Social portrait of patients of the cardio-rehabilitation unit of a large cardio-surgical center
- 作者: Zubko A.V.1,2,3, Sabgayda T.P.1,3, Zemlyanova E.V.1,3, Filatova A.G.2, Kakuchaya T.T.2, Zaporozhchenko V.G.1, Polesskii V.A.1
-
隶属关系:
- Central Research Institute for Health Organization and Informatization
- A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
- The Institute of Socio-Political Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
- 期: 卷 64, 编号 3 (2020)
- 页面: 124-131
- 栏目: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 25.10.2024
- URL: https://rjsocmed.com/0044-197X/article/view/637660
- DOI: https://doi.org/10.46563/0044-197X-2020-64-3-124-131
- ID: 637660
如何引用文章
全文:
详细
Background. The social portrait of patients often helps to define preventive measures for specific diseases in patients of different social and age groups. Need in cardio-surgery is substantiated not only by inborn but also by acquired diseases of heart, in most cases - ischaemic heart disease. The development of cardiovascular diseases is affected by multiple factors including lifestyle.
Objective. To analyze the social and behavioral characteristics of cardio-surgical patients.
Materials and methods. The authors analyzed the results of a survey of 93 patients in the rehabilitation unit of V.I. Burakovsky Research Institute of Cardiosurgery in 2019. The adapted questionnaire for identifying factors affecting population health was used. The respondents were divided into 3 age groups: 12 patients were under 40 years (mean age of 30.1, 75.0% men); 50 patients - 40-65 years (mean age of 56.4, 76.0% men); 30 patients - 65+ years (mean age of 70.3, 50.0% men). To analyze differences Chi-square and Fisher exact tests were applied.
Results. Educational level is increasing with age. Financial well-being was estimated as poverty by one-third of respondents in all groups. 5.4% are dissatisfied with their family relations. The feeling of loneliness is often experienced by 4.3% of respondents. About one-half of respondents mentioned they do not care about their health and 18.5% of the don’t know their diseases to be treated using cardio-surgery. More than half of respondents are uneasy about their future uncertainty.
Discussion. The respondent’s’ social status differs in age groups. The social and behavioral characteristics of patients of the cardio-rehabilitation unit allow them to create an integrated social portrait.
Conclusions. Patients of cardio-rehabilitation units are characterized by higher educational levels and employment, better financial conditions. Among them, there were few lonely persons, but many sedentary ones. Such patients are characterized by a non-responsible attitude to their health, higher frequency of smoking, overweight, and obesity. Age-specific differences are related to physical fitness but nor to attitude to health neither to self-protective behavior.
作者简介
Aleksandr Zubko
Central Research Institute for Health Organization and Informatization; A.N. Bakulev National Medical Research Center of Cardiovascular Surgery; The Institute of Socio-Political Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
编辑信件的主要联系方式.
Email: zalexandrae@gmail.com
ORCID iD: 0000-0001-8958-1400
俄罗斯联邦
Tamara Sabgayda
Central Research Institute for Health Organization and Informatization; The Institute of Socio-Political Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Email: noemail@neicon.ru
ORCID iD: 0000-0002-5670-6315
俄罗斯联邦
Elena Zemlyanova
Central Research Institute for Health Organization and Informatization; The Institute of Socio-Political Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6231-1611
俄罗斯联邦
Angilina Filatova
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
Email: noemail@neicon.ru
ORCID iD: 0000-0001-5070-2447
俄罗斯联邦
Tea Kakuchaya
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
Email: noemail@neicon.ru
ORCID iD: 0000-0001-9383-2073
俄罗斯联邦
Vyacheslav Zaporozhchenko
Central Research Institute for Health Organization and Informatization
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6167-7379
俄罗斯联邦
Vladimir Polesskii
Central Research Institute for Health Organization and Informatization
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6084-2574
俄罗斯联邦
参考
- Holland W. Periodic health examination. A brief history and critical assessment. Eurohealth. 2010; 15(4): 16-20.
