Goirigolzarri-Artaza Josebe, Cobo-Marcos Marta, Peña-Conde Laura, Villa Adolfo, Iglesias Diego, Esteban-Férnandez Alberto, de la Torre Fátima, Álvarez-García Jesús, Hérnandez-Hernández Aitor, Górriz-Magaña Juan, Ayala Rocío, Taibo-Urquía Mikel, Beltrán Cristina, Díez-Villanueva Pablo, Restrepo-Córdoba María Alejandra, González Julia González, Iniesta Manjavacas Ángel Manuel, Corredera-García Sara, García-Gómez Sergio, González-Piña María, Gamarra Álvaro, Martínez-Sellés Manuel
Cardiology Department, Hospital Clínico San Carlos, 28040 Madrid, Spain.
Cardiology Department, Hospital Universitario Puerta de Hierro, 28222 Madrid, Spain.
Rev Cardiovasc Med. 2024 Sep 13;25(9):328. doi: 10.31083/j.rcm2509328. eCollection 2024 Sep.
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.
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.
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.
Patients followed up in HFUs showed adequate but improvable knowledge and capacity for self-care, with a high level of satisfaction.
促进心力衰竭（HF）患者的自我护理和赋权对于改善其预后至关重要，但关于患者对该疾病的了解程度以及心力衰竭单元（HFU）内患者满意度的信息有限。我们的目标是评估一组在HFU定期随访的患者的这两个方面。
2023年6月至11月期间，对在14个HFU接受随访的连续患者进行了一项多中心观察性研究。该研究基于一项横断面调查，包括23个与人口统计学、知识/自我护理以及对HFU感知质量和满意度的主观评估相关的问题。
纳入281例患者（女性占36.7%，74.7%年龄超过65岁）。48%的患者在过去一年因HF住院或寻求急诊科服务。与知识相关的平均正确回答为9.7±2.3（占总数的80.7%），53例患者（18.9%）正确回答了所有知识问题。211例（79.6%）患者能够通过体重突然增加识别潜在的HF失代偿，196例（74.2%）患者认识到至少另外三种HF恶化的迹象。266例患者（98.2%）可能或非常可能推荐HFU，194例（89.8%）患者对日间医院的体验给予积极评价。
在HFU接受随访治疗的患者表现出足够但仍有改进空间的自我护理知识和能力，满意度较高。
