE-Q II,该问卷针对五个领域:健康状况、风险因素、运动、营养和心理社会风险。数据收集于2021年6月至2024年11月之间。

数据分析发现,CADE-Q II的总平均分数为61.05±11.42标准差(满分93分)。我们的研究表明,一组患者的总平均分数对应于可接受的知识水平。该队列中的患者对五个研究领域总共提供了7843份回答。总体而言,46.8%的患者在风险因素方面所有答案都正确,49.0%在营养方面,53.1%在健康状况方面,64.4%在心理社会风险方面,65.0%在运动方面。

使用专注于所研究领域的CADE-Q II问卷,可验证患者的知识,并为教育、提供有效信息和推广二级预防知识奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e0/12029132/7b4ae5ac3e8b/medicina-61-00693-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e0/12029132/23a14d7fc0d7/medicina-61-00693-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e0/12029132/7b4ae5ac3e8b/medicina-61-00693-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e0/12029132/23a14d7fc0d7/medicina-61-00693-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e0/12029132/7b4ae5ac3e8b/medicina-61-00693-g002.jpg

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本文引用的文献

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2024 ESC Guidelines for the management of chronic coronary syndromes.2024年欧洲心脏病学会慢性冠状动脉综合征管理指南
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健康素养干预在冠心病二级预防中的应用:系统评价。
Open Heart. 2022 Jan;9(1). doi: 10.1136/openhrt-2021-001895.
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Validation of the French-Canadian Version of a Short Questionnaire to Assess Knowledge in Cardiac Patients (CADE-Q SV).评估心脏病人知识的短问卷(CADE-Q SV)的法语加拿大版本的验证。
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