Liverpool University Hospitals NHS Foundation Trust, Department of Cardiology, Aintree University Hospital, Liverpool, L9 7AL, UK.
Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, L69 3BX, UK.
ESC Heart Fail. 2021 Apr;8(2):1324-1332. doi: 10.1002/ehf2.13209. Epub 2021 Jan 18.
The coronavirus disease 2019 (COVID-19) pandemic has created significant challenges to healthcare globally, necessitating rapid restructuring of service provision. This questionnaire survey was conducted amongst adult heart failure (HF) patients in the United Kingdom (UK), to understand the impact of COVID-19 upon HF services.
The survey was conducted by the Pumping Marvellous Foundation, a UK HF patient charity. 'Survey Monkey' was used to disseminate the questionnaire in the Pumping Marvellous Foundation 's online patient group and in 10 UK hospitals (outpatient hospital and community HF clinics). There were 1050 responses collected (693/1050-66% women); 55% (579/1050) were aged over 60 years. Anxiety level was significantly higher regarding COVID-19 (mean 7 ± 2.5 on anxiety scale of 0 to 10) compared with anxiety regarding HF (6.1 ± 2.4; P < 0.001). Anxiety was higher amongst patients aged ≤60 years about HF (6.3 ± 2.2 vs. 5.9 ± 2.5 in those aged >60 years; P = 0.005) and COVID-19 (7.3 ± 2.3 vs. 6.7 ± 2.6 those aged >60 years; P < 0.001). Sixty-five per cent of respondents (686/1050) reported disruption to HF appointments (cancellation or postponement) during the lockdown period. Thirty-seven per cent reported disruption to medication prescription services, and Thirty-four per cent reported inability to access their HF teams promptly. Thirty-two per cent expressed reluctance to attend hospital (25% stated they would only attend hospital if there was no alternative, and 7% stated that they would not attend hospital at all).
The COVID-19 pandemic has caused significant anxiety amongst HF patients regarding COVID-19 and HF. Cancellation or postponement of scheduled clinic appointments, investigations, procedures, prescription, and monitoring services were implicated as sources of anxiety.
2019 年冠状病毒病（COVID-19）大流行给全球医疗保健带来了重大挑战，需要迅速调整服务提供。本问卷在英国（UK）成年心力衰竭（HF）患者中进行，以了解 COVID-19 对 HF 服务的影响。
该调查由英国 HF 患者慈善机构 Pumping Marvellous 基金会进行。使用“Survey Monkey”在 Pumping Marvellous 基金会的在线患者群体和 10 家英国医院（门诊医院和社区 HF 诊所）中分发问卷。共收集了 1050 份回复（1050 份中的 693 份，占 66%为女性）；55%（579/1050）年龄在 60 岁以上。与 HF（6.1±2.4）相比，COVID-19 的焦虑水平明显更高（焦虑量表为 0 到 10 分，平均为 7±2.5；P<0.001）。≤60 岁的患者对 HF（6.3±2.2）和 COVID-19（7.3±2.3）的焦虑程度高于>60 岁的患者（6.3±2.2）（P=0.005）（P<0.001）。65%（686/1050）的受访者报告在封锁期间 HF 预约（取消或推迟）中断。37%的人报告说他们的药物处方服务中断，34%的人报告说他们无法及时联系到他们的 HF 团队。32%的人表示不愿意去医院（25%的人表示只有在别无选择的情况下才会去医院，7%的人表示根本不会去医院）。
COVID-19 大流行引起了 HF 患者对 COVID-19 和 HF 的极大焦虑。取消或推迟预定的门诊预约、检查、程序、处方和监测服务是引起焦虑的原因。
