Medical awareness of risk factors of cardiovascular diseases in different types of hospitalized patients (part 2)
https://doi.org/10.18087/cardio.n470
Abstract
Objective. To study medical awareness of cardiovascular risk factors (RFs) in different types of hospitalized patients (pts). Methods. A total of 150 pts from neurological, endocrinological and cardiac units one of Moscow city hospital were enrolled into the survey (50 pts in each unit). The pts were interviewed during the I-II days of the hospitalization. A special questionnaire was developed in‑ cluding socio-demographic and clinical indicators, open questions on the awareness of traditional cardiovascular RFs and their target values. Results. Pts of three units did not differ in gender and age. The range of diagnoses corresponded to the profile of the unit. The survey revealed an extremely low awareness of major cardiovascular RFs of pts in all 3 units: almost none of them pointed to elevated cholesterol (0%, 4% and 0%, respectively) and blood pressure (2%, 2% and 0%) respectively) as RF of cardiovascular diseases. The pts of the three units most often referred to stress (64%, 56% and 66%, respectively) and unhealthy diet (50%, 56% and 64%, respectively) as the main cardiovascular RFs. On average, pts in three units correctly indicated only 2 RFs. Conclusion. The survey revealed a low awareness of cardiovascular RFs in different types of medical pts, including cardiac pts, at time of hospital admission.
About the Authors
N. V. PogosovaRussian Federation
professor, MD, Deputy General Director for research work and preventive cardiology
Y. M. Yufereva
Russian Federation
Chief scientific researcher, MD
A. K. Ausheva
Russian Federation
Chief scientific researcher, MD
O. Y. Sokolova
Russian Federation
Senior researcher, MD
G. Y. Melik-Oganjanyan
Russian Federation
Deputy chief physician for the medical part
A. V. Karpova
Russian Federation
Senior researcher
A. A. Arutyunov
Russian Federation
Laboratory researcher
A. S. Kalinina
Russian Federation
Junior researcher
V. A. Vygodin
Russian Federation
Senior researcher
References
1. Pogosova N.V., Koltunov I.E., Sokolova O.Yu. Secondary prevention of arterial hypertension and coronary heart disease in real clinical practice of the Russian Federation. -М.: Vikas-print; 2009. – 151 p.
2. Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL et al. State of the Science: Promoting Self-Care in Persons with Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2009;120(12):1141–63. DOI: 10.1161/ CIRCULATIONAHA.109.192628
3. Sheridan SL, Halpern DJ, Viera AJ, Berkman ND, Donahue KE, Crotty K. Interventions for Individuals with Low Health Literacy: A Systematic Review. Journal of Health Communication. 2011;16(sup3):30–54. DOI: 10.1080/10810730.2011.604391
4. Health literacy: the solid facts. Kickbusch I, Pelikan JM, Apfel F, Tsouros AD, World Health Organization, editors – Copenhagen: World Health Organization Regional Office for Europe; 2013. – 73 p. ISBN 978-92-890-0015-4
5. The Tavistock Institute. Evaluation of the second phase of the skilled for health programme. -London: The Tavistock Institute;2009.
