Understanding of patients regarding their heart failure: Interest of a systematic evaluation - 25/12/18
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Résumé |
Background |
Patients’ knowledge of their disease is a key point in chronic conditions such as Heart Failure and a prerequisite for treatment adherence. However, data are scarce regarding HF patients’ understanding.
Aim |
To propose an auto-questionnaire for the assessment of patients’ knowledge of HF and to analyze the factors associated with a better understanding.
Method |
During 2 weeks, consecutive patients admitted for HF were included in this prospective study involving 9 French centers. Patients were screened for cognitive disorders using the validated clock-drawing test and only patients who passed this test were submitted to a 16-point knowledge questionnaire.
Results |
Three hundreds and eleven patients were included (mean age 73±13 years, 62% men). Mean LVEF was 45±14%. Regarding level of education, 177 patients (58%) reached primary school, 63 (21%) secondary school and 63 (21%) university or higher. Elderly patients had a mobile phone and internet at home in 71 and 51% of cases. Only 33 patients (11%) benefited from therapeutic education sessions, while 65% of patients had already been hospitalized for HF.
Cognitive disorders were found in 81 patients (26%) and 230 patients thus passed the knowledge questionnaire.
Mean knowledge score was 6.3±3.4/16 points. It was associated with the level of education (P=0.01), follow-up by a cardiologist (P<0.001), by a physician (P=0.02), previous hospitalization for HF (P<0.001), therapeutic education (P<0.001), the possession of a weight scale at home (P>0.001), good adherence to treatment as evaluated by a validated questionnaire (P<0.001), previous information by a cardiologist (P<0.001), by internet (P<0.001) or by magazines (P<0.01).
Conclusion |
Patients hospitalized for HF have a poor knowledge of their disease and repeated information by all means possible may have a positive impact. The knowledge score was associated with adherence to treatment, which represents a major goal to achieve in chronic HF.
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Vol 11 - N° 1
P. 28-29 - janvier 2019 Retour au numéro
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