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首页> 外文期刊>BMC Family Practice >Views on primary prevention of cardiovascular disease - an interview study with Swedish GPs
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Views on primary prevention of cardiovascular disease - an interview study with Swedish GPs

机译：关于心血管疾病一级预防的观点-瑞典全科医生的访谈研究

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Background General practitioners (GPs) have gradually become more involved in the prevention of cardiovascular disease (CVD), both through more frequent prescribing of pharmaceuticals and by giving advice regarding lifestyle factors. Most general practitioners are now faced with decisions about pharmaceutical or non-pharmaceutical treatment for primary prevention every day. The aim of this study was to explore, structure and describe the views on primary prevention of cardiovascular disease in clinical practice among Swedish GPs. Methods Individual interviews were conducted with 21 GPs in southern Sweden. The interview transcripts were analysed using a qualitative approach, inspired by phenomenography. Results Two main categories of description emerged during the analysis. One was the degree of reliance on research data regarding the predictability of real risk and the opportunities for primary prevention of CVD. The other was the allocation of responsibility between the patient and the doctor. The GPs showed different views, from being convinced of an actual and predictable risk for the individual to strongly doubting it; from relying firmly on protection from disease by pharmaceutical treatment to strongly questioning its effectiveness in individual cases; and from reliance on prevention of disease by non-pharmaceutical interventions to a total lack of reliance on such measures. Conclusions The GPs' different views, regarding the rationale for and practical management of primary prevention of CVD, can be interpreted as a reflection of the complexity of patient counselling in primary prevention in clinical practice. The findings have implications for development and implementation of standard treatment guidelines, regarding long-time primary preventive treatment.
机译：背景技术全科医生（GPs）通过更频繁地开药和通过提供有关生活方式因素的建议，逐渐越来越多地参与心血管疾病（CVD）的预防。现在，大多数普通从业者每天都面临着针对一级预防的药物或非药物治疗的决策。这项研究的目的是探讨，构造和描述瑞典全科医生在临床实践中对心血管疾病的一级预防的观点。方法对瑞典南部的21名GP进行了个人访谈。在现象学的启发下，采用定性方法对访谈笔录进行了分析。结果分析期间出现了两种主要的描述类别。其中之一是对研究数据的依赖程度，这些研究数据涉及真实风险的可预测性和CVD一级预防的机会。另一个是病人和医生之间的责任分配。从相信个人存在的实际和可预测的风险到强烈怀疑这一风险，GP均表现出不同的观点。从坚定地依靠药物治疗预防疾病到强烈质疑其在个别情况下的有效性;从依靠非药物干预手段预防疾病到完全不依靠此类措施。结论全科医生关于CVD一级预防的理由和实际管理的不同观点可以解释为反映了临床实践中一级预防中患者咨询的复杂性。这些发现对长期的一级预防性治疗的标准治疗指南的制定和实施具有重要意义。

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