Older and younger patients' perceptions, evaluations, and responses to worsening heart failure symptoms
Older and younger patients' perceptions, evaluations, and responses to worsening heart failure symptoms
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DOI：
10.1016/j.hrtlng.2021.05.005
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发表时间：
2021-06-03
期刊：
影响因子：
2.8
通讯作者：
Moser, Debra K.
中科院分区：
文献类型：
--
作者：
Lin, Chin-Yen;Hammash, Muna;Moser, Debra K.
背景资料：老年心力衰竭（HF）患者对症状恶化的识别和及时反应是否比年轻患者差尚不清楚。目的：本研究的目的是比较老年和年轻患者（1）对HF症状恶化的感知、评估和反应，以及（2）一旦感知到症状恶化的反应。方法：我们采用混合方法研究了185例因HF住院的老年患者（>= 65岁）和年轻患者（< 65岁）的数据，并进行了比较。两组患者对更高的自觉症状困扰的反应是什么都不做，希望他们的症状消失（p = 0.004），忽视症状并继续做他们正在做的事情（p = 0.002），或躺下放松（p < 0.001）。结论：大多数患者，无论年龄大小，都没有认识到，解释和适当地应对HF症状。应测试针对所有年龄段HF患者的更好症状评估和促进适当症状缓解的干预措施。(C)2021爱思唯尔公司All rights reserved.
Background: Whether recognition and prompt response to worsening symptoms are worse in older compared with younger patients with heart failure (HF) is unclear.Objectives: The aims of this study were to compare older and younger patients (1) perceptions, evaluations, and responses to worsening HF symptoms, and (2) responses once worsening symptoms were perceived.Methods: A mixed-methods study was conducted and to compare data between older (>= 65) and younger (< 65) in 185 patients hospitalized with HF.Results: There were few differences attributed to age. In response to higher perceived symptom distress, patients in both groups did nothing and hoped their symptoms would go away (p = 0.004), ignored symptoms and continued doing what they were doing (p = 0.002), or laid down to relax (p < 0.001).Conclusions: The majority of patients, regardless of age, did not recognize, interpret, and respond appropriately to HF symptoms. Interventions should be tested that target better symptom appraisal and promote appropriate symptom responses in patients with HF across all ages. (C) 2021 Elsevier Inc. All rights reserved.