Symptom Perception and Influencing Factors in Chinese Patients with Heart Failure: A Preliminary Exploration

Hong Luo, Deborah F. Lindell, Corrine Y. Jurgens, Yongsheng Fan and Liping Yu
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Hong Luo: Department of Nursing, School of Health Sciences, Wuhan University, Wuhan 430071, China
Deborah F. Lindell: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA
Corrine Y. Jurgens: William F. Connell School of Nursing, Boston College, Boston, MA 02647, USA
Yongsheng Fan: Department of Public Health and Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, China
Liping Yu: Department of Nursing, School of Health Sciences, Wuhan University, Wuhan 430071, China

IJERPH, 2020, vol. 17, issue 8, 1-15

Abstract: 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.

Keywords: heart failure; symptom perception; self-care; self-management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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