患者对心力衰竭诊断的认识:一个社区研究
Stacie J Shropshire1, Matteo Fabbri2, Sheila M Manemann3
1Department of Cardiovascular Medicine Mayo Clinic Rochester MN USA.
Journal of the American Heart Association
|November 6, 2023
概括
患者对心力衰竭 (HF) 诊断的认识很低,只有37%的患者知道. 提高HF诊断意识对于更好的自我护理和患者结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭是致病率,死亡率和医疗保健支出的一个重要原因.
- 在了解患者对心力衰竭诊断的认识方面存在着一个显著的差距.
- 这项研究解决了在社区环境中对HF自我意识的不充分研究的问题.
研究的目的:
- 为了调查心力衰竭 (HF) 自我意识的患病率,在被诊断为HF的患者中.
- 识别与对HF诊断的意识或缺乏意识相关的因素.
主要方法:
- 在三个明尼苏达州县对2461名居民进行前性调查,这些县有新的HF诊断代码 (ICD-9 428或ICD-10 I50).
- 通过对787名患者的医疗记录审查验证了HF诊断.
- 调查评估了HF自我意识,并进行统计分析以确定相关因素.
主要成果:
- 在787名经过验证的HF患者中,只有37%的人知道他们的诊断.
- 与提高意识相关的因素包括女性性别,减少射出分数的HF,参加HF诊所和冠状动脉疾病.
- 糖尿病与对HF诊断的意识降低有关.
结论:
- 在一般患者群体中,心力衰竭诊断意识惊人地低.
- 实施提高患者对HF意识的策略至关重要.
- 提高意识可以导致更好的自我护理行为和改善心力衰竭管理中的患者结果.
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