6. Bo A, Friis K, Osborne RH, Maindal HT. National indicators of health literacy: ability to understand health information and to engage actively with healthcare providers - a population-based survey among Danish adults. BMC Public Health. 2014;14(1):1095. DOI: 10.1186/1471-2458-14-1095
7. Pogosova N.V., Lysenko M.A., Samsonova I.V., Karpova A.V., Yufereva Yu.M., Isakova S.S. et al. Awareness of the Risk Factors for Cardiovascular Disease in Different Types of Hospitalized Medical Patients. Kardiologiia. 2017;17 (12):34–42. DOI: 10.18087/cardio.2017.12.10064
8. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). The European Journal of Public Health. 2015;25(6):1053–8. DOI: 10.1093/eurpub/ckv043
9. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361–70. PMID: 6880820
10. Friis K, Lasgaard M, Osborne RH, Maindal HT. Gaps in understanding health and engagement with healthcare providers across common long-term conditions: a population survey of health literacy in 29 473 Danish citizens. BMJ Open. 2016;6(1):e009627. DOI: 10.1136/bmjopen-2015-009627
11. Boytsov S.A., Pogosova N.V., Bubnova M.G., Drapkina O.M., Gavrilova N.E., Yeganyan R.A. et al. Cardiovascular preven tion 2017. National guidelines. Russian Journal of Cardiology. 2018;23 (6):7–122. DOI: 10.15829/1560-4071-2018-67-122
12. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by rep resentatives of 10 societies and by invited experts). European Journal of Preventive Cardiology. 2016;23(11):NP1–96. DOI: 10.1177/2047487316653709
13. Ghisi GL de M, Chaves GS da S, Britto RR, Oh P. Health lit eracy and coronary artery disease: A systematic review. Patient Education and Counseling. 2018;101(2):177–84. DOI: 10.1016/j. pec.2017.09.002
14. Bruthans J, Mayer O, De Bacquer D, De Smedt D, Reiner Z, Kotseva K et al. Educational level and risk profile and risk control in patients with coronary heart disease. European Journal of Preventive Cardiology. 2016;23(8):881–90. DOI: 10.1177/2047487315601078
15. Husson O, Mols F, Fransen MP, van de Poll-Franse LV, Ezendam NPM. Low subjective health literacy is associated with adverse health behaviors and worse health-related quality of life among colorectal cancer survivors: results from the profiles registry: Health literacy and health outcomes. Psycho-Oncology. 2015;24(4):478– 86. DOI: 10.1002/pon.3678
16. Reiner Ž, Sonicki Z, Tedeschi-Reiner E. Public perceptions of car diovascular risk factors in Croatia: The PERCRO survey. Preventive Medicine. 2010;51(6):494–6. DOI: 10.1016/j.ypmed.2010.09.015
17. Friis K, Vind BD, Simmons RK, Maindal HT. The Relationship between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study. Journal of Diabetes Research. 2016;2016:7823130. DOI: 10.1155/2016/7823130
18. Friis K, Lasgaard M, Rowlands G, Osborne RH, Maindal HT. Health Literacy Mediates the Relationship Between Educational Attainment and Health Behavior: A Danish Population-Based Study. Journal of Health Communication. 2016;21(sup2):54–60. DOI: 10.1080/10810730.2016.1201175
19. Adams RJ, Piantadosi C, Ettridge K, Miller C, Wilson C, Tucker G et al. Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an Australian population. Patient Education and Counseling. 2013;91(2):206–12. DOI: 10.1016/j.pec.2012.12.001
20. Macabasco-O’Connell A, DeWalt DA, Broucksou KA, Hawk V, Baker DW, Schillinger D et al. Relationship Between Literacy, Knowledge, Self-Care Behaviors, and Heart Failure-Related Quality of Life Among Patients With Heart Failure. Journal of General Internal Medicine. 2011;26(9):979–86. DOI: 10.1007/s11606-011-1668-y
21. Wagner C v., Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. Journal of Epidemiology & Community Health. 2007;61(12):1086–90. DOI: 10.1136/jech.2006.053967
22. Osborn CY, Paasche-Orlow MK, Bailey SC, Wolf MS. The mecha nisms linking health literacy to behavior and health status. American Journal of Health Behavior. 2011;35(1):118–28. PMID: 20950164
23. James DCS, Harville C, Efunbumi O, Martin MY. Health literacy issues surrounding weight management among African American women: a mixed methods study. Journal of Human Nutrition and Dietetics. 2015;28 (Suppl 2):41–9. DOI: 10.1111/jhn.12239
24. Tung H-H, Cheng Y, Shih C-C, Chen L-K, Lee J-Y, Wang T-J. Quality of life among patients with abdominal aortic aneurysm undergoing endografting in Taiwan. European Journal of Cardiovascular Nursing. 2014;13(4):369–77. DOI: 10.1177/1474515113504865
25. Wolf MS, Feinglass J, Thompson J, Baker DW. In search of ‘low health literacy’: Threshold vs. gradient effect of literacy on health status and mortality. Social Science & Medicine. 2010;70(9):1335–41. DOI: 10.1016/j.socscimed.2009.12.013
26. Lundetræ K, Gabrielsen E. Relationship between literacy skills and self-reported health in the Nordic countries. Scandinavian Journal of Public Health. 2016;44(8):758–64. DOI: 10.1177/1403494816668082
27. Sentell T, Zhang W, Davis J, Baker KK, Braun KL. The Influence of Community and Individual Health Literacy on Self-Reported Health Status. Journal of General Internal Medicine. 2014;29(2):298–304. DOI: 10.1007/s11606-013-2638-3
28. González-Chica DA, Mnisi Z, Avery J, Duszynski K, Doust J, Tideman P et al. Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice. PLOS ONE. 2016;11(3):e0151079. DOI: 10.1371/jour nal.pone.0151079
29. Pogosova N.V., Koltunov I.E., Sokolova O.Yu. Secondary prevention of arterial hypertension and coronary heart disease in real clinical practice of the Russian Federation. -М.: Vikas-print; 2009. – 151 p.
