摘要
Background:To investigate the consistency level of binary symptom assessment in patients with heart failure and their primary caregivers,and to analyze the related factors influencing consistency.Methods:By using the convenience sampling method,patients with heart failure and their main caregivers in the Department of Cardiology of a tertiary hospital in Suzhou from May to November 2023 were selected as the research subjects.The HFSS scale was used for data collection.The paired t-test or paired Wilcoxon test was used to evaluate the differences in the binary symptom assessment scores of heart failure.The intraclass correlation coefficient was used to assess the consistency level of the binary symptom assessment.The Pearson correlation test was used to examine the correlation of the binary symptom assessment.Regression analysis was employed to explore the factors related to the consistency assessment.Results:A total of 103 pairs of valid questionnaires were collected.The consistency levels of symptom evaluations in patients with heart failure and their primary caregivers were statistically significant(P<0.05).The most frequently reported and severe symptom by patients with heart failure and their primary caregivers is shortness of breath during activity.Both have a high consensus on the severity and urgency of most heart failure symptoms.The patient’s gender,body mass index,number of children,history of diabetes,number of comorbidities,mean arterial pressure,LVEF,number of stents,whether a defibrillator was implanted,as well as the gender,marital status,education level,relationship with the patient,care time,whether they lived together,and communication and interaction situation of the main caregiver were the influencing factors for the consistency of binary symptom assessment of heart failure(P<0.05).Conclusion:The degree of consistency in binary symptom assessment between patients with heart failure and their primary caregivers was moderate or higher,which emphasizes the importance of including binary groups in clinical assessment.
