Heart Failure Knowledge Assessment and Perceived Patient Satisfaction in Heart Failure Units: A Multicenter Observational Survey.

IF 1.9 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Reviews in cardiovascular medicine Pub Date : 2024-09-13 eCollection Date: 2024-09-01 DOI:10.31083/j.rcm2509328
Josebe Goirigolzarri-Artaza, Marta Cobo-Marcos, Laura Peña-Conde, Adolfo Villa, Diego Iglesias, Alberto Esteban-Férnandez, Fátima de la Torre, Jesús Álvarez-García, Aitor Hérnandez-Hernández, Juan Górriz-Magaña, Rocío Ayala, Mikel Taibo-Urquía, Cristina Beltrán, Pablo Díez-Villanueva, María Alejandra Restrepo-Córdoba, Julia González González, Ángel Manuel Iniesta Manjavacas, Sara Corredera-García, Sergio García-Gómez, María González-Piña, Álvaro Gamarra, Manuel Martínez-Sellés
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引用次数: 0

Abstract

Background: Self-care and empowerment promotion in patients with heart failure (HF) is essential for improving their prognosis, but there is limited information concerning the patients' depth of knowledge about this pathology as well as patient satisfaction within heart failure units (HFUs). Our objective was to assess both aspects in a cohort of patients regularly followed-up HFUs.

Methods: A multicenter, observational study was conducted with consecutive patients followed in 14 HFUs between June and November 2023. It was based on a cross-sectional survey comprising 23 questions related to demographics, knowledge/self-care, and the subjective assessment of perceived quality and satisfaction in HFUs.

Results: 281 patients were included (36.7% women, 74.7% aged over 65 years). 48% had hospitalizations for HF or sought emergency department services within the preceding year. The mean correct responses related to knowledge were 9.7 ± 2.3 (80.7% of the total), and 53 patients (18.9%) answered all knowledge questions correctly. 211 (79.6%) could identify potential HF decompensation with abrupt weight gain, and 196 (74.2%) recognized at least three additional signs of worsening HF. 266 patients (98.2%) were likely or very likely to recommend HFUs, and 194 (89.8%) positively appreciated the experience at the day hospital.

Conclusions: Patients followed up in HFUs showed adequate but improvable knowledge and capacity for self-care, with a high level of satisfaction.

心衰病房的心衰知识评估和患者满意度:多中心观察调查
背景:促进心力衰竭(HF)患者的自我护理和赋权对改善其预后至关重要,但有关患者对这一病症的深入了解以及心力衰竭科(HFU)内患者满意度的信息却很有限。我们的目标是对心衰病房定期随访的一组患者进行这两方面的评估:我们在 2023 年 6 月至 11 月期间对 14 家心衰病房的连续随访患者进行了一项多中心观察性研究。研究以横断面调查为基础,包括 23 个问题,涉及人口统计学、知识/自我护理以及对高频病房感知质量和满意度的主观评估。结果:共纳入 281 名患者(36.7% 为女性,74.7% 年龄在 65 岁以上)。48%的患者在过去一年中曾因高血压住院或到急诊科就诊。与知识相关的平均正确答案为 9.7 ± 2.3(占总数的 80.7%),53 名患者(18.9%)正确回答了所有知识问题。211名患者(79.6%)能识别体重突然增加可能导致的心房颤动失代偿,196名患者(74.2%)至少还能识别三个心房颤动恶化的征兆。266名患者(98.2%)可能或非常可能推荐使用心房颤动病房,194名患者(89.8%)对日间医院的经历给予了积极评价:在心房颤动单元接受随访的患者表现出了充分但可提高的自我护理知识和能力,满意度很高。
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来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
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