心力衰竭高危人群对心力衰竭的认知情况及知识讲座提高认知水平的作用

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摘要目的了解心力衰竭高危人群对心力衰竭的认知情况以及心力衰竭知识讲座提高认知水平的作用。方法 2019年6月至12月北京大学第三医院心力衰竭防治小组针对心力衰竭高危人群举办心力衰竭知识讲座6次，参加人员为心力衰竭A期和B期患者，共420例。在知识讲座前和讲座后，分别进行心力衰竭认知的问卷调查。心力衰竭的认知包括心力衰竭的病因、严重程度、临床表现、就诊和自我管理等5个方面的内容。结果回收问卷363份，最终合格的问卷为345份，有效回收率为82.14%。心力衰竭高危患者对心力衰竭的认知存在很大不足，能够将问卷列出的8种导致心力衰竭的疾病均选择正确者为54例（15.7%）；能够将问卷列出的5个心力衰竭临床表现均选择正确者为66例（19.1%）；仅有205例（59.4%）患者表示出现了心力衰竭的症状，会尽早就诊；自我管理方面，只有128例（37.1%）患者认为应该限制饮水量，98例（28.4%）患者认为应该避免感染。在知识讲座后，课后得分高于课前，差异有统计学意义（P ＜ 0.05）。结论对心力衰竭高危患者进行心力衰竭知识的健康教育非常有必要。

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	陈少敏陈宝霞冯新恒

关键词 ：心力衰竭, 认知, 知识讲座, 问卷调查

Abstract：Objective To understand the awareness of heart failure among high-risk groups of heart failure and the effect of heart failure knowledge lectures in improving awareness. Methods From June to December 2019, the Heart Failure Prevention and Treatment Team of Peking University Third Hospital held six heart failure knowledge lectures for people at high risk of heart failure. Participants were patients with heart failure A and B, a total of 420 cases. Before the knowledge lecture and after the lecture, a questionnaire survey on the awareness of heart failure was carried out. The awareness of heart failure includes five aspects: the cause, severity, clinical manifestations, medical treatment and self-management of heart failure. Results A total of 363 questionnaires were returned, and 345 questionnaires were finally qualified, with an effective recovery rate of 82.14%. High-risk patients with heart failure had a great lack of knowledge about heart failure. 54 patients (15.7%) who could select the eight diseases listed in the questionnaire that cause heart failure were correct; and 66 patients (19.1%) had the correct clinical manifestations which couldy list the five heart failures listed in the questionnaire; only 205 patients (59.4%) indicated that they had symptoms of heart failure and would seek medical attention as soon as possible; in terms of self-management, only 128 patients (37.1%) thought it should be restricted In terms of drinking water, 98 patients (28.4%) believed that infection should be avoided. After the knowledge lecture, the score after class was higher than before class, and the difference was statistically significant (P ＜ 0.05). Conclusion It is very necessary to carry out health education of heart failure knowledge for patients at high risk of heart failure.

Key words： Heart failure Awareness Lecture Questionnaires

基金资助:国家自然科学基金资助项目（81400177）；
北京市自然科学基金项目（7154249）。

通讯作者: 陈宝霞（1970.10-），女，硕士，主任医师；研究方向：心力衰竭、高血压。

作者简介: 陈少敏（1981.7-），女，博士，副主任医师；研究方向：心力衰竭、冠心病。

引用本文:

陈少敏陈宝霞冯新恒. 心力衰竭高危人群对心力衰竭的认知情况及知识讲座提高认知水平的作用[J]. 中国医药导报, 2021, 18(24): 52-55,63.
CHEN Shaomin CHEN Baoxia FENG Xinheng. Heart failure awareness in patients at high risk for developing heart failure and the effect of lecture on the improvement of awareness. 中国医药导报, 2021, 18(24): 52-55,63.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I24/52

