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学科主题: 临床医学
题名:
Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians′ survey in China
作者: 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
发表日期: 2012-10-01
DOI: 10.1177/1741826711421299
卷: 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
所属项目编号: 2006BAI01A02
项目资助者: Ministry of Science and Technology
WOS记录号: WOS:000309527700011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63145
Appears in Collections:北京大学第一临床医学院_心血管内科_期刊论文

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作者单位: Peking Univ, Hosp 1, Dept Cardiol, Beijing 100034, Peoples R China

Recommended Citation:
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.
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