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作 者:张涓[1] 李季香[1] 陈牧雷[1] 王桂芝[1] 杨新春[1]
出 处:《中国医药导刊》2005年第2期90-91,108,共3页Chinese Journal of Medicinal Guide
摘 要:目的:通过在心内科"生命网"讲座中调查问卷的使用,分析患者的现状,探讨"生命网"在冠心病一级预防和二级 预防中的临床意义。方法:在"生命网"讲座中发放调查阅卷,询问患者的血压、血脂、血糖等危险因素情况及其药物治 疗,并及时了解患者的要求与意见。结果:在82例参加"生命网"讲座的患者中,收回62份问卷,反馈率为75.61%。患者 血压的知晓率为83.87%;血脂的知晓率为80.64%;血糖的知晓率54.84%。各种危险因素的控制情况为:血压中收缩压、 舒张压的达标率分别为86.54%、96.15%;血糖的达标率为85.29%。在心肌梗死的亚组中,93.33%患者接受抗血小板治 疗,86.67%患者接受降脂治疗,43.33%患者接受ACEI或ARB类药物的治疗;90.00%患者接受β-阻滞剂的治疗。结论: 在心内科"生命网"讲座中,使用调查问卷可以快速了解患者的现状,了解患者危险因素的检测、治疗与达标,并及时反馈 患者的需求,提高医患之间的互动性。Objective:We utilize questionnaires in 'Heart care network'of cardiac outpatients, analyze patients'current status, discuss clinical meanings of 'Heart care work' in primary and secondary prevention of coronary artery diseases. Methods: We provided quesuonnaires for cardiac outpatients who attended lectures, inquired risk fectors(blood pressure, lipid, glucose, smoking) and treatments of patients, realized demands and opinions. Results: Among 82 patients who attended lectures, 75.61% returned the questionnaires.Of those patients, 83,87% learned their blood pressure, 80.64% learned their lipid, 54.84% learned their glucose. During controlling different risk factors, 86.54% patients reached systolic pressure standard, %.15%patients reached diastolic pressure standard, 85.29%reached glucose standard. In myocardial infraction subgroup, 93.33% patients received antiplatelet therapies, 86.67% patients received lipid-lowering treatments,43.33% patients took ACEI or ARB drugs;90.00% received β-adrenergic receptor blockers. Conclusion: During lectures of 'Heart care network ', utilization of questionnaires can quickly learn current status of patients, learn detection, treatment, reaching goals of risk factors, and feedback demands of patients,improve interactions.
分 类 号:R541.4[医药卫生—心血管疾病]
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