Improving Heart Failure Symptom Recognition

2010 ◽  
Vol 25 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Megan M. White ◽  
Jill Howie-Esquivel ◽  
Mary A. Caldwell
Keyword(s):  
Heart Failure ◽  
Heart Failure Symptom ◽  
Symptom Recognition

scholarly journals Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

2021 ◽  
Vol 11 (2) ◽  
pp. 418-429
Author(s):  
Joana Pereira Sousa ◽  
Hugo Neves ◽  
Miguel Pais-Vieira
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Care Management ◽  
Controlled Trial ◽  
Self Care ◽  
Fluid Restriction ◽  
Symptom Recognition ◽  
Patients With Heart Failure ◽  
Randomised Controlled

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).

Understanding and Measuring Symptom Burden in Heart Failure: A Concept Analysis

2019 ◽  
Vol 41 (10) ◽  
pp. 1423-1447 ◽  
Author(s):  
Macy L. Stockdill ◽  
Patricia A. Patrician ◽  
Marie Bakitas
Keyword(s):  
Heart Failure ◽  
Hospital Admissions ◽  
Negative Impact ◽  
Symptom Burden ◽  
Concept Analysis ◽  
Symptom Experience ◽  
Heart Failure Symptom ◽  
Failure Classification ◽  
Measurement Strategies ◽  
No Gold Standard

Heart failure is a common, complex, and costly condition accompanied by a high degree of symptom burden. The concept of heart failure symptom burden has been used and measured inconsistently in research. To develop effective symptom management and palliation strategies, a clear conceptual understanding is needed. Rodgers’ evolutionary method of concept analysis was used to identify articles in CINAHL, Embase, Scopus, and PubMed focused on chronic heart failure. Analysis of 20 articles revealed key attributes (subjectivity, negative impact on daily life and/or overall functioning, synergistic symptom associations, and symptom exacerbation), related terms (symptom distress and symptom experience), a surrogate term (heart failure burden), antecedents (heart failure classification or stage), and consequences (increased morbidity/mortality, decreased functioning, increased symptom prevalence/severity, decreased quality of life, and recurrent hospital admissions). No gold standard for measurement was identified. Research is needed to validate heart failure symptom burden measurement strategies across populations.

Heart failure symptom clusters and quality of life

Heart & Lung ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 366-372 ◽  
Author(s):  
Jeanne Salyer ◽  
Maureen Flattery ◽  
Debra E. Lyon
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Symptom Clusters ◽  
Heart Failure Symptom

Heart failure symptom monitoring and response training

Heart & Lung ◽  
2013 ◽  
Vol 42 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Corrine Y. Jurgens ◽  
Christopher S. Lee ◽  
John M. Reitano ◽  
Barbara Riegel
Keyword(s):  
Heart Failure ◽  
Symptom Monitoring ◽  
Heart Failure Symptom ◽  
Response Training

scholarly journals Review and Analysis of Existing Mobile Phone Apps to Support Heart Failure Symptom Monitoring and Self-Care Management Using the Mobile Application Rating Scale (MARS)

2016 ◽  
Vol 4 (2) ◽  
pp. e74 ◽  
Author(s):  
Ruth M Masterson Creber ◽  
Mathew S Maurer ◽  
Meghan Reading ◽  
Grenny Hiraldo ◽  
Kathleen T Hickey ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mobile Phone ◽  
Mobile Application ◽  
Care Management ◽  
Rating Scale ◽  
Self Care ◽  
Symptom Monitoring ◽  
Heart Failure Symptom

scholarly journals Symptom perception in heart failure: a scoping review on definition, factors and instruments

2019 ◽  
Vol 19 (2) ◽  
pp. 100-117 ◽  
Author(s):  
Gabrielle Cécile Santos ◽  
Maria Liljeroos ◽  
Andrew A Dwyer ◽  
Cécile Jaques ◽  
Josepha Girard ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sex Education ◽  
Scoping Review ◽  
Grey Literature ◽  
Self Care ◽  
Symptom Perception ◽  
Heart Failure Symptom ◽  
Patient Reported ◽  
Instrument Measuring ◽  
Heart Failure Hospitalisation

Background: Symptom perception in heart failure has been identified as crucial for effective self-care that is a modifiable factor related to decreased hospital readmission and improved survival. Aims: To review systematically the heart failure symptom perception literature and synthesise knowledge on definition, description, factors and instruments. Methods: We conducted a scoping review including studies reporting patient-reported symptom perception in adults with heart failure. Structured searches were conducted in Medline, PubMed, Embase, CINAHL, PsychINFO, Web of Science, Cochrane, JBI and grey literature. Two authors independently reviewed references for eligibility. Data were charted in tables and results narratively summarised. Results: The search yielded 3057 references, of which 106 were included. The definition of heart failure symptom perception comprised body listening, monitoring signs, recognising, interpreting and labelling symptoms, and furthermore awareness of and assigning meaning to the change. Symptom monitoring, recognition and interpretation were identified as challenging. Symptom perception facilitators include prior heart failure hospitalisation, heart failure self-care maintenance, symptom perception confidence, illness uncertainty and social support. Barriers include knowledge deficits, symptom clusters and lack of tools/materials. Factors with inconsistent impact on symptom perception include age, sex, education, experiences of living with heart failure, comorbidities, cognitive impairment, depression and symptom progression. One instrument measuring all dimensions of heart failure symptom perception was identified. Conclusion: Heart failure symptom perception definition and description have been elucidated. Several factors facilitating or hampering symptom perception are known. Further research is needed to determine a risk profile for poor symptom perception – which can then be taken into consideration when supporting heart failure self-care.

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