护士主导的心血管疾病高危人群发病风险沟通策略研究进展

doi:10.3761/j.issn.0254-1769.2022.04.007

摘要/Abstract

摘要：

对国外心血管疾病高危人群发病风险沟通团队构成、护士主导的心血管疾病高危人群发病风险沟通策略及沟通流程进行综述,以期为护士开展心血管疾病高危人群发病风险沟通理论研究及实践工作等提供借鉴和参考。

关键词: 心血管疾病, 高危人群, 发病风险, 风险沟通, 护理, 综述

Abstract:

This article reviews the composition of a risk communication team,nurse-led risk communication strategies and communication process for high-risk groups of cardiovascular disease in foreign countries,in order to provide references for nurses to carry out theoretical research and practical work of risk communication for these groups in China.

Key words: Cardiovascular Disease, High Risk Group, Risk of Morbidity, Risk Communication, Nursing Care, Review

任慧, 张振香, 林蓓蕾, 栾文艳, 梅永霞. 护士主导的心血管疾病高危人群发病风险沟通策略研究进展[J]. 中华护理杂志, 2022, 57(4): 431-436.

REN Hui, ZHANG Zhenxiang, LIN Beilei, LUAN Wenyan, MEI Yongxia. Research progress on nurse-led risk communication strategies for high-risk groups of cardiovascular diseases[J]. Chinese Journal of Nursing, 2022, 57(4): 431-436.

