| 李升华,马文林,潘江其,唐鲜娥,朱凌峰.不同性别冠心病患者对于急性心肌梗死相关症状的认识现况调查[J].,2017,17(1):80-83 |
| 不同性别冠心病患者对于急性心肌梗死相关症状的认识现况调查 |
| Understanding Current Situation Investigation of Coronary Heart Disease Patients with Different Genders on the Related Symptoms of Acute Myocardial Infarction |
| 投稿时间：2016-06-14 修订日期：2016-07-09 |
| DOI：10.13241/j.cnki.pmb.2017.01.020 |
| 中文关键词: 冠心病 急性心肌梗死 症状 认知 院前延误 |
| 英文关键词: Coronary heart disease Acute myocardial infarction Symptoms Cognition Pre hospital delay |
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| 中文摘要: |
| 摘要 目的：了解不同性别冠心病（CAD）患者对于急性心肌梗死(AMI)相关症状的认知情况，为有效缩短AMI院前延误（PHD）提供依据。方法：于 2015年10月至2016年3月在同济大学附属同济医院和上海市闸北区中心医院心内科门诊及病房，对确诊为CAD的受访者进行调查，收集受访者的一般资料，要求受访者区分胸痛、呼吸困难、出汗、恶心呕吐、晕厥是否为AMI相关症状。使用多元回归分析的方法，分析不同性别患者对上述症状的认知情况。结果：共680例CAD患者自愿接受调查，男性受访者对多数AMI相关症状的知晓率普遍高于女性。性别组间比较的多因素Logistic回归分析显示，相比较于女性，男性CAD患者对AMI相关症状出汗，恶心呕吐、晕厥认知度的OR值分别为1.41（1.04-2.41）、1.79（1.09-2.95）、1.96（1.42-2.72）。结论：不同性别患者对AMI相关症状认识水平存在差异，女性在出汗，恶心呕吐，晕厥不典型AMI相关症状认识程度较男性差。应加强对该人群的健康教育，以最大可能的缩短决策延误时间。 |
| 英文摘要: |
| ABSTRACT Objective: To understand the cognitive status of CAD patients with different genders on the related symptoms of AMI,provide a basis for effectively shortening the PHD of AMI. Methods: Survey was conducted of respondents who were diagnosed as CAD in outpatient and ward of Cardiology Department belong to Tongji Hospital Affiliated to Tongji University and Central Hospital of Shanghai Zhabei District from October 2015 to March 2016. Collected the general information of the respondents and asked respondents to distinguish whether the symptoms such as chest pain, dyspnea, sweating, nausea and vomiting, syncope related to AMI. Analyzed the cognitive status of the above symptoms in patients with different genders by multiple regression analysis. Results: A total of 680 patients with CAD were investigated, the awareness rate of male respondents to most AMI related symptoms was higher than that of female. Gen- der comparison between groups of multivariate logistic regression analysis showed that the OR value of the cognition of male respon- dents to AMI related symptoms such as sweating, nausea and vomiting, syncope were 1.41 (1.04-2.41), 1.79 (1.09-2.95) and 1.96 (1.42-2.72) compared to women. Conclusion: There are differences in the level of awareness of AMI related symptoms among patients with different genders, female's awareness of atypical AMI related symptoms such sweating,nausea and vomiting, syncope is worse than that of male, Health education to the population should be strengthened in order to reduce the delay time of decision making. |
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