基于胸痛中心建设背景下心内科患者对胸痛知识及胸痛中心认知现状调查

Survey on Status quo of Chest Pain Knowledge and Cognition of Chest Pain Center Among Patients in Cardiology Department Based on Construction of Chest Pain Center

目的:了解基于胸痛中心建设背景下心内科患者对胸痛知识及胸痛中心认知现状。方法:2019年3月1日~9月1日采取便利抽样法,对某三甲医院心血管内科的193例住院患者进行调查。结果:本组患者发生胸痛不适症状141例(73.05%),48例(24.87%)选择拨打“120”求助;曾因胸痛区医院就诊95例(49.20%);口服自备药物缓解或者等待疼痛自行缓解111例(57.51%);出现剧烈胸痛濒死感出冷汗等症状,但对疾病完全不清楚76例(39.38%);获取胸痛相关知识渠道最高是电视媒体报道103例(53.37%);希望普及胸痛相关知识以电视宣传方式124例(64.25%)。结论:心内科住院患者对胸痛中心及胸痛疾病相关知识的认知欠佳,对疾病了解程度及患病后处理方式认知水平低,故医护人员对患者胸痛相关知识宣传任务繁重,建议通过电视、社区、互联网平台加强对胸痛相关知识的宣传;多渠道多方式参与(如社区、单位)宣传胸痛中心,为中国心血管事件拐点打下坚实的基础。

Objective:To understand the status quo of chest pain knowledge and cognition of chest pain center among inpatients in department of cardiology based on construction chest pain center.Methods:A convenience sampling method was used to conduct a survey among 193 hospitalized patients in cardiovascular department of a top-three hospital during March 1 to September 1,2019.Results:Among the questionnaire data,141 patients(73.05%)had chest pain,only 48 patients(24.87%)had dialled 120 for help,and 95 patients(49.20%)had been to chest pain area hospital.111 patients(57.51%)took self-medication or waited for self-medication to relieve chest pain;76 patients(39.38%)had severe chest pain,near death feeling,cold sweat,and other symptoms,but was uncertain about the disease.The highest proportion of access to chest pain related knowledge was TV media,with 103 cases(53.37%),and 124 cases(64.25%)wanted to popularize chest pain related knowledge via TV.Conclusion:The inpatients in department of cardiology have poor knowledge about chest pain center and chest pain diseases,and their understanding of the diseases and the treatments after the onset of the diseases are low,therefore,it is a heavy task for medical staff to publicize chest pain related knowledge.It is suggested that medical staff should strengthen the publicity of chest pain related knowledge through TV,community and internet platform Multi-channel and multi-way should participate(such as community,unit)in publicity chest pain center,so as to lay a solid foundation for the early arrival of the Chinese cardiovascular event inflection point.