心血管疾病风险人群发病风险沟通策略的证据总结

doi:10.3761/j.issn.2096-7446.2025.01.018

摘要/Abstract

摘要：

目的检索、评价并汇总心血管疾病风险人群发病风险沟通方案的相关证据。方法系统检索UpToDate、BMJ Best Practice、英国国家卫生与临床优化研究所网站、苏格兰院际指南网、国际指南协作网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、加拿大安大略注册护士协会网站、美国心脏协会网站、欧洲心脏病学会网站、Cochrane Library、PubMed、Web of Science、CINAHL、Embase、中国知网、维普数据库、万方数据知识服务平台及中国生物医学文献数据库中关于心血管疾病风险沟通策略的相关证据。检索时限从2013年12月30日—2023年12月30日。文献的质量评价根据纳入文献类型所对应的质量评价工具进行评价，并采用乔安娜布里格斯研究所干预性研究证据分级系统对证据进行评级。结果共纳入21篇文献，其中临床决策2篇、指南7篇、系统评价2篇、专家共识3篇、随机对照试验5篇、队列研究2篇。从时间框架、呈现形式、沟通概念、沟通载体、沟通场所、沟通人员、沟通途径、沟通模式8个方面汇总23条证据。结论该研究汇总了心血管疾病风险人群发病风险沟通策略的最佳证据，医务人员要根据个体的情况结合其偏好开展风险沟通，提高沟通质量及有效性。

关键词: 心血管疾病, 风险沟通, 循证护理学, 证据总结

Abstract:

Objective To retrieve，evaluate and summarize the evidence relating to disease risk communication programs for people at risk of cardiovascular disease（CVD）. Methods Systematic search of UpToDate，BMJ Best Practice，National Institute for Health and Clinical Excellence website，Scottish Interhospital Guidelines Network，International Guidelines Collaboration Network，Centre for Evidence-Based Health Care database of the Joanna Briggs Institute，Australia，Registered Nurses’ Association of Ontario，Canada website，American Heart Association website，European Society of Cardiology website，Cochrane Library，PubMed，Web of Science，CINAHL，Embase，China Knowledge Network，VIP，Wanfang Data Knowledge Service Platform，and China Biomedical Literature Database for evidence related to CVD risk communication strategies. Search timeframe is December 30，2013-December 30，2023.The quality evaluation of literature was based on the quality evaluation tools corresponding to the types of literature included，and the evidence was rated using the JBI Evidence Grading System for Interventional Research. Results A total of 22 papers were included，including 2 clinical decisions，7 guidelines，2 systematic reviews，3 expert consensuses，5 randomized controlled trials，and 2 cohort studies. Twenty-three pieces of evidence were summarized in 8 areas：time frame，presentation form，communication concept，communication carrier，communication place，communication person，communication pathway，and communication mode. Conclusion This study summarizes the best evidence on risk communication strategies for people at risk of CVD，and medical staff should carry out risk communication according to individuals condition in combination with their preferences to improve the quality and effectiveness of communication.

Key words: Cardiovascular Disease, Risk Communication, Evidence-Based Nursing, Evidence Summary

王旭阳, 郭芝廷, 卯怡桐, 路晓丹, 张玉萍, 金静芬. 心血管疾病风险人群发病风险沟通策略的证据总结[J]. 中华急危重症护理杂志, 2025, 6(1): 107-113.

WANG Xuyang, GUO Zhiting, MAO Yitong, LU Xiaodan, ZHANG Yuping, JIN Jingfen. Summary of evidence for disease risk communication strategies for people at risk for cardiovascular disease[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 107-113.

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