30. Sheridan SL, Halpern DJ, Viera AJ, Berkman ND, Donahue KE, Crotty K. Interventions for Individuals with Low Health Literacy: A Systematic Review. Journal of Health Communication. 2011;16(sup3):30–54. DOI: 10.1080/10810730.2011.604391
31. The Tavistock Institute. Evaluation of the second phase of the skilled for health programme. -London: The Tavistock Institute;2009.
32. Pogosova N.V., Lysenko M.A., Samsonova I.V., Karpova A.V., Yufereva Yu.M., Isakova S.S. et al. Awareness of the Risk Factors for Cardiovascular Disease in Different Types of Hospitalized Medical Patients. Kardiologiia. 2017;17 (12):34–42. DOI: 10.18087/cardio.2017.12.10064
33. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361–70. PMID: 6880820
34. Boytsov S.A., Pogosova N.V., Bubnova M.G., Drapkina O.M., Gavrilova N.E., Yeganyan R.A. et al. Cardiovascular preven tion 2017. National guidelines. Russian Journal of Cardiology. 2018;23 (6):7–122. DOI: 10.15829/1560-4071-2018-67-122
35. Ghisi GL de M, Chaves GS da S, Britto RR, Oh P. Health lit eracy and coronary artery disease: A systematic review. Patient Education and Counseling. 2018;101(2):177–84. DOI: 10.1016/j. pec.2017.09.002
36. Husson O, Mols F, Fransen MP, van de Poll-Franse LV, Ezendam NPM. Low subjective health literacy is associated with adverse health behaviors and worse health-related quality of life among colorectal cancer survivors: results from the profiles registry: Health literacy and health outcomes. Psycho-Oncology. 2015;24(4):478– 86. DOI: 10.1002/pon.3678
37. Friis K, Vind BD, Simmons RK, Maindal HT. The Relationship between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study. Journal of Diabetes Research. 2016;2016:7823130. DOI: 10.1155/2016/7823130
38. Adams RJ, Piantadosi C, Ettridge K, Miller C, Wilson C, Tucker G et al. Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an Australian population. Patient Education and Counseling. 2013;91(2):206–12. DOI: 10.1016/j.pec.2012.12.001
39. Wagner C v., Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. Journal of Epidemiology & Community Health. 2007;61(12):1086–90. DOI: 10.1136/jech.2006.053967
40. James DCS, Harville C, Efunbumi O, Martin MY. Health literacy issues surrounding weight management among African American women: a mixed methods study. Journal of Human Nutrition and Dietetics. 2015;28 (Suppl 2):41–9. DOI: 10.1111/jhn.12239
41. Wolf MS, Feinglass J, Thompson J, Baker DW. In search of ‘low health literacy’: Threshold vs. gradient effect of literacy on health status and mortality. Social Science & Medicine. 2010;70(9):1335–41. DOI: 10.1016/j.socscimed.2009.12.013
Review
For citations:
Pogosova N.V., Yufereva Y.M., Ausheva A.K., Sokolova O.Y., Melik-Oganjanyan G.Y., Karpova A.V., Arutyunov A.A., Kalinina A.S., Vygodin V.A. Medical awareness of risk factors of cardiovascular diseases in different types of hospitalized patients (part 2). Kardiologiia. 2019;59(9S):31-41. (In Russ.) https://doi.org/10.18087/cardio.n470