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A. Basics
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07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
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Health Literacy in Heart Failure - The Portuguese reality in 2022
Session:
Comunicações Orais - Sessão 09 - Técnicos e Enfermeiros
Speaker:
Ana Rita Correia de Sousa
Congress:
CPC 2023
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.3 Cardiovascular Nursing - Other
Session Type:
Comunicações Orais
FP Number:
---
Authors:
Ana Rita Sousa; Crisálida Ferreira; Sara Gonçalves; Andreia Soares; Dina Ferreira; Cecília Almeida; Tatiana Duarte; Margarida Madeira; Hugo Viegas; Pedro Carreira; Mª Violante Nunes; Claudia Estevão; Ermelinda Pedroso; Rui Caria; Quitéria Rato
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Introduction: Heart failure (HF) is a growing health problem worldwide and despite the increase in public awareness observed in recent years, HF symptoms are often not early recognised leading to a late diagnosis, higher rates of hospitalization and mortality. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Health literacy (HL) focuses on people's ability to access, understand and use health information to contribute to its promotion and maintenance. Low HL is associated with a lower demand for health services for prevention, lower self-management and treatment, leading to a late search for medical advice and increased rates of adverse events.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Purpose: To evaluate the level of HL regarding HF in a Portuguese population.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Methods: A prospective study based on the information collected through the application of a questionnaire was performed by a multidisciplinary heart failure team.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Results: We prospectively evaluated 328 individuals recruited at a local cardiovascular screening event in May 2022. 52,4 % in the 65-80 years age group, and 28% in the age group of 41-65 years; 64.6 % were male. About 88.1% of individuals recognized that they have heard about HF, 64.3% considered that it threatens people's lives and 44.9% believed that it causes symptoms which may limit quality of life. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Nevertheless, only 13.1% correctly identified symptoms of HF and 86.9% of the individuals confused HF symptoms with acute myocardial infarction and/or stroke symptoms.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Risk factors are recognised by more than 50% of the participants but 12.6% were not able to identify any risk factor. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Although 62.6% considered that in the face of HF symptoms primary care help and evaluation should be sought, 44.2% admitted that they would directly go to the emergency department.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">About 82.9% recognized health professionals as a reliable source of information, with 47.1% using the internet and other media and 14.7% confess they consult friends and family for health advice. Higher levels of education, sex and a younger age were not related to a better level of HL.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Discussion and Conclusion: Despite the recent efforts regarding increasing public HF awareness, symptoms keep being under-recognized by the Portuguese population and often confused with other cardiovascular diseases. It keeps necessary to improve population HF knowledge in order to promote prevention, early diagnosis and timely medical treatment which may contribute to improve prognosis.</span></span></span></p> <p> </p> <p> </p>
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