Department of Cardiology, University Hospital of Coventry and Warwickshire, Coventry.
Clin Med (Lond). 2010 Aug;10(4):339-43. doi: 10.7861/clinmedicine.10-4-339.
The management of heart failure has evolved to become a multidisciplinary affair. Constraints of time and resources limit the amount of counselling that is given to heart failure patients in hospital and, with the advent of community heart failure specialist nurses, there is a trend to move more of these services into the community. Most heart failure patients are elderly and may find the information given to them, at the time of diagnosis and later on at home by heart failure nurses, difficult to grasp. In this study, patients' perspectives of a diagnosis of heart failure, their understanding of the diagnosis as well as what being diagnosed with heart failure means to them were recorded. Patients were questioned on whether the news of the heart failure diagnosis was broken to them in a sympathetic manner and how they felt about the information provided at diagnosis.
心力衰竭的管理已经发展成为一项多学科的事务。时间和资源的限制限制了在医院向心力衰竭患者提供的咨询量,随着社区心力衰竭专科护士的出现,将更多的服务转移到社区的趋势正在出现。大多数心力衰竭患者年龄较大,可能会发现他们在诊断时以及后来由心力衰竭护士在家中提供的信息难以理解。在这项研究中,记录了患者对心力衰竭诊断的看法、他们对诊断的理解以及诊断为心力衰竭对他们意味着什么。询问了患者他们是否以同情的方式得知心力衰竭的诊断,以及他们对诊断时提供的信息的感受。