[1] Yancy CW，Jessup M，Bozkurt B，et al. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure：A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America [J]. J Am Coll Cardiol，2017，70（6）：776-803.
[2] 中华医学会心血管病学分会心力衰竭学组，中国医师协会心力衰竭专业委员会，中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018[J].中华心力衰竭和心肌病杂志（中英文），2018，2（4）：196-225.
[3] 中华医学会心血管病学分会.中国部分地区1980、1990、2000年慢性心力衰竭住院病例回顾性调查[J].中华心血管病杂志，2002，30（8）：450-454.
[4] Koudstaal S，Pujades-Rodriguez M，Denaxas S，et al. Prognostic burden of heart failure recorded in primary care，acute hospitaladmissions，or both：a population-based linked electronic health record cohort study in 2.1 million people [J]. Eur J Heart Fail，2017，19（9）：1119-1127.
[5] Kwok CS，Seferovic PM，Van Spall HG，et al. Early Unplanned Readmissions After Admission to Hospital With Heart Failure [J]. Am J Cardiol，2019，124（5）：736-745.
[6] Sotomi Y，Hikoso S，Nakatani D，et al. Sex Differences in Heart Failure With Preserved Ejection Fraction [J]. J Am Heart Assoc，2021：e018574.
[7] Charach G，Grosskopf I，Galin L，et al. Usefulness of cardiac biomarkers for prognosis of better outcomes in chronic heart failure：Retrospective 18-year follow-up study [J]. Medicine （Baltimore），2021，100（5）：e23464.
[8] Zelenak C，Radenovic S，Musial-Bright L，et al. Heart failure awareness survey in Germany： general knowledge on heart failure remains poor [J]. ESC Heart Fail，2017，4（3）：224-231.
[9] St?觟rk S，Kavoliuniene A，Vinereanu D，et al. What does the lay public know about heart failure? Findings from the Heart Failure Awareness Day Initiative [J]. Eur J Heart Fail，2016，18（1）：66-70.
[10] Hunt SA，Baker DW，Chin MH，et al. American College of Cardiology/American Heart Association Task Force on Practice Guidelines （Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure），International Society for Heart and Lung Transplantation，Heart Failure Society of America. ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult：Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines （Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure）：Developed in Collaboration With the International Society for Heart and Lung Transplantation， Endorsed by the Heart Failure Society of America [J]. Circulation，2001，104（24）：2996-3007.
[11] Dharmarajan K，Rich MW. Epidemiology，Pathophysiology，and Prognosis of Heart Failure in Older Adults [J]. Heart Fail Clin，2017，13（3）：417-426.
[12] Regan JA，Kitzman DW，Leifer ES，et al. Impact of Age on Comorbidities and Outcomes in Heart Failure With Reduced Ejection Fraction [J]. JACC Heart Fail，2019，7（12）：1056-1065.
[13] Osmanska J，Jhund PS. Contemporary Management of Heart Failure in the Elderly [J]. Drugs Aging，2019，36（2）：137-146.
[14] Philipson H，Ekman I，Forslund HB，et al. Salt and fluid restriction is effective in patients with chronic heart failure [J]. Eur J Heart Fail，2013，15（11）：1304-1310.
[15] Miller WL. Fluid Volume Overload and Congestion in Heart Failure：Time to Reconsider Pathophysiology and How Volume Is Assessed [J]. Circ Heart Fail，2016，9（8）：e002922.
[16] Boorsma EM，Ter Maaten JM，Damman K，et al. Congestion in heart failure：a contemporary look at physiology，diagnosis and treatment [J]. Nat Rev Cardiol，2020，17（10）：641-655.
[17] Cattadori G，Segurini C，Picozzi A，et al. Exercise and heart failure：an update [J]. ESC Heart Fail，2018，5（2）：222-232.
[18] Giallauria F，Piccioli L，Vitale G，et al. Exercise training in patients with chronic heart failure：A new challenge for Cardiac Rehabilitation Community [J]. Monaldi Arch Chest Dis，2018，88（3）：987.
[19] Ding R. Exercise-Based Rehabilitation for Heart Failure：Clinical Evidence [J]. Adv Exp Med Biol，2017， 1000：31-49.
[20] Drozd M，Garland E，Walker AMN，et al. Infection-Related Hospitalization in Heart Failure With Reduced Ejection Fraction：A Prospective Observational Cohort Study [J]. Circ Heart Fail，2020，13（5）：e006746.
[21] Cardoso JN，Del Carlo CH，Oliveira Junior MT，et al. Infection in Patients with Decompensated Heart Failure：In-Hospital Mortality and Outcome [J]. Arq Bras Cardiol，2018，110（4）：364-370.
[22] Jung MH，Kim HL，Choi JH，et al. Heart failure awareness in the Korean general population：Results from the nationwide survey [J]. PLoS One，2019，14（9）：e0222264.