参考文献 43

[1]	中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2020, 35(9):833-854.
	Report on cardiovascular health and diseases in China 2020:an updated summary[J]. Chin Circulation J, 2020, 35(9):833-854.
[2]	Lu JP, Lu Y, Yang H, et al. Characteristics of high cardiovascular risk in 1.7 million Chinese adults[J]. Ann Intern Med, 2019, 170(5):298-308. DOI URL
[3]	Silarova B, Lucas J, Butterworth AS, et al. Information and Risk Modification Trial(INFORM):design of a randomised controlled trial of communicating different types of information about coronary heart disease risk,alongside lifestyle advice,to achieve change in health-related behaviour[J]. BMC Public Health, 2015, 15:868. DOI PMID
[4]	中国心血管病一级预防指南[J]. 中华心血管病杂志, 2020, 48(12):1000-1038.
	Primary prevention guidelines for cardiovascular diseases in China[J]. Chin J Cardiol, 2020, 48(12):1000-1038.
[5]	中国心血管病风险评估和管理指南编写联合委员会. 中国心血管病风险评估和管理指南[J]. 中华预防医学杂志, 2019, 53(1):13-35.
	The Joint Task Force for Guideline on the Assessment and Management of Cardiovascular Risk in China. Guideline on the assessment and management of cardiovascular risk in China[J]. Chin J Prev Med, 2019, 53(1):13-35.
[6]	雷吉娜E朗格林, 安德莉亚H麦克马金. 风险沟通环境、安全和健康风险沟通指南[M]. 黄河,蒲信竹,刘琳琳,译. 北京: 中国传媒大学出版社, 2016.
	Regina Lundgren, Andrea Mc Makin. A handbook for communicating environmental,safety,and health risks[M]. Huang H,Pu XZ,Liu LL,translator. Beijing: Communication University of China Press, 2016.
[7]	Navar AM, Stone NJ, Martin SS. What to say and how to say it:effective communication for cardiovascular disease prevention[J]. Curr Opin Cardiol, 2016, 31(5):537-544. DOI URL
[8]	Boase S, Mason D, Sutton S, et al. Tinkering and tailoring individual consultations:how practice nurses try to make cardiovascular risk communication meaningful[J]. J Clin Nurs, 2012, 21(17/18):2590-2598. DOI URL
[9]	James S, Halcomb E, Desborough J, et al. Lifestyle risk communication by general practice nurses:an integrative literature review[J]. Collegian, 2019, 26(1):183-193. DOI URL
[10]	Tiessen AH, Smit AJ, Broer J, et al. Randomized controlled trial on cardiovascular risk management by practice nurses supported by self-monitoring in primary care[J]. BMC Fam Pract, 2012, 4(13):90.
[11]	Escortell-Mayor E, Del Cura-González I, Ojeda-Ruiz E, et al. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension:the education and coronary risk evaluation(edu-core) study-A pragmatic,cluster-randomized trial[J]. PLoS One, 2020, 15(1):e0226398. DOI URL
[12]	Kavita , Thakur JS, Vijayvergiya R, et al. Task shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India[J]. BMC Health Serv Res, 2020, 20(1):10. DOI PMID
[13]	Svendsen K, Jacobs DR, Mørch-Reiersen LT, et al. Evaluating the use of the heart age tool in community pharmacies:a 4-week cluster-randomized controlled trial[J]. Eur J Public Health, 2020, 30(6):1139-1145. DOI URL
[14]	Welschen LM, Bot SD, Kostense PJ, et al. Effects of cardiovascular disease risk communication for patients with type 2 diabetes on risk perception in a randomized controlled trial:the @RISK study[J]. Diabetes Care, 2012, 35(12):2485-2492. DOI PMID
[15]	孙丽, 吴瑛. 解读《欧洲心血管病预防指南》中护士的重要作用[J]. 中华护理杂志, 2014, 49(2):253-256.
	Sun L, Wu Y. Update for the strategic roles of nurses in cardiovascular disease prevention by application of European guidelines on cardiovascular disease prevention in clinical practice[J]. Chin J Nurs, 2014, 49(2):253-256.
[16]	刘美华, 朱丽辉, 张玉侠, 等. 儿科护士健康教育素养的现状调查[J]. 中华护理杂志, 2020, 55(10):1531-1537.
	Liu MH, Zhu LH, Zhang YX, et al. Investigation on health education literacy of pediatric clinical nurses and analysis of influencing factors[J]. Chin J Nurs, 2020, 55(10):1531-1537.
[17]	林蓓蕾, 王文娜, 张振香, 等. 心血管病患者发病风险沟通体验质性研究的Meta整合[J]. 解放军护理杂志, 2021, 38(2):64-68.
	Lin BL, Wang WN, Zhang ZX, et al. Qualitative studies on cardiovascular disease patients’ experiences of risk communication:a meta-synjournal[J]. Nurs J Chin PLA, 2021, 38(2):64-68.
[18]	Rouyard T, Leal J, Baskerville R, et al. Nudging people with Type 2 diabetes towards better self-management through personalized risk communication:a pilot randomized controlled trial in primary care[J]. Endocrinol Diabetes Metab, 2018, 1(3):e00022.
[19]	Asimakopoulou KG, Fox C, Spimpolo J, et al. The impact of different time frames of risk communication on Type 2 diabetes patients’ understanding and memory for risk of coronary heart disease and stroke[J]. Diabet Med, 2008, 25(7):811-817. DOI URL
[20]	Goodyear-Smith F, Arroll B, Chan L, et al. Patients prefer pictures to numbers to express cardiovascular benefit from treatment[J]. Ann Fam Med, 2008, 6(3):213-217. DOI PMID
