Key result
Depression, NYHA class, LVEF, and education independently predict symptom perception in heart failure.
Why the study?
Optimal health-related quality of life depends on symptom perception competence, yet poor perception is frequently reported in heart failure and had not been assessed in Chinese patients.
Cross-Sectional (n=208)
Yes
Understanding predictors of symptom perception such as LVEF, NYHA class, depression, and education level can help clinicians provide targeted, personalized interventions to improve self-care in patients with heart failure.
Depression, NYHA class, LVEF, and education may predict symptom perception in Chinese HF; hypothesis-generating and requires prospective validation before practice change.
A growing body of evidence supports the fact that optimal health-related quality of life is largely dependent on patient competence in symptom perception. However, many studies have reported poor symptom perception in patients with heart failure. In China, there has been no previous research on assessing the symptom perception ability of patients with heart failure. This study aimed to describe how Chinese patients with heart failure perceive their symptoms, as well as to explore their influencing factors. A theory-based, descriptive, correlational cross-sectional design was used in this study. Data on symptom perception and factors related to symptom perception were collected via structured interviews and medical records. A convenience sample of 208 hospitalized patients was enrolled. The degree of symptom perception in this study was at a high level. The results showed that the level of depression, the New York Heart Association functional class, the left ventricular ejection fraction, and educational background were identified as independent factors of symptom perception in Chinese patients with heart failure. The degree of symptom perception of patients with heart failure was affected by personal, psychological, and physiological factors. Health policy and healthcare providers should pay more attention and deepen the understanding to Chinese patients with heart failure to provide better healthcare.
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Luo et al. (2020) conducted a cross-sectional in Acute heart failure (n=208). Clinical and sociodemographic factors (depression, NYHA functional class, LVEF, education level) was evaluated on Symptom perception (measured by the Heart Failure Somatic Perception Scale v.3 total score). The level of depression, New York Heart Association functional class, left ventricular ejection fraction, and educational background were identified as independent predictors of symptom perception in Chinese patients with heart failure.
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