Gariballa S E, Peet S M, Fotherby M D, Parker S G, Castleden C M
Department of Geriatrics, Selly Oak Hospital, Birmingham, UK.
Postgrad Med J. 1996 Oct;72(852):605-8. doi: 10.1136/pgmj.72.852.605.
The knowledge of 28 stroke patients on the nature, consequences, treatment and risk factors of stroke and ischaemic heart disease was examined using a questionnaire and compared with that of 26 patients with ischaemic heart disease and 41 controls without evidence of vascular disease. Information was also collected on the patients' willingness to change their life-style, the information and advice they had received and their desire for more information. It was found that about half of the elderly stroke and heart disease patients had a reasonable knowledge of the condition and its related risk factors. Only eight (14%) patients remembered receiving information and advice in relation to their condition during their hospital stay compared with one (2%) control. There was a significant difference between the number of stroke and heart disease patients who wanted to know more about their condition compared with the control group (32 vs 14; p = 0.03). A quarter of the patients and half of the controls knew that fruit and vegetables were good for you and excessive fat and alcohol were less inducive to good health. Most patients with a risk factor were willing to exercise more, stop smoking, cut down on their drinking, or lose weight. These results suggest that elderly hospital patients have a reasonable basic knowledge about vascular diseases, but that a significant number want to know more and would be willing to change their life-style.
采用问卷调查的方式,对28名中风患者关于中风及缺血性心脏病的性质、后果、治疗方法和危险因素的了解情况进行了调查,并与26名缺血性心脏病患者以及41名无血管疾病迹象的对照组人员进行了比较。同时还收集了患者改变生活方式的意愿、他们所获得的信息和建议以及他们对更多信息的需求。结果发现,约一半的老年中风和心脏病患者对病情及其相关危险因素有一定的了解。在住院期间,只有8名(14%)患者记得曾收到过与病情相关的信息和建议,而对照组中只有1名(2%)。与对照组相比,想要进一步了解自身病情的中风和心脏病患者数量存在显著差异(32比14;p = 0.03)。四分之一的患者和一半的对照组人员知道水果和蔬菜有益健康,而过量摄入脂肪和酒精不利于健康。大多数有危险因素的患者愿意增加运动量、戒烟、减少饮酒或减肥。这些结果表明,老年住院患者对血管疾病有一定的基本知识,但仍有相当一部分人希望了解更多信息并愿意改变生活方式。