[21]	Fagerlin A, Zikmund-Fisher BJ, Ubel PA. Helping patients decide:ten steps to better risk communication[J]. J Natl Cancer Inst, 2011, 103(19):1436-1443. DOI PMID
[22]	Navar AM, Wang TY, Mi XJ, et al. Influence of cardiovascular risk communication tools and presentation formats on patient perceptions and preferences[J]. JAMA Cardiol, 2018, 3(12):1192-1199. DOI URL
[23]	Fair AK, Murray PG, Thomas A, et al. Using hypothetical data to assess the effect of numerical format and context on the perception of coronary heart disease risk[J]. Am J Health Pro-mot, 2008, 22(4):291-296.
[24]	Sinayev A, Peters E, Tusler M, et al. Presenting numeric information with percentages and descriptive risk labels:a randomized trial[J]. Med Decis Making, 2015, 35(8):937-947. DOI URL
[25]	Bonner C, Mckinn S, Lau A, et al. Heuristics and biases in cardiovascular disease prevention:How can we improve communication about risk,benefits and harms?[J]. Patient Educ Couns, 2018, 101(5):843-853. DOI URL
[26]	Waldron CA, van der Weijden T, Ludt S, et al. What are effective strategies to communicate cardiovascular risk information to patients? A systematic review[J]. Patient Educ Couns, 2011, 82(2):169-181. DOI URL
[27]	Marshall IJ, Wolfe CDA, Mckevitt C. ‘People like you?’:how people with hypertension make sense of future cardiovascular risk-a qualitative study[J]. BMJ Open, 2018, 8(11):e023726. DOI URL
[28]	D’Agostino RB, Vasan RS, Pencina MJ, et al. General cardiovascular risk profile for use in primary care:the Framingham Heart Study[J]. Circulation, 2008, 117(6):743-753. DOI URL
[29]	Lopez-Gonzalez AA, Aguilo A, Frontera M, et al. Effectiveness of the Heart Age tool for improving modifiable cardiovascular risk factors in a Southern European population:a randomized trial[J]. Eur J Prev Cardiol, 2015, 22(3):389-396. DOI PMID
[30]	王海娣, 孙宁辉, 冯伟. 基于临床决策支持系统的社区体检居民心脏年龄评估[J]. 中国公共卫生管理, 2020, 36(6):934-937.
	Wang HD, Sun NH, Feng W. Heart age assessment of commu-nity residents in physical examination based on clinical deci-sion support system[J]. Chin J Public Heal Manag, 2020, 36(6):934-937.
[31]	Bonner C, Patel P, Fajardo MA, et al. Online decision aids for primary cardiovascular disease prevention:systematic search,evaluation of quality and suitability for low health literacy patients[J]. BMJ Open, 2019, 9(3):e025173. DOI URL
[32]	曹琴琴, 张宗侠, 王西鸽, 等. 共享决策在急诊心血管疾病护理中的应用进展[J]. 中华护理杂志, 2019, 54(4):595-598.
	Cao QQ, Zhang ZX, Wang XG, et al. Shared decision making in emergency nursing of cardiovascular disease:a review[J]. Chin J Nurs, 2019, 54(4):595-598.
[33]	Weaver KE, Klepin HD, Wells BJ, et al. Cardiovascular assessment tool for breast cancer survivors and oncology providers:usability study[J]. JMIR Cancer, 2021, 7(1):e18396. DOI URL
[34]	Primdahl J, Ferreira RJ, Garcia-Diaz S, et al. Nurses’ role in cardiovascular risk assessment and management in people with inflammatory arthritis:a European perspective[J]. Musculoskeletal Care, 2016, 14(3):133-151. DOI PMID
[35]	Wold Health Organization. WHO CVD-risk management package for low-and medium-resource settings[M]. WHO library, 2002.
[36]	Wold Health Organization. Pocket Guidelines for Assessment and Management of Cardiovascular Risk[M]. WHO library, 2007.
[37]	吴雪, 魏冬, 吴玄娜. 沟通与信任机制对患方风险意识影响的研究进展[J]. 中华现代护理杂志, 2019, 25(34):4526-4531.
	Wu X, Wei D, Wu XN. Research progress on influences of communication and trust mechanism on risk awareness of patients[J]. Chin J Mod Nurs, 2019, 25(34):4526-4531.
[38]	Mentrup S, Harris E, Gomersall T, et al. Patients’ experiences of cardiovascular health education and risk communication:a qualitative synjournal[J]. Qual Health Res, 2020, 30(1):88-104. DOI URL
[39]	杨艳艳, 康腾腾, 朱康宁, 等. 心血管疾病患者风险感知的研究进展[J]. 护士进修杂志, 2021, 36(7):591-595.
	Yang YY, Kang TT, Zhu KN, et al. Research progress on risk perception of patients with cardiovascular diseases[J]. J Nurses Train, 2021, 36(7):591-595.
[40]	郭云飞, 张振香, 林蓓蕾, 等. 脑卒中发病风险感知的研究进展[J]. 护理学杂志, 2021, 36(8):106-109.
	Guo YF, Zhang ZX, Lin BL, et al. Research progress on risk perception of stroke[J]. J Nurs Sci, 2021, 36(8):106-109.
[41]	Koelewijn-van Loon MS, van der Weijden T, Ronda G, et al. Improving lifestyle and risk perception through patient involvement in nurse-led cardiovascular risk management:a cluster-randomized controlled trial in primary care[J]. Prev Med, 2010, 50(1/2):35-44. DOI URL
[42]	Alaszewski A, Horlick-Jones T. How can doctors communicate information about risk more effectively?[J]. BMJ, 2003, 327(7417):728-731. DOI URL
[43]	Powers BJ, Danus S, Grubber JM, et al. The effectiveness of personalized coronary heart disease and stroke risk communication[J]. Am Heart J, 2011, 161(4):673-680. DOI URL