Title: Analysis of the correlation and influencing factors between the perceived risk of cardiovascular disease and the objective estimation of risk in patients with chronic kidney disease
Abstract:
Objective: To explore the correlation between the perceived risk of cardiovascular disease incidence and the objective estimation of risk in patients with chronic kidney disease, and to provide a basis for the development of targeted intervention countermeasures.
Methods: 256 cases of chronic kidney disease patients attending the nephrology department of a tertiary-level hospital in Zhengzhou City from March to June 2023 were selected as the survey object, and the general information questionnaire, cardiovascular disease risk attitude and belief scale and Framingham risk assessment model were used for data collection, IBM SPSS Statistics 21.0 software was used to build the database, Multiple linear regression was used to analyze the factors affecting patients' risk perception.
Results: 240 valid questionnaires were collected, and the recovery rate of valid questionnaires was 93.75%. Framingham risk assessment score was used for objective risk assessment, and the 10-year objective risk of CVD in chronic kidney disease patients was calculated as 160 cases (66.6%) with low risk, 31 cases (12.9%) with intermediate risk, and 49 cases (20.4%) with high risk. The results of the CVD risk perception showed that 144 cases (60.0%) with low risk, 71 cases (29.6%) with intermediate risk, and 25 cases ( 10.4%). It can be seen that the perceived CVD risk was consistent with the calculated 10-year CVD risk in 103 cases (42.9%), underestimated in 62 cases (25.8%), and overestimated in 75 cases (31.3%). Multiple linear regression analysis showed that gender, age, marital status, and per capita monthly household income were influential factors in attitudes and beliefs about CVD risk in patients with chronic kidney disease.
Conclusion: Underestimation and overestimation of risk perception are prevalent, and healthcare professionals should focus on those whose risk perception is inconsistent with objective risk and develop targeted intervention strategies for individual risk characteristics.
Audience Take Away Notes:
- Understanding the perceived risk of cardiovascular disease in patients with chronic kidney disease in Henan, China
- To understand whether patients with chronic kidney disease are able to accurately perceive their level of risk through a comparison of objectively estimated risk and risk perception
- To remind healthcare professionals involved in chronic kidney disease to focus on those whose risk perception is inconsistent with objective risk and to develop targeted intervention strategies for individual risk profiles
