心力衰竭患者症状感知的研究进展

Research progress on symptom perception in patients with heart failure

心力衰竭作为一种进行性不可逆性临床综合征,是全球慢性心血管疾病防治的重要内容。其复杂的症状和危险因素管理并不能完全依赖医护人员和短暂的临床治疗,自我照护才是降低患者再入院率、病死率的有效途径。症状感知是心力衰竭自我照护情境特异性理论中新增的一个维度,是患者进行症状和体征自我监测以及对症状的意义做出识别、解释和标记的综合过程。心力衰竭的症状感知对实现有效的自我照护至关重要,然而国内相关研究甚少。本文从心力衰竭患者症状感知的定义、影响因素和评价工具方面进行综述,以期为心力衰竭患者症状感知的干预和促进提供依据。

Heart failure,as a progressive and irreversible clinical syndrome,is an important part of the global prevention and treatment of chronic cardiovascular diseases.The management of its complex symptoms and risk factors cannot completely rely on medical and nursing staff and short-term clinical treatment.Self-care is an effective way to reduce the readmission rate and fatality rate of patients.Symptom perception is a new dimension in the situation-specific theory of self-care in heart failure,and that is a comprehensive process by which patients conduct self-monitoring of symptoms and signs and identify,interpret,and label the meaning of symptoms.Symptom perception of heart failure is crucial to achieve effective self-care,however,there are few studies in China.This article reviews the definition,influencing factors and evaluation tools of symptom perception in patients with heart failure,so as to provide evidence for the intervention and promotion of symptom perception in patients with heart failure.