Department of Nursing, School of Health Sciences, Wuhan University, Wuhan 430071, China.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA.
Int J Environ Res Public Health. 2020 Apr 14;17(8):2692. doi: 10.3390/ijerph17082692.
A growing body of evidence supports the fact that optimal health-related quality of life is largely dependent on patient competence in symptom perception. However, many studies have reported poor symptom perception in patients with heart failure. In China, there has been no previous research on assessing the symptom perception ability of patients with heart failure. This study aimed to describe how Chinese patients with heart failure perceive their symptoms, as well as to explore their influencing factors. A theory-based, descriptive, correlational cross-sectional design was used in this study. Data on symptom perception and factors related to symptom perception were collected via structured interviews and medical records. A convenience sample of 208 hospitalized patients was enrolled. The degree of symptom perception in this study was at a high level. The results showed that the level of depression, the New York Heart Association functional class, the left ventricular ejection fraction, and educational background were identified as independent factors of symptom perception in Chinese patients with heart failure. The degree of symptom perception of patients with heart failure was affected by personal, psychological, and physiological factors. Health policy and healthcare providers should pay more attention and deepen the understanding to Chinese patients with heart failure to provide better healthcare.
越来越多的证据表明，与健康相关的生活质量在很大程度上取决于患者对症状的感知能力。然而，许多研究报告称心力衰竭患者的症状感知能力较差。在中国，以前没有研究评估心力衰竭患者的症状感知能力。本研究旨在描述中国心力衰竭患者对自身症状的感知情况，并探讨其影响因素。本研究采用基于理论的描述性相关性横断研究设计。通过结构访谈和病历收集症状感知及与症状感知相关的因素数据。本研究纳入了 208 名住院患者的便利样本。研究结果表明，抑郁程度、纽约心脏协会功能分级、左心室射血分数和教育背景是中国心力衰竭患者症状感知的独立影响因素。心力衰竭患者的症状感知程度受到个人、心理和生理因素的影响。卫生政策和医疗保健提供者应更加关注并加深对中国心力衰竭患者的了解，为其提供更好的医疗保健。
