中华护理杂志 ›› 2023, Vol. 58 ›› Issue (2): 150-157.DOI: 10.3761/j.issn.0254-1769.2023.02.003
郭芝廷(), 陈洁, 郭二菱, 沈国丽, 丁传琦, 黄玉香, 张玉萍, 金静芬()
收稿日期:
2022-08-22
出版日期:
2023-01-20
发布日期:
2023-01-30
通讯作者:
金静芬,E-mail:zrjzkhl@zju.edu.cn作者简介:
郭芝廷:女,硕士(博士在读),讲师,E-mail:21318063@zju.edu.cn
基金资助:
GUO Zhiting(), CHEN Jie, GUO Erling, SHEN Guoli, DING Chuanqi, HUANG Yuxiang, ZHANG Yuping, JIN Jingfen()
Received:
2022-08-22
Online:
2023-01-20
Published:
2023-01-30
摘要:
目的 探讨心血管疾病(cardiovascular disease,CVD)发病风险感知与总体风险的关系,为制订针对性干预对策提供依据。 方法 2022年3月—7月便利选取杭州市某三级甲等医院的体检人群和来院就诊的糖尿病、高血压患者735例作为调查对象,采用一般资料调查表、CVD总体风险评估工具和CVD风险感知评估工具进行调查,分析不同人口学特征人群CVD绝对风险感知与总体风险值的相关性,比较绝对风险感知与总体风险值的差异。 结果 共回收有效问卷692份,有效问卷回收率为94.1%。CVD总体风险值为1.0%(0.2%,6.4%),绝对风险感知为2.0(1.0,3.0)。CVD绝对风险感知与总体风险值呈正相关(rs=0.181,P<0.001)。分层分析显示,40~59岁、低体重或肥胖、少数民族、小学及以下文化程度、单身、吸烟、饮酒、有无糖尿病现病史、有无服用降糖药、有高血压现病史、服用降压药、高胆固醇血症人群中,绝对风险感知与总体风险值无显著相关性(P>0.05)。绝对风险感知分级与总体风险分级比较,差异具有统计学意义(χ2=16.17,P=0.003),风险感知低估率、一致率、高估率分别为30.3%、56.5%、13.2%。 结论 风险感知低估普遍存在,医护人员应重点关注风险感知与总体风险不一致的人群,并针对个体风险特征制订针对性的干预策略,以改善其风险感知、降低CVD的发生风险。
郭芝廷, 陈洁, 郭二菱, 沈国丽, 丁传琦, 黄玉香, 张玉萍, 金静芬. 心血管疾病发病风险感知与客观估算风险的相关性及护理对策[J]. 中华护理杂志, 2023, 58(2): 150-157.
GUO Zhiting, CHEN Jie, GUO Erling, SHEN Guoli, DING Chuanqi, HUANG Yuxiang, ZHANG Yuping, JIN Jingfen. Cardiovascular disease risk perception and overall risk:correlation and solutions[J]. Chinese Journal of Nursing, 2023, 58(2): 150-157.
表2 不同特征调查对象风险感知和总体风险的相关性分析[M(P25,P75),n=692]
Table 2 Correlation analysis of risk perception and total cardiovascular disease risk among different characteristics of participants[M(P25,P75),n=692]
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