收稿日期: 2024-02-03
网络出版日期: 2025-01-14
基金资助
浙江省康恩贝医院管理软科学研究项目(2023ZHA-KEB104);浙江省医药卫生科技计划项目(2023KY759)
Summary of evidence for disease risk communication strategies for people at risk for cardiovascular disease
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。
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 . DOI: 10.3761/j.issn.2096-7446.2025.01.018
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.
[1] | 王增武, 刘静, 李建军, 等. 中国血脂管理指南(2023年)[J]. 中国循环杂志, 2023, 38(3):237-271. |
Wang ZW, Liu J, Li JJ, et al. Chinese guidelines for lipid management(2023)[J]. Chin Circ J, 2023, 38(3):237-271. | |
[2] | 中国心血管病风险评估和管理指南编写联合委员会. 中国心血管病风险评估和管理指南[J]. 中国循环杂志, 2019, 34(1):4-28. |
The Joint Task Force for Guideline on the Assessment and Management of Cardiovascular Risk in China. Guideline on the assessment and management of cardiovascular risk in China[J]. Chin Circ J, 2019, 34(1):4-28. | |
[3] | 雷吉娜 E 朗格林, 安德莉亚 H 麦克马金. 风险沟通环境、安全和健康风险沟通指南[M]. 黄河, 蒲信竹,刘琳琳,译. 北京: 中国传媒大学出版社, 2016. |
Lundgren RE, Mc Makin AH. A handbook for communicating environmental,safety,and health risks[M]. HuangH, PuXZ, Liu LL,translator. Beijing: Communication University of China Press, 2016. | |
[4] | Kavita, Thakur JS, Vijayvergiya R, et al. Task shifting of cardio-vascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India[J]. BMC Health Serv Res, 2020, 20(1):10. |
[5] | Schulberg SD, Ferry AV, Jin K, et al. Cardiovascular risk com-munication strategies in primary prevention. A systematic review with narrative synthesis[J]. J Adv Nurs, 2022, 78(10):3116-3140. |
[6] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018. | |
[7] | Scottish Intercollegiate Guidelines Network(SIGN). Risk estima-tion and the prevention of cardiovascular disease[EB/OL].(2017-07-30)[2023-12-15]. https://www.sign.ac.uk/our-guidelines/risk-estimation-and-the-prevention-of-cardiovascular-disease/. |
[8] | Damman OC, Vonk SI, van den Haak MJ, et al. The effects of infographics and several quantitative versus qualitative formats for cardiovascular disease risk,including heart age,on People’s risk understanding[J]. Patient Educ Couns, 2018, 101(8):1410-1418. |
[9] | Sasson C, Eckel R, Alger H, et al. American heart association diabetes and cardiometabolic health summit:summary and recommendations[J]. J Am Heart Assoc, 2018, 7(15):e009271. |
[10] | Rossello X, Dorresteijn JA, Janssen A, et al. Risk prediction tools in cardiovascular disease prevention:a report from the ESC Prevention of CVD Programme led by the European Association of Preventive Cardiology(EAPC) in collaboration with the Acute Cardiovascular Care Association(ACCA) and the Association of Cardiovascular Nursing and Allied Profes-sions(ACNAP)[J]. Eur Heart J Acute Cardiovasc Care, 2020, 9(5):522-532. |
[11] | Wilson PW. Atherosclerotic cardiovascular disease risk assess-ment for primary prevention in adults:our approach[EB/OL].(2023-11-08)[2023-12-30]. https://www.uptodate.cn/contents/atherosclerotic-cardiovascular-disease-risk-assessment-for-prima-ry-prevention-in-adults-our-approach. |
[12] | National Institute for Health and Care Excellence(NICE). Cardiovascular disease:risk assessment and reduction,inclu-ding lipid modification[EB/OL].(2023-12-14)[2023-12-30]. https://www.nice.org.uk/guidance/ng238. |
[13] | Marx N, Federici M, Schütt K, et al. 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes[J]. Eur Heart J,2023, 44(39):4043-4140. |
[14] | 顾东风, 翁建平, 鲁向锋. 中国健康生活方式预防心血管代谢疾病指南[J]. 中国循环杂志, 2020, 35(3):209-230. |
Gu DF, Wong JP, Lu XF. Chinese guideline on healthy lifes-tyle to prevent cardiometabolic diseases[J]. Chin Circ J, 2020, 35(3):209-230. | |
[15] | Arnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disea-se:a report of the American college of cardiology/american heart association task force on clinical practice guidelines[J]. Circulation,2019, 140(11):e596-e646. |
[16] | Goff DC Jr, Lloyd-Jones DM, Bennett G, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J]. Circulation,2014, 129(25Suppl 2):S49-S73. |
[17] | Dennison Himmelfarb CR, Beckie TM, Allen LA, et al. Shared decision-making and cardiovascular health:a scientific state-ment from the American heart association[J]. Circulation, 2023, 148(11):912-931. |
[18] | Wilson PW. Cardiovascular disease risk assessment for primary prevention:risk calculators[EB/OL].(2023-12-10)[2023-12-30]. https://www.uptodate.cn/contents/cardiovascular-disease-risk-asses-sment-for-primary-prevention-risk-calculators. |
[19] | Manalili K, Lorenzetti DL, Egunsola O, et al. The effectiveness of person centred quality improvement strategies on the management and control of hypertension in primary care:a systematic review and meta-analysis[J]. J Eval Clin Pract, 2022, 28(2):260-277. |
[20] | Vargas G, Cajita MI, Whitehouse E, et al. Use of short messa-ging service for hypertension management:a systematic review[J]. J Cardiovasc Nurs, 2017, 32(3):260-270. |
[21] | Waters EA, Maki J, Liu Y, et al. Risk ladder,table,or bulleted list? Identifying formats that effectively communicate persona-lized risk and risk reduction information for multiple diseases[J]. Med Decis Making, 2021, 41(1):74-88. |
[22] | Janssen E, Ruiter RAC, Waters EA. Combining risk communi-cation strategies to simultaneously convey the risks of four diseases associated with physical inactivity to socio-demographically diverse populations[J]. J Behav Med, 2018, 41 (3):318-332. |
[23] | Navar AM, Wang TY, Mi XJ, et al. Influence of cardiovascular risk communication tools and presentation formats on patient perceptions and preferences[J]. JAMA Cardiol, 2018, 3(12):1192-1199. |
[24] | Persell SD, Brown T, Lee JY, et al. Individualized risk commu-nication and outreach for primary cardiovascular disease prevention in community health centers:randomized trial[J]. Circ Cardiovasc Qual Outcomes, 2015, 8(6):560-566. |
[25] | Imai Y, Mizuno Tanaka S, Satoh M, et al. Prediction of lifeti-me risk of cardiovascular disease deaths stratified by sex in the Japanese population[J]. J Am Heart Assoc, 2021, 10(23):e021753. |
[26] | Siren R, Eriksson JG, Vanhanen H. Observed changes in car-diovascular risk factors among high-risk middle-aged men who received lifestyle counselling:a 5-year follow-up[J]. Scand J Prim Health Care, 2016, 34(4):336-342. |
[27] | 张佳佳, 陈凤, 宫晓艳, 等. ICU无行为能力患者替代决策的研究进展[J]. 中华急危重症护理杂志, 2022, 3(1):78-82. |
Zhang JJ, Chen F, Gong XY, et al. Review on surrogate deci-sion-making for incapacitated patients in ICU[J]. Chin J Emerg Crit Care Nurs, 2022, 3(1):78-82. |
/
〈 |
|
〉 |