Objective:To evaluate the status of symptom clusters,health literacy and quality of life in patients with heart failure(HF),and analyze their correlation,explore the impact of symptom clusters and health literacy on quality of life.Methods:A convenient sampling method was used to select 310 HF patients who were treated in the department of cardiology of a three-A hospital in Chengdu from December 2022 to July 2023 as the study subjects.The current status of symptom clusters,health literacy and quality of life in HF patients was assessed using the general information questionnaire,the Memorial Symptom Assessment Scale for Heart Failure(MSAS-HF),the Chinese version of the Heart Failure Specific Health Literacy Scale and the Minnesota Living with Heart Failure Questionnaire(MLHFQ).Exploratory factor analysis was used to analyze the symptom clusters of HF patients.Pearson analysis was used to analyze the correlation between symptom clusters,health literacy and quality of life.Multiple linear regression analysis was used to explore the impact of symptom clusters and health literacy on quality of life.Results:A total of five symptom clusters were analyzed,which were digestive symptom cluster(lack of appetite,dry mouth,weight loss,nausea,abdominal distension),emotional symptom cluster(sadness,anxiety,irritability,feeling nervous),dyspnea symptom cluster(shortness of breath,difficulty in breathing while lying down,sleep at night and wake up,lack of strength,difficulty in sleeping),ischemic symptom cluster(dizziness,chest pain,palpitation,numbness of hands and feet)and congestion symptom cluster(cough,edema).The health literacy score was 23.88±9.03,and the quality of life score was 49.16±12.98.The five symptom cluster scores were positively correlated with the quality of life scores(r =0.456,0.356,0.311,0.152,0.348,P<0.01),and the health literacy score was negatively correlated with the quality of life score(r =-0.356,P<0.01).Multiple linear regression analysis showed that marital status,average monthly income,cardiac function classification,digestion,mood,dyspnea,bruising symptom clusters,and health literacy were the influencing factors of patients'quality of life(P<0.05).Conclusion:The quality of life of HF patients is affected by a variety of symptom clusters and health literacy.Improving the quality of life of patients can take symptom clusters and health literacy as an entry point to alleviate the symptoms of patients and improve the level of health literacy.
heart failuresymptom clusterhealth literacyquality of life
NETL
NSTL
维普
万方数据
