尼亚美国立医院心脏病科会诊中心衰患者管理的流行病学方面

H. Idrissa
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摘要

背景/目的:心力衰竭被定义为心脏结构或功能异常,导致无法以与其需要相称的速度向组织提供氧气。目的:提高对心衰监护病人治疗的流行病学认识。材料和方法:这是一项为期6个月的前瞻性横断面研究(2020年2月至2020年10月,不包括因Covid而导致的4月和5月)结果:因此,我们的样本由300例组成。平均年龄为56.9岁+13.7岁,极端年龄为19岁~ 98岁。家庭主妇的比例最高,为43.7%。在95%的患者中,高血压和久坐的生活方式是最常见的drf,其次是肥胖(22.3%)。在61.3%的病例中,患者知道自己患有心脏病,但不知道其类型。异常呼吸短促是促使患者去看医生的主要症状(67.7%)。只有2%的人定期称体重。我们所有的患者(99%)都知道限制钠的建议,超过一半(58.3%)已经适应了低盐饮食。只有23.2%的患者每天饮酒量低于1.5升。29.7%的患者没有身体活动。在治疗方面,利尿剂作为特异性治疗最多,占64.3%,抗血小板药物占12.3%。结论:我们的研究突出了心力衰竭人群的教育差距。进一步的研究可能有助于对患者进行治疗性教育,以改善他们的生活质量和发病率-死亡率。
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Epidemiological Aspects of the Management of Heart Failure Patients Seen in Cardiological Consultations in the National Hospital of Niamey
Background/Aim: Heart failure is defined as a structural or functional abnormality of the heart resulting in an inability to supply the tissues with oxygen at a rate commensurate with their needs. Objective: To contribute to a better knowledge of the epidemiological aspects of the treatment of in charge of patient’s heart failure patients. Materials and Methods: This is a prospective, cross-sectional study conducted over a period of 6 months (February 2020 to October 2020 without April et May due to Covid) Result: Thus, our sample consisted of 300 cases. The average age was 56.9 +13.7 years with extremes ranging from 19 to 98 years. Housewives were the most represented at 43.7%. High blood pressure and sedentary lifestyle were the most common DRFs in 95% of the patients, followed by obesity in 22.3%. In 61.3% of the cases, patients knew they had heart disease but did not know the type. Unusual shortness of breath on exertion was the main sign that prompted patients to consult a doctor (67.7%). Only 2% weighed themselves regularly. All of our patients (99%) were aware of the recommendation for sodium restriction and more than half (58.3%) had adapted to a low-salt diet. Only 23.2% of our patients drank less than 1.5L per day. 29.7% of our patients were not physically active. Regarding treatment, diuretics were the most used as specific treatment in 64.3% of cases and antiplatelet agents in 12.3% of cases. Conclusion: Our study has highlighted educational gaps in the heart failure population. Further studies may help to initiate a therapeutic education approach for patients in order to improve their quality of life and Morbi-mortality.
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