- Capewell S., O’Flaherty M. Rapid mortality falls after riskfactor changes in populations. Lancet. 2011; 378(9793): 752-3. https://doi.org/10.1016/s0140-6736(10)62302-1
- European Clinical Guidelines for the Prevention of Cardiovascular Disease (2012 revision). Rossiyskiy kardiologicheskiy zhurnal. 2012; 4(96 Suppl. 2): 1-84. (in Russian)
- Boytsov S.A., Samorodskaya I.V. High cardiovascular mortality in Russia: are approaches to coding causes of death adequate? Kardiologiya. 2015; 55(1): 47-51. (in Russian)
- Boytsov S.A., Chuchalina A.G., eds. Prevention of Chronic Noncommunicable Diseases. Recommendations [Profilaktika khronicheskikh neinfektsionnykh zabolevaniy. Rekomendatsii]. Мoscow; 2013. (in Russian)
- Miklishanskaya S.V., Solomasova L.V., Mazur N.A. Obesity and mechanisms of its negative impact on the cardiovascular system. Ratsional’naya farmakoterapiya v kardiologii. 2020; 16(1): 108-17. https://doi.org/10.20996/1819-6446-2020-02-09 (in Russian)
- Ishcheykina Yu.A. Identification and importance of risk factors and anti-risk diseases of the circulatory system. Aktual’nye problemy transportnoy meditsiny. 2009; (4): 136-47. (in Russian)
- Akin I., Nienaber C.A. “Obesity paradox” in coronary artery disease. World J. Cardiol. 2015; 7(10): 603-8. https://doi.org/10.4330/wjc.v7.i10.603
- Pyörälä K., De Backer G., Graham I., Poole-Wilson P., Wood D. Prevention of coronary heart disease in clinical practice: recommendations of the Task Force of the European Society of Cardiology. European Atherosclerosis Society and European Society of Hypertension. Atherosclerosis. 1994; 110(2): 121-61. https://doi.org/10.1016/0021-9150(94)90200-3
- Zubko A.V., Sabgayda T.P., Zaporozhchenko V.G. Social portrait of a patient with vascular surgical diseases. Sotsial’nye aspekty zdorov’ya naseleniya. 2018; 62(4). https://doi.org/10.21045/2071-5021-2018-62-4-5 Available at: https://vestnik.mednet.ru/content/view/996/27/lang,ru (in Russian)
- Federal State Statistics Service. Selective observation of behavioral factors affecting the health status of the population in 2018. Available at: https://www.gks.ru/free_doc/new_site/ZDOR/Factors2018_2812/index.html (in Russian)
- Yakovleva T.V., Vylegzhanin S.V., Boytsov S.A., Kalinina A.M., Ipatov P.V. Regular medical examination of adults in the Russian Federation: first year implementation: lessons learnt, results and perspectives. Sotsial’nye aspekty zdorov’ya naseleniya. 2014; 38(4). Available at: https://vestnik.mednet.ru/content/view/579/30/lang,ru (in Russian)
- Kireev K.A., Fokin A.A., Kramnik G.E. Smoking prevalence in acute myocardial infarction patients with sudden death risk. Kardiovaskulyarnaya terapiya i profilaktika. 2017; 16(2): 28-32. https://doi.org/10.15829/1728-8800-2017-2-28-32 (in Russian)
- Ades P.A., Savage P.D. Obesity in coronary heart disease: An unaddressed behavioral risk factor. Prev. Med. 2017; 104: 117-9. https://doi.org/10.1016/j.ypmed.2017.04.013
- Ndumele C.E., Matsushita K., Lazo M., Bello N., Blumenthal R.S., Gerstenblith G., et al. Obesity and subtypes of incident cardiovascular disease. J. Am. Heart Assoc. 2016; 5(8): e003921. https://doi.org/10.1161/jaha.116.003921
- Arnett D.K., Blumenthal R.S., Albert M.A., Buroker A.B., Goldberger Z.D., Hahn E.J., et al. ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J. Am. Coll. Cardiol. 2019; 74(10): e177-e232. https://doi.org/10.1016/j.jacc.2019.03.010
- Maksimova T.M., Belov V.B., Lushkina N.P. The prevalence of behavioral risk factors and diseases of blood circulation system. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2014; 22(1): 3-7. (in Russian)
补充文件
