Abstract
Aim. To analyze potential determinants of preventive behavior (PB) in patients with essential hypertension (HT) and chronic ischemic heart disease (CIHD), and to establish their significance and hierarchy. Material and methods. Patients with HT (n=285) and CIHD (n=223) were studied. Questioning of all patients was performed to assess the characteristics of their PB. Differentiated multivariate analysis of activity and efficacy of PB determinants was performed in HT and CIHD patients by the method of step-by-step backward logistic regression. Results. Awareness of the cardiovascular diseases (CVD) and its prevention (odds ratio [OR] 6.08) as well as high level of general education (OR=2.29) were the most significant determinants of active PB in HT patients. Sufficient social support (OR=3.77), awareness of CVD and its prevention (OR=3.16) were the most significant determinants of active PB in patients with CIHD. Efficacy of PB in patients with HT and CIHD mostly depends on satisfaction of medical service (OR=10.2 and 6.63, respectively), social support (OR=6.25 and 10.5, respectively), adequate awareness of CVD and its prevention (OR, 6.92 and 6.64, respectively). Conclusion. PB activity and efficacy in patients with HT and CIHD depends on many contributing and impeding factors. Disregarding these factors can result in failure in preventive efforts at both individual and population levels.
Highlights
Детерминанты профилактического поведения в отношении сердечно-сосудистых заболеваний и факторов риска их развития у пациентов с гипертонической болезнью и хронической ишемической болезнью сердца Д.Ю
preventive behavior (PB) activity and efficacy in patients with HT and chronic ischemic heart disease (CIHD) depends on many contributing and impeding factors. Disregarding these factors can result in failure in preventive efforts at both individual and population levels
Gibbons R.J., Abrams J., Chatterjee K., et al ACC/AHA 2002 guideline update for the management of patients with chronic stable angina – summary article: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients with Chronic Stable Angina)
Summary
Детерминанты профилактического поведения в отношении сердечно-сосудистых заболеваний и факторов риска их развития у пациентов с гипертонической болезнью и хронической ишемической болезнью сердца Д.Ю. Sufficient social support (OR=3.77), awareness of CVD and its prevention (OR=3.16) were the most significant determinants of active PB in patients with CIHD. PB activity and efficacy in patients with HT and CIHD depends on many contributing and impeding factors Disregarding these factors can result in failure in preventive efforts at both individual and population levels. Сведения об авторах: Платонов Дмитрий Юрьевич — к.м.н., доцент кафедры госпитальной терапии и профессиональных заболеваний ТГМА; заведующий кардиологическим отделением ТОКБ Костюк Татьяна Александровна — к.м.н., ассистент кафедры внутренних болезней ТГМА Брандт Анна Ивановна — аспирант кафедры госпитальной терапии и профессиональных заболеваний ТГМА Цыганкова Оксана Васильевна — к.м.н., доцент кафедры неотложной терапии НГМУ. Нами на моделях больных гипертоничекой болезнью (ГБ) и хронической ишемической болезнью сердца (ХИБС) предпринята попытка разработки подобных математических моделей
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