Campbell I K
J R Coll Gen Pract. 1978 Jul;28(192):407-13.
The prevention of atherosclerosis, especially ischaemic heart disease, in general practice is important. The evidence for and against the various risk factors is reviewed, and the rationale for screening and health education is examined. I conclude that health education and screening for risk factors are likely to be more successful in decreasing morbidity and mortality than treating established disease.There are arguments for and against screening and health education and about the effectiveness of various schemes. Much of the routine work of health education and screening can be carried out by suitably trained health visitors, practice nurses, or community nurses.
在全科医疗中，预防动脉粥样硬化，尤其是缺血性心脏病，具有重要意义。本文回顾了支持和反对各种风险因素的证据，并探讨了筛查和健康教育的基本原理。我的结论是，与治疗已确诊的疾病相比，针对风险因素的健康教育和筛查在降低发病率和死亡率方面可能更成功。对于筛查、健康教育以及各种方案的有效性，存在支持和反对的观点。健康教育和筛查的许多日常工作可由经过适当培训的健康访视员、执业护士或社区护士来开展。
