教育干预对2型糖尿病患者心血管疾病风险改变预防策略的影响

D. Desai
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摘要

目的:对2型糖尿病(DM)患者进行心血管疾病危险分级。研究糖尿病患者的生活方式及处方模式。此外,还评估了教育干预对心血管疾病风险改变预防策略的影响。方法:采用WHO心血管疾病(CVD)风险预测图,将糖尿病分为不同的CVD风险类别,并根据WHO CVD风险评估与管理指南进行教育干预。结果:67.5%的糖尿病患者CVD风险为低,15%为中,15%为高,2.5%为非常高。100%具有高心血管疾病风险的糖尿病患者使用抗高血压和抗血小板药物,但只有50%的患者使用降血脂药物。教育干预提高了心血管疾病风险改变预防策略(体重控制(p<0.05)、血糖控制(p<0.01)、降血脂药物的获益(p<0.01)和抗血小板药物阿司匹林(p< 0.001)的使用)的知识。结论:32.5%的2型糖尿病患者发生心血管事件的风险为中至极高。为降低心血管疾病风险,有增加降血脂药物处方的余地。教育干预导致心血管疾病风险改变预防策略的知识显著增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Educational Intervention on Preventive Strategies for Cardiovascular Disease Risk Modification among Patients with Type II Diabetes Mellitus
Objective: The Type II Diabetes mellitus (DM) patients were stratified into CVD risk categories. The lifestyle and prescription pattern of DM patients was studied. Also, impact of educational intervention on preventive strategies for CVD risk modification was assessed. Methods: The WHO Cardiovascular disease (CVD) risk prediction charts were used to categorize DM into various CVD risk categories and were imparted education intervention based on WHO Guidelines for Assessment and Management of CVD Risk. Results: 67.5 % of DM had low, 15 % medium, 15 % high and 2.5 % had very high CVD risk. 100 % of DM patients with high CVD risk profile were on antihypertensive and antiplatelet drugs though only 50 % were on hypolipidemic agents. Educational intervention improved the knowledge regarding preventive strategies for CVD Risk modification {weight control (p<0.05), glycemic control (P<0.01), benefits of hypolipidemic agents (p<0.01) and antiplatelet drug aspirin (P<0.001) usage}. Conclusion: 32.5 % Type 2 diabetic patients have medium to very high risk of developing a cardiovascular event. There is a scope to increase the prescription of hypolipidemic drugs for CVD risk modification. Educational intervention resulted in a significant increase in knowledge regarding preventive strategies for CVD Risk modification.
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