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Heart failure awareness survey in Germany: general knowledge on heart failure remains poor

机译:德国心力衰竭意识调查:关于心力衰竭的常识仍然很差

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Abstract Aims Previous studies demonstrated poor public awareness of heart failure (HF) compared with myocardial infarction and stroke. With respect to several activities to improve HF awareness in recent years, we present data on the development of HF awareness and information sources in Germany over 8 years. Methods and results In 2007, 2012, and 2015, respectively, 2531, 359, and 171 respondents answered questions about causes, presentation, prognosis, and treatment of HF from a survey developed by the German Competence Network HF. Relationships between respondents' sociodemographic data and their HF knowledge were explored and changes in knowledge and use of information sources analysed. Sixty-eight per cent of respondents knew HF as ?¢????weakness of the heart?¢????. Seventy-nine per cent knew shortness of breath, 74% reduced exercise tolerance, and 52% knew leg edema as symptoms. Only 40% knew all three symptoms. Although up to 34% of the respondents were directly or indirectly affected by HF, they demonstrated poor knowledge about severity and prognosis. Between 2007 and 2015, overall HF awareness has not changed; awareness about treatment has dropped significantly. Younger respondents used all media, especially internet, for information about health; older respondents preferred printed/verbal media and their physician. Conclusions We found rather insufficient public knowledge on HF etiology and symptoms but especially about management, severity, and prognosis, which is essential for good self-care and adherence of patients. Heart failure awareness has not improved even though awareness campaigns were held over the years. It seems that especially older patients should be much more approached by their family physicians.
机译:摘要目的先前的研究表明,与心肌梗塞和中风相比,公众对心力衰竭(HF)的认识较差。关于近年来提高HF意识的几项活动,我们提供了过去8年中德国HF意识和信息来源发展的数据。方法和结果2007年,2012年和2015年,分别有2531、359和171位受访者通过德国能力网络HF开展的一项调查回答了有关HF的原因,表现,预后和治疗的问题。探索了受访者的社会人口统计学数据与其HF知识之间的关系,并分析了知识的变化和信息源的使用。 68%的受访者知道HF是“心脏虚弱”。 79%的人知道呼吸急促,74%的人降低了运动耐力,52%的人以腿部浮肿为症状。只有40%的人知道这三种症状。尽管多达34%的受访者直接或间接受到HF的影响,但他们对严重程度和预后的了解较差。在2007年至2015年期间,总体的HF意识并未改变。有关治疗的意识大大下降。年轻的受访者使用所有媒体(尤其是互联网)获取有关健康的信息;年长的受访者更喜欢印刷/语言媒体和他们的医生。结论我们发现公众对心力衰竭的病因和症状知之甚少,特别是在管理,严重程度和预后方面,这对于良好的自我保健和患者依从性至关重要。尽管多年来开展了宣传运动,但心力衰竭的意识并没有提高。看来,尤其是老年患者,应该由家庭医生来接洽。

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