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Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians′ survey in China
Jiang, Jie; Hong, Tao; Yu, Ronghui; Zhang, Yan; Liu, Zhaopin; Huo, Yong; 11th 5-Year Natl Key Technologies
关键词Coronary disease secondary prevention guidelines attitude of health personnel
刊名EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
2012-10-01
DOI10.1177/1741826711421299
19期:5页:991-998
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]CARDIOVASCULAR-DISEASE ; CLINICAL-PRACTICE ; HIGH-RISK
英文摘要

Background: There is gap between guideline requirements and clinical practice in coronary disease secondary prevention. A physician′s awareness and familiarity are essential to put these guidelines in practice.

Design: In 2007 a cross-sectional questionnaire survey was conducted among physicians from cardiology departments in 35 tertiary hospitals in China.

Methods: The survey instrument contained questions to determine physicians′ knowledge of guideline recommendations for coronary heart disease secondary prevention. These included treatment goals for blood pressure, dyslipidaemia and diabetes, lifestyle modifications and medication needs for secondary prevention. The criteria were based mainly on the AHA/ACC Guidelines for Secondary Prevention for Patients with Coronary and Atherosclerotic Vascular Disease (2006).

Results: Responses from 837 physicians were deemed effective and were analysed. Knowledge of treatment goals for blood pressure, LDL and HbA1c were 80.8%, 84.2% and 36.2%, respectively; however, only 27.5% of the physicians chose all three goals correctly. Knowledge of lifestyle modification was poor among the physicians as only 2.3% of the physicians correctly answered all five questions about dietary therapy and aerobic exercise goals and requirements. In regard to the six basic questions related to medication, 87% answered correctly. Several specific questions had a much lower rate of being correct, showing that physicians′ knowledge was not precise and current.

Conclusion: Knowledge of secondary prevention, especially lifestyle modification, for coronary disease was poor among this group of physicians from tertiary hospitals. Efforts must be made to educate physicians to improve their knowledge and improve patient care.

语种英语
WOS记录号WOS:000309527700011
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63145
专题北京大学第一临床医学院_心血管内科
北京大学第一临床医学院_科研处
作者单位Peking Univ, Hosp 1, Dept Cardiol, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Jiang, Jie,Hong, Tao,Yu, Ronghui,et al. Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians′ survey in China[J]. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY,2012,19(5):991-998.
APA Jiang, Jie.,Hong, Tao.,Yu, Ronghui.,Zhang, Yan.,Liu, Zhaopin.,...&11th 5-Year Natl Key Technologies.(2012).Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians′ survey in China.EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY,19(5),991-998.
MLA Jiang, Jie,et al."Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians′ survey in China".EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY 19.5(2012):991-998.
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