摘要
目的 了解我国医疗卫生人员对胆固醇相关知识的认知水平 ,为心血管病健康教育提供指导。方法 对选取的专科、省部委、地县、乡村 4个级别医院的医师采取自填封闭式问卷进行集中调查 ,并结合个案访问 ,共调查医疗卫生人员 16 0 9人。结果 被调查医师对血清总胆固醇 (TC)升高、血清低密度脂蛋白胆固醇 (LDL C)升高、血清高密度脂蛋白胆固醇 (HDL C)降低可增加心血管病危险的认知率分别为 96 1%、84 6 %、6 5 1%。LDL C作为对冠心病发生起最重要作用的血脂成分的认知只有 39 9%。对正常成人血脂合适范围的准确回答率普遍偏低 ,最高仅为 5 2 4 % ;只有 39 9%的医师认知膳食中可使血清胆固醇升高的最主要成分是胆固醇。对于冠心病患者TC、LDL C开始膳食和药物治疗标准的正确回答率大都低于 2 0 0 % ;对冠心病患者TC和LDL C控制目标的正确回答率低于 2 5 0 % ;对每天胆固醇摄入量的认知率最高为 33 8%。被调查的医师中 ,知道自己血脂水平的为 32 2 % ,控制自身胆固醇摄入的为 5 6 0 % ,采用膳食治疗血脂异常的为 5 3 8% ,给所有心血管病患者测血脂的为 78 0 % ,对于单纯高胆固醇血症给予他汀类药物治疗的为 5 1 3%。结论 医疗卫生人员对胆固醇相关知识的认知还存在很大差距 。
Objective To investigate the recognition level on cholesterol in Chinese health care professionals Methods 1 609 health care professionals from one national level cardiovascular disease hospital, 14 provincial general hospitals, 26 county hospitals, and 192 basic health stations or clinics were selected to participate in the survey using self administrated close questionnaire Results About 96 1% of participants recognized that high total cholesterol (TC) can increase the risk of cardiovascular diseases (CVD), it is 84 6% for high low density lipoprotein cholesterol (LDL C), only 65 1% for low high density lipoprotein cholesterol(HDL C) 39 9% recognized that LDL C is the most important lipid component in coronary heart disease pathogenesis Only 39 9%of participants recognized that dietary cholesterol intake affected the serum cholesterol level most About 52 4% of physicians knew the normal range of cholesterol in adults, less than 20% knew the criteria of TC and LDL C for starting non pharmacological and pharmacological treatment, 33 8% knew how much cholesterol adults should be taken per day 32 2% of physicians knew themselves level of cholesterol, 56 0% restricted themselves dietary cholesterol 53 8% used measure of diet modification to lower serum lipid for CVD patients; 78 0% of physicians recognized they should measure serum lipid for all CVD patients, but only 9 3% do so for patients uncomplicated by CVD, diabetes mellitus and nephrotic disease Over 70 0% restricted dietary saturated fatty acid and cholesterol for CVD patients, less than 20% did so for patients uncomplicated by CVD, diabetes mellitus and nephrotic disease The differences were significant between physicians in different grade hospitals( P <0 01) 51 3% physicians reduced serum lipid using statins for patients with isolated hypercholesterolemia Conclusion There is a wide gap in professionals′ recognition on cholesterol, cardiovascular health education should be an important method to improve it
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2002年第3期156-160,共5页
Chinese Journal of Cardiology
基金
卫生部 美国施贵宝基金会国际合作项目"为人类健康携手 :我国社区医疗卫生人员心血管病健康教育 (培训 )计划"基金
国家"九五"攻关课题基金 (96 90 6 0 2 0 1)
