随着时间的推移,心力衰竭患者患者患者报告结果的变化
Tiny Jaarsma1, Naoko P Kato1, Leonie Klompstra1
1Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
ESC heart failure
|December 30, 2023
概括
大多数心力衰竭患者在一年内都会出现睡眠,情绪,生活质量和幸福感的问题. 持续监测和护理调整对于管理心力衰竭 (HF) 中这些患者报告的结果 (PRO) 至关重要.
科学领域:
- 心脏病学 心脏病学
- 患者报告的结果
- 慢性疾病管理 慢性疾病管理
背景情况:
- 心力衰竭 (HF) 显著影响患者的日常生活,影响健康的多个维度.
- 患者报告的结果 (PROs),如睡眠,抑郁症状,与健康有关的生活质量 (HrQoL) 和幸福感是HF患者状态的关键指标.
研究的目的:
- 在心力衰竭 (HF) 患者中描述四个关键PRO的1年轨迹.
- 检查这些PRO之间的关系,并确定与PRO随时间变化相关的患者特征.
主要方法:
- 在12个月的时间里,分析了603名参与HF-Wii研究的PRO数据.
- 评估的PRO包括睡眠质量,抑郁症状,HRQoL和基线,3个月,6个月和12个月的幸福感.
主要成果:
- 在这项为期一年的研究中,显著多数高炎患者 (79%) 经历了至少一个低PRO分数.
- 在12个月的时间里,人们注意到持续存在的问题:17%的人睡眠不好,17%的人持续有抑郁症状,15%的人身体质量不好,13%的人幸福感不好.
- 患者的特征,如年龄,教育,疾病严重程度 (NYHA类),疾病持续时间,运动能力,并发症和身体活动水平与特定的PRO结局有关.
结论:
- 这些发现凸显了HF患者中PRO挑战的普遍性和经常持续性.
- 在整个HF疾病过程中,显然需要持续的患者监测和灵活的,适应性的治疗策略.
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