卒中危险因素的识别:文献综述

Agianto Agianto, Bellia Yulise, Rismia Agustina, Ichsan Rizany
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引用次数: 1

摘要

由于中风发病率高,国家每年用于治疗中风的支出相当大。印尼卫生部的数据提到,卫生融资每年都在增加,2018年该国为中风服务提供了2.56万亿美元的资金。可以通过控制中风的危险因素来降低中风的发病率。本研究旨在确定中风的风险因素,包括可改变的风险因素和不可逆的风险因素。研究采用描述性研究方法进行文献综述,或采用横断面方法进行相关性分析。2015-2020年期间,从谷歌学者和Garuda数据库中发现了16篇文章,并使用JBI批判性评估工具清单进行了分析横断面研究,使用JBI批判评估工具清单对患病率研究进行了分析。文章采用综合叙述法进行分析。在检查的16篇文章中,可改变的风险因素是高血压、血脂异常、糖尿病、缺乏体育活动、血糖水平、血液中胆固醇水平、饮酒和吸毒、肾病、肺结核、心脏病、心力衰竭、肥胖、中心性肥胖、房颤以及吸烟。不可逆转的风险因素是年龄、性别、教育、家族史、收入就业、既往中风史以及城乡分布。风险因素分为可改变风险因素和不可逆风险因素两类。了解中风的危险因素是很重要的,以便通过避免可改变的中风危险因素来尽早预防中风的发生。高血压、吸烟、糖尿病、肥胖、血脂异常和缺乏活动是文章中确定的最易改变的中风风险因素。文章中确定的最不可逆转的风险因素是年龄、性别和教育水平
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Identification Risk Factors of Stroke: Literature Review
State spending to deal with stroke is quite large every year due to the high incidence of stroke. Data from the Ministry of Health of Indonesia mentions an increasing number in health financing every year, the country financed stroke services by 2.56 trillion in 2018. The magnitude of the incidence of stroke can be lowered by controlling the risk factors of stroke. This study aimed to identify stroke risk factors, both those modifiable risk factors and irreversible risk factors. Research is conducted with a literature review using descriptive study methods or correlation analysis with cross sectional approaches. Sixteen articles identified from Google scholars and Garuda databases in the 2015-2020 range, and were analysed using JBI critical appraisal tools-checklist for analytical cross-sectional studies and JBI critical appraisal tools-checklist for prevalence studies.  Synthesis narrative was used to analyse the articles. Out of 16 articles examined the modifiable risk factors were hypertension, dyslipidemia, diabetes mellitus, lack of physical activity, blood sugar levels, cholesterol levels in blood, alcohol and drug consumption, kidney disease, tuberculosis, heart disease, heart failure, obesity, central obesity, atrial fibrillation and also smoking are declared associated with the incidence of stroke. The irreversible risk factors are age, gender, education, family history, income employment, previous stroke history, and rural and urban distribution. Risk factors divided into two categories modifiable risk factors and irreversible risk factors. It is important to know the risk factors of stroke in order prevent the occurrence of stroke as early as possible by avoiding modifiable stroke risk factors. Hypertension, smoking, diabetes mellitus obesity, dyslipidemia, and lack of activity are the most modifiable stroke risk factors identified in the articles. The most irreversible risk factors identified in the article are age, gender, and level of education
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