2314例老年人有关急性心肌梗死知识现状的调查  

Survey of knowledge of acute myocardial infarction in 2314 senile residents

作　　者：张清潭[1] 胡大一[1] 杨进刚[1] 张寿彦[1] 张新泉[1] 刘书山[1] 

机构地区：[1]首都医科大学同仁医院,北京100730

出　　处：《中华老年心脑血管病杂志》2008年第1期11-14,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：首都医学发展科研基金资助(2003-3044)

摘　　要：目的调查分析北京市部分老年人有关急性心肌梗死(AMI)知识现状与心血管疾病知识的影响因素。方法采取分层后随机抽样调查2314例60岁以上老年人有关AMI的知识现状。结果68.34%的人知晓AMI的最常见症状;76.62%的人知晓至少一个次常见症状。32.62%的人知晓AMI的再灌注疗法;43.26%的人知晓硝酸甘油是AMI发作时的急救药物;42.17%的人知晓自己和80.6%的人知晓他人发作AMI时要呼叫120或999。高龄、经济收入高、有医疗保险、受教育水平高、独居和有心血管疾病经历的人具有较多有关AMI的知识。结论老年人缺乏AMI主要症状的有关知识,公共健康教育应提高老年人群有关AMI知识水平,尤其是弱势人群。Objectives To document knowledge about acute myocardial infarction（AMI） in Beijing senile residents and to identify the influential factors associated with knowledge of heart attack. Methods 2 341 participants were selected using the random method following a stratification. Knowledge of AMI in sampled participants was analyzed. Results 68. 340//00 reported that chest pain or discomfort was the most common symptom of AMI. 76.62%0 respondents reported at least one of the eight less common symptoms. 36.62% knew reperfusion therapy for AMI. 43.26% reported that nitroglycerin was the emergency medication for AMI. 42.17 %and 80.6 % respondents reported to call 120 or 999 when they or someone else is having a AMI attack. Very old persons and those with health insurance coverage, high education level, high household income, live independently and previous experience with heart disease had more knowledge of AMI symptoms. Conclusions Knowledge of AMI symptoms is deficient in Beijing senile residents. Public health efforts are needed to increase the recognition of the major symptoms of AMI in senile residents in Beijing, especially in socioeconomic disadvantaged subgroups.

关 键 词：心肌梗塞 胸痛 再灌注 体征和症状 预后 

分 类 号：R542.22[医药卫生—心血管疾病]