Heart:中印三城市大调查:公众对心血管疾病认知程度如何?

2018-01-26 安雅晶 环球医学网

2018年1月,发表在《Heart》的一项由美国、印度和中国进行的调查研究,考察了在中国和印度3个城市(北京、上海和班加罗尔)中,公众对心血管疾病(CVD)的认知和对急性心脏事件的反应情况。

2018年1月,发表在《Heart》的一项由美国、印度和中国进行的调查研究,考察了在中国和印度3个城市(北京、上海和班加罗尔)中,公众对心血管疾病(CVD)的认知和对急性心脏事件的反应情况。

目的:为了解中国和印度3个大城市中减少急性心肌梗死(AMI)和心脏骤停死亡率的靶向干扰,对公众认知、态度和实践开展了一项基线评估。

方法:采用家庭调查并辅以典型组和个体访谈评估公众对CVD风险因素、AMI症状、心肺复苏(CPR)和自动体外电击除颤器(AEDs)的认知。此外,还收集了有关急诊利用率的信息和相关的治疗障碍。

结果:完成了5456个家庭调查。在北京和上海,高血压是CVD风险因素中最常被识别出的(分别为68%和67%),然而行为风险因素在印度班加罗尔最常被识别出(吸烟91%;过量饮酒64%)。在所有城市中,至少60%的受访者报道胸痛/不适作为AMI的症状,但在班加罗尔21%的个体无法说出单一症状。在北京、上海和班加罗尔,分别有26%、15%和3%的受访者接受过CPR培训。在所有城市中,少于四分之一的参与者对AED有认知。最后,急诊服务利用率是较低的,许多个体表达了对院前治疗质量的关注。

结论:总体上,研究发现CVD风险因素和AMI症状的认知在低至中等,对CPR培训认知较少且很少了解AEDs。未来,干预将需要针对CVD的基本原则及其并发症,以便让患者受到针对急性心脏事件及时且适当的治疗。

原始出处:
Duber HC, McNellan CR, Wollum A,et al. Public knowledge of cardiovascular disease and response to acute cardiac events in three cities in China and India.Heart. 2018 Jan;104(1):67-72. doi: 10.1136/heartjnl-2017-311388. Epub 2017 Jun 29.

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    2018-01-27 zhaojie88
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    2018-01-27 slcumt